Evidence map›Paper›PMID 33731191›Full record

ArticleJournal of medical case reports2021

Signet ring cell carcinoma of rectum metastasizing to synchronous renal cell carcinoma: a case report.

Blagica Krsteska, Rubens Jovanovic, Aleksandar Eftimov, Boro Ilievski, Dragan Hadzi-Mancev, Bujar Osmani, Slavica Kostadinova-Kunovska

Open access · goldAbstract readCase Reports
In one paragraph

Article in Journal of medical case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.5field-weighted citation impact, top 33% 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

6 citing papers in PubMed, 9 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

7 authors at 1 institution in 1 country.

Blagica KrsteskaInstitute of Pathology, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, Skopje, North Macedonia. blagicadr@yahoo.com.ORCID http://orcid.org/0000-0001-8610-9119
Rubens JovanovicInstitute of Pathology, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, Skopje, North Macedonia.
Aleksandar EftimovInstitute of Pathology, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, Skopje, North Macedonia.
Boro IlievskiInstitute of Pathology, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, Skopje, North Macedonia.
Dragan Hadzi-MancevFaculty of Medicine, , University Clinic of Abdominal Surgery-Ss. Cyril and Methodius University in Skopje , Skopje, North Macedonia.
Bujar OsmaniFaculty of Medicine, , University Clinic of Abdominal Surgery-Ss. Cyril and Methodius University in Skopje , Skopje, North Macedonia.
Slavica Kostadinova-KunovskaInstitute of Pathology, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, Skopje, North Macedonia.
Ss. Cyril and Methodius University in Skopje · MK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRectal signet ring cell carcinoma is a rare type of colorectal adenocarcinoma characterized by an aggressive biological behavior and poor prognosis. The co-occurrence of colorectal carcinoma and renal cell carcinoma (RCC) has found in many hundreds of patients, many of whom also have additional malignancies. Cancer to cancer metastasis is rare and an uncommon phenomenon in malignancy, especially at the time of initial diagnosis, suggesting a genetic susceptibility. CASE PRESENTATION: We present the case of a 66-year-old Macedonian man with synchronous rectal signet ring cell carcinoma and RCC with tumor to tumor metastasis feature. He underwent a left nephrectomy and anterior rectal resection after complaining of constipation for 3-4 months and the appearance of synchronous tumors on the imaging studies. Morphology and immunohistochemical analysis of specimens from the RCC revealed signet ring cells identical to the rectal signet ring cell carcinoma. The next-generation sequencing study revealed mutations in TP53 and ERBB2, and microsatellite stable signet ring cell carcinoma was determined by deoxyribonucleic acid (DNA) sequencing.

conclusionsCancer to cancer metastasis, although rare, needs to be considered in synchronous tumors. RCC, when diagnosed in multiple synchronous tumors, should be examined carefully. The paucity of reported cases indicates the need for advanced research in imaging methods for metastasis and new therapeutic approaches.

Indexed as

Carcinoma, Renal CellCarcinoma, Signet Ring CellKidney NeoplasmsRectal NeoplasmsAgedHumansMaleRectumCase reportRectalRenal cell carcinomaSignet ring cell carcinomaTumor to tumor metastasis

Identifiers

PMID33731191
PMCPMC7972208
OpenAlexW3137185629

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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.