Evidence map›Paper›PMID 32874988›Full record

ArticleWorld journal of clinical cases2020

Isolated metachronous splenic multiple metastases after colon cancer surgery: A case report and literature review.

Li Hu, Ji-Yun Zhu, Lei Fang, Xiu-Chong Yu, Zhi-Long Yan

Abstract readCase Reports
In one paragraph

Article in World journal of clinical cases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
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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

5 authors.

Li HuDepartment of Gastrointestinal Surgery, Ningbo First Hospital, Ningbo 315000, Zhejiang Province, China.
Ji-Yun ZhuDepartment of Gastrointestinal Surgery, Ningbo First Hospital, Ningbo 315000, Zhejiang Province, China.
Lei FangDepartment of Gastrointestinal Surgery, Ningbo First Hospital, Ningbo 315000, Zhejiang Province, China.
Xiu-Chong YuDepartment of Gastrointestinal Surgery, Ningbo First Hospital, Ningbo 315000, Zhejiang Province, China.
Zhi-Long YanDepartment of Gastrointestinal Surgery, Ningbo First Hospital, Ningbo 315000, Zhejiang Province, China. yanzhilong@nbu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIsolated splenic metastasis is a rare clinical entity. Multiple metastases in the spleen after radical colon resection in a patient who subsequently underwent a second local resection for isolated metachronous splenic metastasis are exceedingly rare. CASE SUMMARY: We report a colon cancer patient who underwent laparoscopic radical colon resection 14 mo previously, and subsequently underwent a second local resection due to local recurrence detected by elevated serum carcinoembryonic antigen (CEA) and positron emission tomography (PET). However, multiple metastases in the spleen were found 7 mo later by elevated serum CEA and PET-magnetic resonance imaging. Then the patient underwent total laparoscopic splenectomy. Local tumor recurrence and splenic metastasis from colorectal cancer (CRC) were found by postoperative pathology. Genetic analysis of these recurrent and metastatic tissues showed KRAS exon2, APC exon16 and TP53 exon6 missense mutations, but no mutations of

conclusionClose monitoring of serum CEA levels is crucial for the detection of isolated splenic metastases after colon surgery. In terms of overall survival and progression-free survival, MDT plays an important role in the entire process of disease management.

Indexed as

Case reportColon cancerIsolatedLiterature reviewMetachronousSplenic metastasis

Identifiers

PMID32874988
PMCPMC7441267

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