Evidence map›Paper›PMID 33163919›Full record

ArticleIJU case reports2020

Systemic treatment for coexisting mucinous urethral adenocarcinoma and prostate adenocarcinoma.

Kunihisa Nezu, Teppei Okubo, Manabu Shiraiwa, Yoshihiro Nozawa, Atsushi Kyan

Open access · goldAbstract readCase Reports
In one paragraph

Article in IJU case reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.6field-weighted citation impact, top 31% 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

5 citing papers in PubMed, 4 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

5 authors at 2 institutions in 1 country.

Kunihisa NezuDepartment of Urology Shirakawa Kousei General Hospital Shirakawa Fukushima Japan.ORCID https://orcid.org/0000-0002-4238-866X
Teppei OkuboDepartment of Urology Shirakawa Kousei General Hospital Shirakawa Fukushima Japan.
Manabu ShiraiwaDepartment of Urology Shirakawajinhinyokinaika Clinics Shirakawa Fukushima Japan.
Yoshihiro NozawaDepartment of Pathology Shirakawa Kousei General Hospital Shirakawa Fukushima Japan.
Atsushi KyanDepartment of Urology Shirakawa Kousei General Hospital Shirakawa Fukushima Japan.
Miwa Hospital · JPFukushima College · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMucinous urethral adenocarcinoma is a rare and progressive cancer of the prostatic urethra. Reports on palliative systemic treatment for mucinous urethral adenocarcinoma are few. We present a case of coexisting mucinous urethral and prostate adenocarcinomas managed with systemic treatment. CASE PRESENTATION: A 66-year-old man presented with gross hematuria and urinary retention. Prostate-specific antigen level was elevated, at 99 ng/mL, and prostate biopsy revealed moderately to poorly differentiated adenocarcinoma. Hormone therapy and standard chemotherapy for prostate adenocarcinoma were ineffective. Prostate re-biopsy revealed coexisting mucinous urethral and prostate adenocarcinomas. Gemcitabine + cisplatin chemotherapy and folinic acid + 5-fluorouracil + irinotecan chemotherapy temporarily suppressed the cancer, but 14 months after presentation, he developed liver metastasis and died. Autopsy revealed metastasis of both mucinous urethral adenocarcinoma and carcinosarcoma.

conclusionMucinous urethral adenocarcinoma is difficult to diagnose in coexistence with prostate adenocarcinoma. This was an extremely rare case showing chemoresistance due to epithelial-mesenchymal transition.

Indexed as

adenocarcinomacarcinosarcomaepithelial‐mesenchymal transitionprostateurethral neoplasms

Identifiers

PMID33163919
PMCPMC7609175
OpenAlexW3047232030

What OpenQuestion holds

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LicenceCC BY-NC
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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.