Evidence map›Paper›PMID 33226536›Full record

ArticleSurgical case reports2020

A rare case of meningeal carcinomatosis and internal auditory canal metastasis presenting with the deafness for gastric cancer.

Takayuki Tanaka, Kengo Kanetaka, Takahiro Ikeda, Shun Yamaguchi, Syunsuke Kawakami, Tomoo Kitajima, Toru Iwata, Susumu Eguchi

Open access · goldAbstract read
In one paragraph

Article in Surgical case reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 37% 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

3 citing papers in PubMed, 4 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

8 authors at 2 institutions in 1 country.

Takayuki TanakaDepartment of Surgery, Nagasaki Rosai Hospital, 2-12-5 Setogoshi, Zip code 857-0134, Sasebo, Nagasaki, Japan. pay-it-forward.197675@hotmail.co.jp.ORCID http://orcid.org/0000-0002-5789-9833
Kengo KanetakaDepartment of Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Zip code, 852-8501, Nagasaki, Nagasaki, Japan.
Takahiro IkedaDepartment of Surgery, Nagasaki Rosai Hospital, 2-12-5 Setogoshi, Zip code 857-0134, Sasebo, Nagasaki, Japan.
Shun YamaguchiDepartment of Surgery, Nagasaki Rosai Hospital, 2-12-5 Setogoshi, Zip code 857-0134, Sasebo, Nagasaki, Japan.
Syunsuke KawakamiDepartment of Surgery, Nagasaki Rosai Hospital, 2-12-5 Setogoshi, Zip code 857-0134, Sasebo, Nagasaki, Japan.
Tomoo KitajimaDepartment of Surgery, Nagasaki Rosai Hospital, 2-12-5 Setogoshi, Zip code 857-0134, Sasebo, Nagasaki, Japan.
Toru IwataDepartment of Surgery, Nagasaki Rosai Hospital, 2-12-5 Setogoshi, Zip code 857-0134, Sasebo, Nagasaki, Japan.
Susumu EguchiDepartment of Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Zip code, 852-8501, Nagasaki, Nagasaki, Japan.
Nagasaki Rousai Hospital · JPNagasaki University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMeningeal carcinomatosis is a very rare metastatic site of gastric cancer and meningeal carcinomatosis without other metastatic sites is much extremely rare. Herein, we report our experience with a very rare case of meningeal carcinomatosis which was difficult to diagnose the recurrence by general systemic examination and was found due to the deafness despite the sustained high tumor markers. CASE PRESENTATION: A 68-year-old man consulted a hospital with vomiting and hematemesis. Laboratory tests revealed severe anemia. He was referred to our hospital and underwent an emergency gastroscopy, which revealed Borrman type 3 tumor and oozing of blood. Biopsy specimen showed gastric cancer. After several examinations, total gastrectomy was performed and tegafur-gimeracil-oteracil potassium (S-1) was initiated as adjuvant chemotherapy one month after surgery. Tumor marker levels (CEA and CA19-9) remained high for three months after surgery. S-1 was continued while shortening the imaging study follow-up period. Nine months after surgery, he noticed difficulty in hearing with facial paralysis, dizziness, tinnitus, and appetite loss. He was diagnosed with meningeal carcinomatosis and bilateral internal auditory canal metastasis. He died approximately two months later.

conclusionMeningeal carcinomatosis should be considered if bilateral deafness and vestibulopathy develop after gastrectomy, even if no recurrence is apparent in the abdominal cavity.

Indexed as

Bilateral deafnessGastric cancerInternal auditory canal metastasisMeningeal carcinomatosis

Identifiers

PMID33226536
PMCPMC7683756
OpenAlexW3108710708

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LicenceCC BY
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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.