Evidence map›Paper›PMID 32950063›Full record

ArticleWorld journal of surgical oncology2020

A case of long-term survival after splenectomy for solitary splenic metastasis from gastric cancer.

Ayato Obana, Nobuo Komatsu, Kazuma Aiba, Shinya Nakanishi, Masakazu Abe, Toshiyuki Yamaguchi, Masahiro Hayashi, Hayato Obi, Masamichi Koyama, Shinichi Hashimoto

Open access · goldAbstract readCase Reports
In one paragraph

Article in World journal of surgical oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.4field-weighted citation impact, top 33% 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

4 citing papers in PubMed, 6 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

10 authors at 2 institutions in 1 country.

Ayato ObanaDepartment of Surgery, Asama Nanroku Komoro Medical Center, Nagano, Japan. obanaayato@gmail.com.ORCID http://orcid.org/0000-0003-0322-4299
Nobuo KomatsuDepartment of Surgery, Asama Nanroku Komoro Medical Center, Nagano, Japan.
Kazuma AibaDepartment of Surgery, Asama Nanroku Komoro Medical Center, Nagano, Japan.
Shinya NakanishiDepartment of Surgery, Asama Nanroku Komoro Medical Center, Nagano, Japan.
Masakazu AbeDepartment of Surgery, Asama Nanroku Komoro Medical Center, Nagano, Japan.
Toshiyuki YamaguchiDepartment of Surgery, Asama Nanroku Komoro Medical Center, Nagano, Japan.
Masahiro HayashiDepartment of Surgery, Asama Nanroku Komoro Medical Center, Nagano, Japan.
Hayato ObiDepartment of Surgery, Asama Nanroku Komoro Medical Center, Nagano, Japan.
Masamichi KoyamaDepartment of Surgery, Asama Nanroku Komoro Medical Center, Nagano, Japan.
Shinichi HashimotoDepartment of Surgery, Asama Nanroku Komoro Medical Center, Nagano, Japan.
Toho University · JPObayashi (Japan) · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVery rarely does a splenic solitary metastasis arise from a gastric carcinoma because splenic metastasis is usually seen in association with widespread visceral metastasis. Splenectomy is considered to be a curative treatment; however, long-term prognosis after splenectomy has scarcely been reported. We report a case of a metachronous and solitary metastasis to the spleen from gastric cancer in which the patient achieved 5-year recurrence-free survival after splenectomy. CASE PRESENTATION: An 84-year-old man underwent an open total gastrectomy involving D1+ lymph nodes dissection for gastric cancer located in the cardia (pT3N1M0, pStage IIB). Eighteen months later, a 2-cm solitary hypodense lesion was detected in the spleen by computed tomography (CT). Twenty-three months later, the serum carcinoembryonic antigen (CEA) value elevated to 19.9 ng/ml, and abdominal CT revealed an increase in tumor size to 5 cm. Positron-emission tomography (PET)-CT revealed intense

conclusionWe experienced a case of a solitary splenic metastasis from gastric cancer in which 5-year recurrence-free survival was achieved after splenectomy. To determine the surgical indication in patients with splenic metastasis, it is important to differentiate between a solitary lesion or multiple metastasis. Especially, occult metastasis should be excluded by means of several months of follow-up with imaging tests and systemic FDG-PET surveys before splenectomy.

Indexed as

Splenic NeoplasmsStomach NeoplasmsAged, 80 and overGastrectomyHumansMaleNeoplasm Recurrence, LocalPrognosisSplenectomyGastric cancerSplenectomySplenic metastasis

Identifiers

PMID32950063
PMCPMC7502201
OpenAlexW3087453882

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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.