Evidence map›Paper›PMID 31616694›Full record

ArticleWorld journal of clinical cases2019

Liver re-transplantation for donor-derived neuroendocrine tumor: A case report.

Anna Mrzljak, Branislav Kocman, Anita Skrtic, Ivana Furac, Jelena Popic, Lucija Franusic, Renata Zunec, Davor Mayer, Danko Mikulic

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 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 44% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Donor-Transmitted Cancer in Orthotopic Solid Organ Transplant Recipients: A Systematic Review.Transplant international : official journal of the European Society for Organ Transplantation
    Pooled it
  2. Article
  3. Review
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

9 authors at 3 institutions in 1 country.

Anna MrzljakDepartment of Medicine, Merkur University Hospital, School of Medicine, University of Zagreb, Zagreb 10000, Croatia. anna.mrzljak@mef.hr.
Branislav KocmanDepartment of Surgery, Merkur University Hospital, Zagreb 10000, Croatia.
Anita SkrticDepartment of Pathology and Cytology, Merkur University Hospital, School of Medicine, University of Zagreb, Zagreb 10000, Croatia.
Ivana FuracDNA Laboratory, Institute of Forensic Medicine and Criminalistics, School of Medicine, University of Zagreb, Zagreb 10000, Croatia.
Jelena PopicDepartment of Radiology, Merkur University Hospital, School of Medicine, University of Zagreb, Zagreb 10000, Croatia.
Lucija FranusicSchool of Medicine, University of Zagreb, Zagreb 10000, Croatia.
Renata ZunecDepartment for Tissue Typing, Clinical Hospital Centre Zagreb, Zagreb 10000, Croatia.
Davor MayerInstitute of Forensic Medicine and Criminalistics, School of Medicine, University of Zagreb, Zagreb 10000, Croatia.
Danko MikulicDepartment of Surgery, Merkur University Hospital, Zagreb 10000, Croatia.
University of Zagreb · HRKlinička bolnica Merkur · HRUniversity Hospital Centre Zagreb · HR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDonor-origin cancer is a well-recognized but rare complication after liver transplantation (LT). The rise in the use of extended criteria donors due to the current shortage of organs increases the risk. Data on donor-origin neuroendocrine neoplasms (NENs) and the most appropriate treatment are scarce. Here, we report a case of a patient who developed a NEN confined to the liver after LT and was treated with liver re-transplantation (re-LT). CASE SUMMARY: A 49-year-old man with no other medical co-morbidities underwent LT in 2013 for alcoholic liver cirrhosis. The donor was a 73-year-old female with no known malignancies. Early after LT, a hypoechogenic (15 mm) lesion was detected in the left hepatic lobe on abdominal ultrasound. The lesion was stable for next 11 mo, when abdominal magnetic resonance identified two hypovascular lesions (20 and 11 mm) with atypical enhancement pattern. Follow-up abdominal ultrasound revealed no new lesions for the next 2.5 years, when magnetic resonance showed a progression in size and number of lesions, also confirmed by abdominal computed tomography. Liver biopsy proved a well-differentiated NEN. Genetic analysis of the NEN confirmed donor origin of the neoplasm. As NEN was confined to liver graft only, in 2018, the patient underwent his second LT. At 12 mo after re-LT the patient is well with no signs of NEN dissemination.

conclusionThe benefits of graft explantation should be weighed against the risks of re-LT and the likelihood of NEN dissemination beyond the graft.

Indexed as

Case reportDonorDonor-origin tumorLiver transplantationNeuroendocrine tumor

Identifiers

PMID31616694
PMCPMC6789388
OpenAlexW2977113295

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.