Evidence map›Paper›PMID 32995306›Full record

ArticleCase reports in women's health2020

A rare maternal gastrointestinal stromal tumor found in the second trimester of pregnancy: A case report.

Naoko Tanaka, Shoko Tamada, Naoko Ueno, Makoto Ishida, Junichi Kodama, Tetsushi Kubota

Open access · goldAbstract readCase Reports
In one paragraph

Article in Case reports in women's health, 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
0.3field-weighted citation impact, top 41% 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, 2 citations in OpenAlex.

  1. Review
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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

6 authors at 1 institution in 1 country.

Naoko TanakaDepartment of Obstetrics and Gynecology, Hiroshima City Hiroshima Citizens Hospital, Japan.
Shoko TamadaDepartment of Obstetrics and Gynecology, Hiroshima City Hiroshima Citizens Hospital, Japan.
Naoko UenoDepartment of Obstetrics and Gynecology, Hiroshima City Hiroshima Citizens Hospital, Japan.
Makoto IshidaDepartment of Obstetrics and Gynecology, Hiroshima City Hiroshima Citizens Hospital, Japan.
Junichi KodamaDepartment of Obstetrics and Gynecology, Hiroshima City Hiroshima Citizens Hospital, Japan.
Tetsushi KubotaDepartment of Gastroenterological Surgery, Hiroshima City Hiroshima Citizens Hospital, Japan.
Hiroshima City Asa Citizens Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gastrointestinal stromal tumors are rare, and in pregnancy they are extremely rare. We present a case of a maternal gastrointestinal stromal tumor found in the second trimester of pregnancy. A 29-year-old woman, gravida 1 para 0, complained of bloody vomiting at 14 weeks of gestation. She had no significant medical history. We performed plain computed tomography and upper gastrointestinal endoscopy. Precise examination revealed a large mass in the stomach and an exposed blood vessel on the surface. An exposed blood vessel can be harmful for mother and fetus as it might rupture during the pregnancy. We performed a distal gastrectomy at 16 weeks of gestation. Histology confirmed a localized gastrointestinal stromal tumor with a high risk of recurrence, and adjuvant imatinib was recommended. The patient elected to delay adjuvant imatinib until after delivery. The postoperative and antenatal course was favorable, and the patient was followed up by ultrasound every 2 months after the operation. After she gave birth at 40 weeks of gestation, she started adjuvant imatinib 400 mg/day. There was no evidence of recurrence 1 year after surgery. There are no guidelines for the management of gastrointestinal stromal tumors in pregnancy. Given the treatment challenges, we believe that pregnant patients should be managed by a multidisciplinary team with expertise in gastrointestinal tumors and fetal-maternal medicine.

Indexed as

Gastrointestinal stromal tumorImatinib mesylateInterstitial cells of CajalPregnancyStomach neoplasm

Identifiers

PMID32995306
PMCPMC7508991
OpenAlexW3080337949

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.