Evidence map›Paper›PMID 33159678›Full record

ArticleClinical journal of gastroenterology2021

Colorectal and gastric metastases from lobular breast cancer that resembled superficial neoplastic lesions.

Masanori Kobayashi, Tomoaki Tashima, Koji Nagata, Shinichi Sakuramoto, Akihiko Osaki, Shomei Ryozawa

Abstract readCase Reports
PubMed Publisher
In one paragraph

Article in Clinical journal of gastroenterology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 21% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
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  11. An uncommon case of synchronous gastric and colonic metastases from breast cancer.JGH open : an open access journal of gastroenterology and hepatology · 2022
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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 3 institutions in 1 country.

Masanori KobayashiDepartment of Gastroenterology, Saitama Medical University International Medical Center, 1397-1, Yamane, Hidaka-city, Saitama, 350-1298, Japan. mkobayashi.gast@tmd.ac.jp.ORCID http://orcid.org/0000-0002-9067-859X
Tomoaki TashimaDepartment of Gastroenterology, Saitama Medical University International Medical Center, 1397-1, Yamane, Hidaka-city, Saitama, 350-1298, Japan.
Koji NagataDepartment of Pathology, Saitama Medical University International Medical Center, Saitama, Japan.
Shinichi SakuramotoDepartment of Esophagogastric Surgery, Saitama Medical University International Medical Center, Saitama, Japan.
Akihiko OsakiDepartment of Breast Oncology, Saitama Medical University International Medical Center, Saitama, Japan.
Shomei RyozawaDepartment of Gastroenterology, Saitama Medical University International Medical Center, 1397-1, Yamane, Hidaka-city, Saitama, 350-1298, Japan.
Saitama Medical University · JPSaitama International Medical Center · JPTokyo Medical and Dental University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Breast cancer is the most common malignancy in women and has a risk of late recurrence. We report a case of metastasis to the stomach and colon 23 years after surgery, with characteristic findings. A 74-year-old woman underwent breast cancer resection at the age of 51. At the time, no additional therapy was performed despite the histological diagnosis of invasive lobular carcinoma with lymph node metastasis. Upper gastrointestinal endoscopy, which was performed as a follow-up for her chronic gastritis, revealed multiple erosions. Histology revealed diffuse proliferation of signet ring cell-like atypical cells, that were positive for cytokeratin CAM5.2 and estrogen receptor. These findings suggested metastasis from the invasive lobular breast carcinoma. Positron-emission tomography revealed sternal and vertebral metastases. Colonoscopy also performed to screen for intestinal metastasis revealed several lesions that resembled hyperplastic polyps. Although these lesions were not strongly suspected of metastasis, histology surprisingly revealed the same findings as the gastric metastasis. This case involved gastric and colorectal superficial metastases that were synchronously detected 23 years after primary treatment. We report that early-stage colorectal metastasis may resemble hyperplastic polyps, and biopsy should always be considered in patients with a history of breast cancer, regardless of years elapsed since treatment.

Indexed as

Breast NeoplasmsCarcinoma, LobularColorectal NeoplasmsStomach NeoplasmsAgedFemaleHumansBiopsyBreast cancerLobular carcinomaMetastasisPolyps

Identifiers

PMID33159678
OpenAlexW3095974862

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.