Evidence map›Paper›PMID 34043063›Full record

ArticleVirchows Archiv : an international journal of pathology2021

Sporadic foveolar-type gastric adenoma with a raspberry-like appearance in Helicobacter pylori-naïve patients.

Kotaro Shibagaki, Tsuyoshi Mishiro, Chika Fukuyama, Yusuke Takahashi, Ayako Itawaki, Saya Nonomura, Noritsugu Yamashita, Satoshi Kotani, Hironobu Mikami, Daisuke Izumi and 8 more

Abstract read
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In one paragraph

Article in Virchows Archiv : an international journal of pathology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 5% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Guideline
  2. Trial
  3. Review
  4. Review
  5. Impact of Artificial Intelligence-Assisted Endoscopy on Screening for Upper Gastrointestinal Cancer in a Large-Scale Health Screening Facility.Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society · 2026
    Article
  6. Gastric neoplasm with foveolar-cell differentiation inHistology and histopathology · 2026
    Review
  7. Review
  8. Review
  9. Article
  10. Article
  11. Multiple metachronous foveolar-type gastric adenomas in a Helicobacter pylori-naïve patient with long-term use of a proton pump inhibitor: a case report.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2025
    Article
  12. Article
  13. Trends of EarlyJournal of clinical medicine · 2024
    Article
  14. Article
  15. Article
  16. Article
  17. Endoscopic differential diagnosis between foveolar-type gastric adenoma and gastric hyperplastic polyps in Helicobacter pylori-naïve patients.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2023
    Article
  18. Article
  19. Review
  20. 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

18 authors at 2 institutions in 1 country.

Kotaro ShibagakiDepartment of Endoscopy, Faculty of Medicine, Shimane University, 693-8501, 89-1 Enya, Izumo, Japan. kotaro@med.shimane-u.ac.jp.
Tsuyoshi MishiroDepartment of Gastroenterology, Faculty of Medicine, Shimane University, Izumo, Japan.
Chika FukuyamaDepartment of Gastroenterology, Faculty of Medicine, Shimane University, Izumo, Japan.
Yusuke TakahashiDepartment of Gastroenterology, Faculty of Medicine, Shimane University, Izumo, Japan.
Ayako ItawakiDepartment of Gastroenterology, Faculty of Medicine, Shimane University, Izumo, Japan.
Saya NonomuraDepartment of Gastroenterology, Faculty of Medicine, Shimane University, Izumo, Japan.
Noritsugu YamashitaDepartment of Gastroenterology, Faculty of Medicine, Shimane University, Izumo, Japan.
Satoshi KotaniDepartment of Gastroenterology, Faculty of Medicine, Shimane University, Izumo, Japan.
Hironobu MikamiDepartment of Gastroenterology, Faculty of Medicine, Shimane University, Izumo, Japan.
Daisuke IzumiDepartment of Gastroenterology, Faculty of Medicine, Shimane University, Izumo, Japan.
Kousaku KawashimaDepartment of Gastroenterology, Faculty of Medicine, Shimane University, Izumo, Japan.
Norihisa IshimuraDepartment of Gastroenterology, Faculty of Medicine, Shimane University, Izumo, Japan.
Mamiko NagaseDepartment of Pathology, Faculty of Medicine, Shimane University, Izumo, Japan.
Asuka ArakiDepartment of Pathology, Faculty of Medicine, Shimane University, Izumo, Japan.
Noriyoshi IshikawaDepartment of Pathology, Faculty of Medicine, Shimane University, Izumo, Japan.
Riruke MaruyamaDepartment of Pathology, Faculty of Medicine, Shimane University, Izumo, Japan.
Ryoji KushimaDepartment of Pathology, Shiga University of Medical Science, Otsu, Japan.
Shunji IshiharaDepartment of Gastroenterology, Faculty of Medicine, Shimane University, Izumo, Japan.
Shimane University · JPShiga University of Medical Science · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sporadic foveolar-type gastric adenoma (FGA) has been described as an extremely rare polyp that is whitish and flatly elevated. However, we recently found that sporadic FGA with a raspberry-like appearance (FGA-RA) is not rare in Helicobacter pylori (H. pylori)-naïve gastric mucosa. We endoscopically or surgically treated 647 patients with gastric epithelial neoplasms in the last 5 years, with 7.7% (50/647) being H. pylori-naïve. Among these, 43 FGA-RAs were diagnosed based on histologic and endoscopic features in 34 patients, who were all enrolled in this retrospective study. All lesions were observed by white-light endoscopy (WLE) and narrow-band imaging with magnification endoscopy (NBIME). We subsequently analyzed their endoscopic and microscopic features and patient characteristics. The patients were 22 males and 12 females aged 57±23 years (mean±2SD). WLE showed raspberry-like small polyps mimicking gastric hyperplastic polyps in the oxyntic gastric compartment (body/fundus). Multiple growths were confirmed in 20.6% (7/34) of the patients. NBIME revealed irregularly shaped papillary/gyrus-like microstructures with abnormal capillaries. Histologically, all lesions were intraepithelial neoplasms, and most of lesions (62.8%, 27/43) exhibited low-grade dysplasia. Immunohistochemically, neoplastic cells featured strong and diffuse MUC5AC expression, negative or very low MUC6 expression, and negative MUC2/CD10 expression. They also showed Ki-67 hyperexpression with a mean labeling index of 59.4±48.7%. The coexistence of fundic gland polyps in the background mucosa was significantly higher in multiple FGA-RA cases than in solitary cases (100% vs. 55.5%, P< 0.05). FGA-RA is a newly suggested histologic variant of sporadic FGA whose occurrence is not rare in daily endoscopic practice.

Indexed as

AdenocarcinomaAdenomaAdenomatous PolypsAdultAgedFemaleGastric FundusGastric MucosaHelicobacter InfectionsHelicobacter pyloriHumansMaleMiddle AgedPhenotypePolypsRetrospective StudiesFoveolar-type adenomaHelicobacter pylori–naïveRaspberry-like appearance

Identifiers

PMID34043063
OpenAlexW3165277593

What OpenQuestion holds

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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.