Evidence map›Paper›PMID 34928463›Full record

ArticleSurgical case reports2021

Laparoscopic distal pancreatectomy for metastatic melanoma originating from the choroidal membrane: a case report.

Shigeaki Baba, Yuji Akiyama, Fumitaka Endo, Haruka Nikai, Ryo Sugimoto, Akira Umemura, Hirokatsu Katagiri, Yasushi Hasegawa, Takeshi Iwaya, Hiroyuki Nitta and 3 more

Open access · goldAbstract read
In one paragraph

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

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 47% 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pooled it
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

13 authors at 2 institutions in 1 country.

Shigeaki BabaDepartment of Surgery, Iwate Medical University School of Medicine, Iwate, Japan.
Yuji AkiyamaDepartment of Surgery, Iwate Medical University School of Medicine, Iwate, Japan. yakiyama@iwate-med.ac.jp.ORCID http://orcid.org/0000-0001-5658-7419
Fumitaka EndoDepartment of Surgery, Iwate Medical University School of Medicine, Iwate, Japan.
Haruka NikaiDepartment of Surgery, Iwate Medical University School of Medicine, Iwate, Japan.
Ryo SugimotoDepartment of Molecular Diagnostic Pathology, Iwate Medical University School of Medicine, Iwate, Japan.
Akira UmemuraDepartment of Surgery, Iwate Medical University School of Medicine, Iwate, Japan.
Hirokatsu KatagiriDepartment of Surgery, Iwate Medical University School of Medicine, Iwate, Japan.
Yasushi HasegawaDepartment of Surgery, Keio University School of Medicine, Tokyo, Japan.
Takeshi IwayaDepartment of Surgery, Iwate Medical University School of Medicine, Iwate, Japan.
Hiroyuki NittaDepartment of Surgery, Iwate Medical University School of Medicine, Iwate, Japan.
Keisuke KoedaDepartment of Medical Safety Science, Iwate Medical University School of Medicine, Iwate, Japan.
Tamotsu SugaiDepartment of Molecular Diagnostic Pathology, Iwate Medical University School of Medicine, Iwate, Japan.
Akira SasakiDepartment of Surgery, Iwate Medical University School of Medicine, Iwate, Japan.
Iwate Medical University · JPKeio University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMetastatic melanoma originating from the choroidal membrane is extremely rare. Here, we report a case of laparoscopic distal pancreatectomy for malignant melanoma that developed after heavy-particle therapy for malignant choroidal melanoma. CASE PRESENTATION: A 43-year-old Japanese woman underwent 70 Gy heavy-particle radiotherapy for a right choroidal malignant melanoma. Positron emission tomography-computed tomography examination was performed 4 years after treatment, when contrast accumulation was observed on the posterior wall of the stomach. Endoscopic ultrasonography and computed tomography showed a mass with contrast enhancement in contact with the stomach wall. Based on the imaging findings, a gastrointestinal stromal tumor of the posterior wall of the lower gastric corpus with extramural growth was suspected. Laparoscopic surgery was performed under general anesthesia. A black-pigmented tumor originating from the pancreas was discovered. Following an intraoperative diagnosis of metastasis of malignant melanoma, a laparoscopic distal pancreatectomy was performed. The pathological diagnosis was pancreatic metastasis of malignant melanoma. The patient was treated with adjuvant immune checkpoint inhibitors and chemotherapy after surgery, which led to long-term survival.

conclusionsIncluding this case, only eight case reports on pancreatic resection for metastatic ocular malignant melanoma have been reported. The ocular malignant melanoma with distant metastasis has a poor prognosis. Therefore, in our case, careful follow-up is required. A single pancreatic metastasis from a malignant melanoma of the choroid can be successfully managed by laparoscopic radical resection of the pancreas, and molecularly targeted adjuvant chemotherapy.

Indexed as

Adjuvant molecular-targeted chemotherapyChoroidalMalignant melanomaMetastatic pancreatic tumor

Identifiers

PMID34928463
PMCPMC8688594
OpenAlexW4200098217

What OpenQuestion holds

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LicenceCC BY
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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.