Evidence map›Paper›PMID 34813031›Full record

ReviewJournal of gastrointestinal cancer2023

Lymphoepithelioma-like Hepatocellular Carcinoma: a Case Report and Review of Literature.

Dina Sweed, Mervat M Sultan, Asmaa Mosbeh, Yahya A Fayed, Eman Abdelsameea, Nermine A Ehsan, Mohamed H Abdel-Rahman, Imam Waked

Abstract readReviewCase Reports
PubMed Publisher
In one paragraph

Review in Journal of gastrointestinal cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. 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

8 authors.

Dina SweedPathology Department, National Liver Institute, Menoufia University, Shibin Al Kawm, Egypt.
Mervat M SultanPathology Department, National Liver Institute, Menoufia University, Shibin Al Kawm, Egypt.
Asmaa MosbehPathology Department, National Liver Institute, Menoufia University, Shibin Al Kawm, Egypt. asmaamosbeh@hotmail.com.ORCID http://orcid.org/0000-0001-6951-4323
Yahya A FayedHepatopancreatobiliary Surgery Department, National Liver Institute, Menoufia University, Shibin Al Kawm, Egypt.
Eman AbdelsameeaHepatology and Gastroenterology Department, National Liver Institute, Menoufia University, Shibin Al Kawm, Egypt.
Nermine A EhsanPathology Department, National Liver Institute, Menoufia University, Shibin Al Kawm, Egypt.
Mohamed H Abdel-RahmanPathology Department, National Liver Institute, Menoufia University, Shibin Al Kawm, Egypt.
Imam WakedHepatology and Gastroenterology Department, National Liver Institute, Menoufia University, Shibin Al Kawm, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report a case of hepatic lymphoepithelioma-like carcinoma-hepatocellular carcinoma subtype (LEL-HCC) in a 41-year-old man with chronic hepatitis C virus (HCV) infection. The patient presented with abdominal pain and further assessment revealed a hypoechoic mass on ultrasonography. Serum alpha-fetoprotein (AFP) was 13·6 ng/dl. The patient was diagnosed as hepatocellular carcinoma based on the established triphasic computed tomography (TCT) diagnostic criteria and he underwent a surgical resection of the mass. Microscopic examination showed sheets and cords of malignant epithelial cells intermixed with heavy lymphoid infiltrate, with more than 100 tumor-infiltrating lymphocytes (TILs) per 10 high-power-field (HPF). Based on immunohistochemical studies, the malignant cells were positive for Hep Par 1 and glypican 3, focally positive for cytokeratin 7 (CK7), and negative for cytokeratin 20 (CK20). TILs were diffusely positive for cluster of differentiation 3 CD3 with an approximately equal CD4/CD8 ratio. The patient was recurrence free at 25 months after surgery, as evident by CT and serum alpha-fetoprotein level. LEL-HCC is a rare variant of HCC with a relatively better prognosis. Exploring the potential for immune modulator-based therapy in this subset of tumors is highly recommended.

Indexed as

Carcinoma, HepatocellularHepatitis C, ChronicLiver NeoplasmsAdultalpha-FetoproteinsHumansMalealpha-FetoproteinsHCVHepatocellular carcinomaLymphoepitheliomaPrognosis

Identifiers

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.