Evidence map›Paper›PMID 32099400›Full record

ArticleOncoTargets and therapy2020

Primary Hepatic Neuroendocrine Tumor Mimicking Ruptured Hepatocellular Carcinoma with AFP Elevation: A Case Report and Literature Review.

Hai-Feng Huang, Piao-Piao Jin, Han-Jin Yang, Chun-Jun Zhang, Xin Zhang, Jun-Sen Wang, Jia-Jie Yu, Bo Zhang, Yun Zhang, Qi-da Hu

Open access · goldAbstract readCase Reports
In one paragraph

Article in OncoTargets and therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 24% 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, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Primary Hepatic Neuroendocrine Neoplasms: Systematic Review and Expert Pathologist Reappraisal Using the WHO 6th Edition Framework.Liver international : official journal of the International Association for the Study of the Liver · 2026
    Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Primary hepatic neuroendocrine tumor.Endocrinology, diabetes & metabolism case reports · 2021
    Article
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

10 authors at 1 institution in 1 country.

Hai-Feng HuangDepartment of Surgery, Shengzhou People's Hospital, Shengzhou 312400, People's Republic of China.ORCID 0000-0003-1566-1410
Piao-Piao JinHealth Management Center, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, People's Republic of China.ORCID 0000-0002-2220-8959
Han-Jin YangDepartment of Pathology, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang 310003, People's Republic of China.ORCID 0000-0003-1475-1211
Chun-Jun ZhangDepartment of Surgery, Shengzhou People's Hospital, Shengzhou 312400, People's Republic of China.ORCID 0000-0002-3992-8768
Xin ZhangDepartment of Radiology, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, People's Republic of China.ORCID 0000-0003-2208-1764
Jun-Sen WangDepartment of Pathology, Shengzhou People's Hospital, Shengzhou 312400, People's Republic of China.ORCID 0000-0002-7950-6834
Jia-Jie YuDepartment of Surgery, Shengzhou People's Hospital, Shengzhou 312400, People's Republic of China.ORCID 0000-0002-7531-777X
Bo ZhangDepartment of Surgery, Shengzhou People's Hospital, Shengzhou 312400, People's Republic of China.ORCID 0000-0002-1354-6147
Yun ZhangDepartment of Hepatobiliary and Pancreatic Surgery, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, People's Republic of China.ORCID 0000-0001-8820-3037
Qi-da HuDepartment of Hepatobiliary and Pancreatic Surgery, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, People's Republic of China.ORCID 0000-0002-9092-7808
First Affiliated Hospital Zhejiang University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Liver cancer is a common malignant disease in China, while the primary hepatic neuroendocrine tumor (PHNET) is extremely rare presented with various manifestations. We herein describe an interesting PHNET case, which was clinically diagnosed as hepatocellular carcinoma (HCC) based on strong clinical evidence and the national guideline, but confirmed to be PHNET by pathology. A42-year-old Chinese male was admitted for persistent upper abdominal pain, and CT scan revealed a huge liver tumor in the left lobe. The tumor presented attributes of tumor rupture, portal vein tumor thrombus, elevated serum AFP level, background hepatitis B virus infection history, and radiological features mimicking typical HCC. After left semi-hepatectomy was performed for curative treatment of the primary "HCC", the pathology demonstrated the correct diagnosis be poorly differentiated neuroendocrine carcinoma (NEC). The immunohistochemistry assays showed positive neuroendocrine markers of CgA and Syn and negative HCC markers of Hep Par 1 and GPC3, ruling out concurrent HCC. This case and literature review suggest that in spite of rare incidence, PHNET should be considered as a possible diagnosis when lacking a confirmative pathology result, even when sufficient evidence of typical presentation exist to establish the clinical diagnosis of HCC.

Indexed as

misdiagnosisneuroendocrine carcinomaprimary hepatic neuroendocrine tumorruptured liver cancerα-fetoprotein

Identifiers

PMID32099400
PMCPMC7007302
OpenAlexW3003633716

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.