Evidence map›Paper›PMID 31417929›Full record

ArticleWorld journal of clinical cases2019

Primary gastric choriocarcinoma - a rare and aggressive tumor with multilineage differentiation: A case report.

Simona Gurzu, Constantin Copotoiu, Alexandra Tugui, Cedric Kwizera, Rita Szodorai, Ioan Jung

Open access · diamondAbstract readCase Reports
In one paragraph

Article in World journal of clinical cases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.7field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 14 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Simona GurzuDepartment of Pathology, University of Medicine, Pharmacy, Sciences and Technology, Targu Mures 530149, Romania. simona.gurzu@umftgm.ro.
Constantin CopotoiuDepartment of Surgery, University of Medicine, Pharmacy, Sciences and Technology, Targu Mures 530149, Romania.
Alexandra TuguiDepartment of Pathology, University of Medicine, Pharmacy, Sciences and Technology, Targu Mures 530149, Romania.
Cedric KwizeraDepartment of Surgery, University of Medicine, Pharmacy, Sciences and Technology, Targu Mures 530149, Romania.
Rita SzodoraiDepartment of Pathology, University of Medicine, Pharmacy, Sciences and Technology, Targu Mures 530149, Romania.
Ioan JungDepartment of Pathology, University of Medicine, Pharmacy, Sciences and Technology, Targu Mures 530149, Romania.
Universitatea de Medicină, Farmacie, Științe și Tehnologie „George Emil Palade” din Târgu Mureș · RO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrimary choriocarcinoma of the stomach (PCCS) is a rare tumor, with fewer than 60 cases published in the English-language literature up to December 2018. In this paper, we present the complex immunoprofile of one PCCS and a hypothesis regarding its histogenesis. CASE SUMMARY: A 66-year-old previously healthy male underwent an emergency palliative gastrectomy for a gastric obstructive tumor. The histologic examination and immunoprofile of tumor cells showed a mixed tumor that consisted of choriocarcinoma (90%) and moderate differentiated adenocarcinoma (10%), with hepatic metastases (Stage pT2NxM1L1V1R0) and microsatelite stable status. The patient died one month after surgery. The tumor cells showed focal positivity for CDX2 (adenocarcinoma component), HCG (choriocarcinoma) and CD138 (plasmacytoid carcinoma component) and were negative for HER-2, α-fetoprotein, VEGF, maspin and markers of epithelial-mesenchymal transition. The gastric mucosa cells displayed positivity for CDX2, Hepar A and CD138. The complex immunoprofile and literature data synthesis prove that the gastric mucosa cells can present a multilineage differentiation.

conclusionPCCS should be considered as an aggressive variant of microsatellite stable gastric adenocarcinoma of an epithelial type, and not a germ cell tumor.

Indexed as

Case reportChoriocarcinomaGastrointestinalImmunohistochemistryMaspinStomach

Identifiers

PMID31417929
PMCPMC6692267
OpenAlexW2964975573

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.