Evidence map›Paper›PMID 33298487›Full record

ArticleBMJ case reports2020

Solid pseudopapillary neoplasm of pancreas with distant metastasis during pregnancy: a diagnostic and treatment challenge.

Diogo Santos, Ana Calhau, Filipe Bacelar, Joaquim Vieira

Open access · greenAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.8field-weighted citation impact, top 24% 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

10 citing papers in PubMed, 14 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

4 authors at 1 institution in 1 country.

Diogo SantosObstetrics and Gynaecology Department, Hospital Doutor Nélio Mendonça, Funchal, Portugal diogo.fmuc.santos@gmail.com.ORCID http://orcid.org/0000-0003-0785-532X
Ana CalhauObstetrics and Gynaecology Department, Hospital Doutor Nélio Mendonça, Funchal, Portugal.
Filipe BacelarObstetrics and Gynaecology Department, Hospital Doutor Nélio Mendonça, Funchal, Portugal.
Joaquim VieiraObstetrics and Gynaecology Department, Hospital Doutor Nélio Mendonça, Funchal, Portugal.
Hospital Dr. Nélio Mendonça · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Solid pseudopapillary neoplasms (SPNs) are rare pancreatic cystic neoplasms occurring predominantly in young women and diagnosis is often a challenge. This report describes the case of a 23-year-old primigravida who presented with abnormally elevated liver blood tests at 24 weeks of gestation. Imaging studies were suggestive of SPN with metastatic liver disease. A multidisciplinary team approach decided on a preterm caesarean delivery of a healthy female child at 36 weeks of gestation. Subsequently, a CT-guided biopsy was performed, with confirmation of SPN in the anatomopathological study. Subpartial pancreatectomy, partial gastrectomy, cholecystectomy, total splenectomy and partial hepatectomy were successfully performed. A 3-month control CT scan and positron emission tomography-CT studies revealed disease recurrence with pulmonary and liver metastatic disease. The patient was started on a palliative chemotherapy protocol with good tolerance. To our knowledge this is the first case of a SPN described in pregnancy with distant metastasis and disseminated recurrence after surgical treatment.

Indexed as

Prenatal DiagnosisCarcinoma, PapillaryCesarean SectionFemaleGestational AgeHumansInfant, NewbornLiver NeoplasmsLung NeoplasmsMagnetic Resonance ImagingPancreatectomyPancreatic NeoplasmsPregnancyPregnancy Complications, NeoplasticSplenectomyTomography, X-Ray Computedpancreatic cancerpregnancysurgical oncology

Identifiers

PMID33298487
PMCPMC7733072
OpenAlexW3113226981

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.