Evidence map›Paper›PMID 33629257›Full record

ArticleClinical journal of gastroenterology2021

Two cases of gastric adenocarcinoma with enteroblastic differentiation resected by endoscopic submucosal dissection.

Tsunetaka Kato, Takuto Hikichi, Jun Nakamura, Mika Takasumi, Minami Hashimoto, Ryoichiro Kobashi, Tadayuki Takagi, Rei Suzuki, Mitsuru Sugimoto, Yuki Sato and 7 more

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 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.2field-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

8 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Gastric Adenocarcinoma with Enteroblastic Differentiation.Pathobiology : journal of immunopathology, molecular and cellular biology · 2025
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. 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

17 authors at 2 institutions in 1 country.

Tsunetaka KatoDepartment of Endoscopy, Fukushima Medical University Hospital, 1 Hikarigaoka, Fukushima, Japan.
Takuto HikichiDepartment of Endoscopy, Fukushima Medical University Hospital, 1 Hikarigaoka, Fukushima, Japan. takuto@fmu.ac.jp.ORCID http://orcid.org/0000-0002-9815-1557
Jun NakamuraDepartment of Endoscopy, Fukushima Medical University Hospital, 1 Hikarigaoka, Fukushima, Japan.
Mika TakasumiDepartment of Gastroenterology, Fukushima Medical University School of Medicine, Fukushima, Japan.
Minami HashimotoDepartment of Endoscopy, Fukushima Medical University Hospital, 1 Hikarigaoka, Fukushima, Japan.
Ryoichiro KobashiDepartment of Gastroenterology, Fukushima Medical University School of Medicine, Fukushima, Japan.
Tadayuki TakagiDepartment of Gastroenterology, Fukushima Medical University School of Medicine, Fukushima, Japan.
Rei SuzukiDepartment of Gastroenterology, Fukushima Medical University School of Medicine, Fukushima, Japan.
Mitsuru SugimotoDepartment of Gastroenterology, Fukushima Medical University School of Medicine, Fukushima, Japan.
Yuki SatoDepartment of Gastroenterology, Fukushima Medical University School of Medicine, Fukushima, Japan.
Yoshinori OkuboDepartment of Endoscopy, Fukushima Medical University Hospital, 1 Hikarigaoka, Fukushima, Japan.
Shunsuke SatakeDepartment of Gastroenterology, Fukushima Medical University School of Medicine, Fukushima, Japan.
Yuka OkaDepartment of Diagnostic Pathology, Fukushima Medical University School of Medicine, Fukushima, Japan.
Shoki YamadaDepartment of Diagnostic Pathology, Fukushima Medical University School of Medicine, Fukushima, Japan.
Masao KobayakawaDepartment of Endoscopy, Fukushima Medical University Hospital, 1 Hikarigaoka, Fukushima, Japan.
Yuko HashimotoDepartment of Diagnostic Pathology, Fukushima Medical University School of Medicine, Fukushima, Japan.
Hiromasa OhiraDepartment of Gastroenterology, Fukushima Medical University School of Medicine, Fukushima, Japan.
Fukushima Medical University · JPFukushima Medical University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gastric adenocarcinoma with enteroblastic differentiation (GAED) is rare, highly malignant, and has higher vascular invasion and metastasis rates than conventional differentiated gastric cancer (CDGC). We report two cases of GAED that underwent curative resection by endoscopic submucosal dissection (ESD). Case 1 was an 82-year-old man with an elevated lesion in the gastric cardia. Biopsy revealed well-differentiated tubular adenocarcinoma. Pathological diagnosis of the ESD specimen revealed intramucosal gastric cancer without lymphovascular invasion (LVI). Although the surface layer of the lesion showed well and moderately differentiated tubular adenocarcinoma, clear cytoplasmic cancer cells positive for Sal-like protein-4 (SALL4) and Glypican-3 were found in a part of the deep layer. Therefore, GAED was diagnosed as present in a part of the whole lesion and covered with CDGC. Case 2 was an 83-year-old man with an elevated lesion in the gastric angulus. Biopsy revealed papillary and well-differentiated tubular adenocarcinomas. Pathological diagnosis of the ESD specimen revealed intramucosal gastric cancer without LVI. The entire lesion was occupied by papillary and tubular cancer cells, and had clear vesicles. Pure GAED was diagnosed, because the cells were SALL4 positive. In both cases, resection was curative despite the difference in pathological features.

Indexed as

AdenocarcinomaEndoscopic Mucosal ResectionStomach NeoplasmsAged, 80 and overBiopsyCell DifferentiationGastric MucosaHumansMaleAlpha-fetoprotein-producing gastric cancerEndoscopic submucosal dissectionEnteroblastic differentiationGastric adenocarcinoma with enteroblastic differentiationGastric cancer

Identifiers

PMID33629257
OpenAlexW3132864799

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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.