Evidence map›Paper›PMID 33521158›Full record

ArticleACG case reports journal2021

A Rare Case of Metastatic Merkel Cell Carcinoma to the Stomach and Pancreas Presenting With Upper Gastrointestinal Bleeding and Obstructive Jaundice.

Ahmed Elkafrawy, Laith Numan, Anas Albawaliz, Cynthia Liu, Waled Bahaj, Ossama Tawfik, Fadi Hamid

Open access · diamondAbstract readCase Reports
In one paragraph

Article in ACG case reports journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 36% 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, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Merkel Cell Carcinoma With Isolated Pancreatic Metastasis.Journal of investigative medicine high impact case reports
    Article
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

7 authors at 4 institutions in 1 country.

Ahmed ElkafrawyDigestive Disease and Surgery Institute, Cleveland Clinic Foundation, Cleveland, OH.
Laith NumanInternal Medicine Department, University of Missouri Kansas City School of Medicine, Kansas City, MO.
Anas AlbawalizInternal Medicine Department, University of Missouri Kansas City School of Medicine, Kansas City, MO.
Cynthia LiuInternal Medicine Department, Baylor College of Medicine, Houston, TX.
Waled BahajInternal Medicine Department, University of Missouri Kansas City School of Medicine, Kansas City, MO.
Ossama TawfikPathology Department, Saint Luke's Hospital, Kansas City, MO.
Fadi HamidDepartment of Gastroenterology, Saint Luke's Hospital, Kansas City, MO.
University of Missouri–Kansas City · USSaint Luke's Hospital · USBaylor College of Medicine · USCleveland Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Merkel cell carcinoma (MCC) is a rare and aggressive primary neuroendocrine tumor of the skin. Gastrointestinal (GI) metastasis in MCC is uncommon. We present a case of MCC with metastasis to the stomach, duodenum, and pancreas presenting with melena and obstructive jaundice. A large, bleeding metastatic mass was identified in the duodenum. Hemostasis was achieved with coil embolization. Endoscopic retrograde cholangiopancreatography with stenting of the common bile duct was performed to relieve the obstruction. Close surveillance with positron emission tomography/computed tomography scan and possible GI endoscopy should be performed in cases with distant metastasis to identify and treat early GI tract lesions.

Identifiers

PMID33521158
PMCPMC7843122
OpenAlexW3124216080

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.