Evidence map›Paper›PMID 32449045›Full record

ArticleSurgical case reports2020

Laparoscopic gastrectomy with lymph node dissection for the treatment of remnant stomach gastrointestinal stromal tumors in incomplete-type Carney's triad: a case report.

Yuhi Shimura, Shingo Kanaji, Naoki Urakawa, Masashi Yamamoto, Masako Utsumi, Gousuke Takiguchi, Hiroshi Hasegawa, Yoshiko Matsuda, Kimihiro Yamashita, Takeru Matsuda and 4 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Surgical case reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 92% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

14 authors at 1 institution in 1 country.

Yuhi ShimuraDivision of Gastrointestinal Surgery, Department of Surgery, Graduate School of Medicine, Kobe University, 7-5-2 Kobeshi, Chuou-ku, Kusunoki-cho, Kobe, Hyogo, 650-0017, Japan.
Shingo KanajiDivision of Gastrointestinal Surgery, Department of Surgery, Graduate School of Medicine, Kobe University, 7-5-2 Kobeshi, Chuou-ku, Kusunoki-cho, Kobe, Hyogo, 650-0017, Japan. kanashin@med.kobe-u.ac.jp.ORCID http://orcid.org/0000-0002-8698-8923
Naoki UrakawaDivision of Gastrointestinal Surgery, Department of Surgery, Graduate School of Medicine, Kobe University, 7-5-2 Kobeshi, Chuou-ku, Kusunoki-cho, Kobe, Hyogo, 650-0017, Japan.
Masashi YamamotoDivision of Gastrointestinal Surgery, Department of Surgery, Graduate School of Medicine, Kobe University, 7-5-2 Kobeshi, Chuou-ku, Kusunoki-cho, Kobe, Hyogo, 650-0017, Japan.
Masako UtsumiDivision of Gastrointestinal Surgery, Department of Surgery, Graduate School of Medicine, Kobe University, 7-5-2 Kobeshi, Chuou-ku, Kusunoki-cho, Kobe, Hyogo, 650-0017, Japan.
Gousuke TakiguchiDivision of Gastrointestinal Surgery, Department of Surgery, Graduate School of Medicine, Kobe University, 7-5-2 Kobeshi, Chuou-ku, Kusunoki-cho, Kobe, Hyogo, 650-0017, Japan.
Hiroshi HasegawaDivision of Gastrointestinal Surgery, Department of Surgery, Graduate School of Medicine, Kobe University, 7-5-2 Kobeshi, Chuou-ku, Kusunoki-cho, Kobe, Hyogo, 650-0017, Japan.
Yoshiko MatsudaDivision of Gastrointestinal Surgery, Department of Surgery, Graduate School of Medicine, Kobe University, 7-5-2 Kobeshi, Chuou-ku, Kusunoki-cho, Kobe, Hyogo, 650-0017, Japan.
Kimihiro YamashitaDivision of Gastrointestinal Surgery, Department of Surgery, Graduate School of Medicine, Kobe University, 7-5-2 Kobeshi, Chuou-ku, Kusunoki-cho, Kobe, Hyogo, 650-0017, Japan.
Takeru MatsudaDivision of Gastrointestinal Surgery, Department of Surgery, Graduate School of Medicine, Kobe University, 7-5-2 Kobeshi, Chuou-ku, Kusunoki-cho, Kobe, Hyogo, 650-0017, Japan.
Taro OshikiriDivision of Gastrointestinal Surgery, Department of Surgery, Graduate School of Medicine, Kobe University, 7-5-2 Kobeshi, Chuou-ku, Kusunoki-cho, Kobe, Hyogo, 650-0017, Japan.
Tetsu NakamuraDivision of Gastrointestinal Surgery, Department of Surgery, Graduate School of Medicine, Kobe University, 7-5-2 Kobeshi, Chuou-ku, Kusunoki-cho, Kobe, Hyogo, 650-0017, Japan.
Satoshi SuzukiDivision of Gastrointestinal Surgery, Department of Surgery, Graduate School of Medicine, Kobe University, 7-5-2 Kobeshi, Chuou-ku, Kusunoki-cho, Kobe, Hyogo, 650-0017, Japan.
Yoshihiro KakejiDivision of Gastrointestinal Surgery, Department of Surgery, Graduate School of Medicine, Kobe University, 7-5-2 Kobeshi, Chuou-ku, Kusunoki-cho, Kobe, Hyogo, 650-0017, Japan.
Kobe University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe report a rare case of gastrointestinal stromal tumors (GISTs) in Carney's triad, successfully treated using laparoscopic gastrectomy with lymph node dissection after chemotherapy. CASE PRESENTATION: A 21-year-old woman presented to our hospital for treatment of recurrent GISTs. The patient had been admitted for treatment 11 years prior, with black stools being the chief presenting complaint at that time. On examination at that time, multiple submucosal tumors in the pyloric antrum and multiple pulmonary tumors had been observed. She underwent open partial gastrectomy, and the diagnosis of GISTs was confirmed. She was administered tyrosine kinase inhibitors to treat lung metastases from 2 months after surgery. Due to the increasing size of the lung tumors, a right upper lobectomy was performed 9 years after the index gastric surgery. Histopathological examination of the lung specimen, in combination with re-examination of the gastric specimens, was indicative of incomplete-type Carney's triad. Eleven years after the index gastric surgery, multiple GISTs were observed in her entire stomach. Tumor biopsy revealed a succinate dehydrogenase deficiency, confirming the diagnosis of recurrent GISTs. For treatment, the patient underwent laparoscopic completion gastrectomy, with D1 plus lymph node dissection.

conclusionThis is a first case report of completion gastrectomy performed laparoscopically for the treatment of GISTs associated with incomplete-type Carney's triad. The recurrent GISTs developed over a protracted period of 11 years from the index gastric surgery to tumor recurrence.

Indexed as

Carney’s triadGastrointestinal stromal tumorsSuccinate dehydrogenase tumor deficiency

Identifiers

PMID32449045
PMCPMC7246277
OpenAlexW3026550761

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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.