Evidence map›Paper›PMID 35395754›Full record

ArticleBMC gastroenterology2022

Characteristics of primary signet ring cell carcinoma of colon and rectum: a case control study.

Meng-Tzu Weng, Ko-Han Chao, Chien-Chih Tung, Hao-Chun Chang, I-Lun Shih, Been-Ren Lin, Ming-Jium Shieh, Chia-Tung Shun, Jau-Min Wong, Shu-Chen Wei

Open access · goldAbstract read
In one paragraph

Article in BMC gastroenterology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.9field-weighted citation impact, top 6% 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

12 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. 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

10 authors at 2 institutions in 1 country.

Meng-Tzu WengDepartment of Internal Medicine, National Taiwan University Hospital and College of Medicine, Taipei City, Taiwan.
Ko-Han ChaoDepartment of Internal Medicine, National Taiwan University Hospital and College of Medicine, Taipei City, Taiwan.
Chien-Chih TungDepartment of Integrated Diagnostics and Therapeutics, National Taiwan University Hospital, Taipei City, Taiwan.
Hao-Chun ChangDepartment of Internal Medicine, National Taiwan University Hospital and College of Medicine, Taipei City, Taiwan.
I-Lun ShihDepartment of Medical Imaging, National Taiwan University Hospital, Taipei City, Taiwan.
Been-Ren LinDepartment of Surgery, National Taiwan University Hospital, Taipei City, Taiwan.
Ming-Jium ShiehDepartment of Oncology, National Taiwan University Hospital, Taipei City, Taiwan.
Chia-Tung ShunDepartment and Graduate Institute of Forensic Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan.
Jau-Min WongDepartment of Internal Medicine, National Taiwan University Hospital and College of Medicine, Taipei City, Taiwan.
Shu-Chen WeiDepartment of Internal Medicine, National Taiwan University Hospital and College of Medicine, Taipei City, Taiwan. shuchenwei@ntu.edu.tw.
National Taiwan University Hospital · TWNational Taiwan University · TW

Funding

National Taiwan University Hospital NTUH 107-A139
6 · The paper itself

Abstract

backgroundPrimary signet ring cell carcinoma of the colon and rectum (PSRCCR) is rare, usually diagnosed at advanced stage with poor outcomes. We aimed to find possible diagnostic clues in order to help diagnosis.

methodsA retrospective study of PSRCCR patients from 1993 to 2018 was reviewed at a single tertiary center. Colorectal adenocarcinoma patients as control group with 1:4 ratio was also enrolled.

results18 patients with PSRCCR were identified. The prevalence rate was 0.16% (18 of 11,515). The mean age was 50.2 years-old in PSRCCR group and 63 years-old in non-SRCC colorectal cancer patients (p < 0.001). Diagnosis tool depends on colonoscopy were much less in PSRCCR group than control group (44.4% vs 93%, p < 0.001). SRCC patients had higher level of CEA (68.3 vs 17.7 ng/mL, p = 0.004) and lower level of Albumin (3.4 vs 4.3 g/dL, p < 0.001). The majority of PSRCCR tumor configuration was ulcerative and infiltrative. More PSRCCR pathology presented as high-grade carcinoma (66.7 vs 1.4%, p < 0.001) and lymphovascular invasion (77.8 vs 44.4%, p = 0.011) than control group. More PSRCCR patients were diagnosed at advanced stage (88.8 vs 40.3%, p = 0.001). Higher mortality was also noticed in PSRCCR group than control group (72.2 vs 20.8%, p < 0.001).

conclusionFor young patients with long segment colonic stenosis and ulcerative/ infiltrative mucosa but endoscopic biopsy failed to identify malignant cells, earlier operation or non-colon site biopsy is suggested for diagnosing the PSRCCR.

Indexed as

Carcinoma, Signet Ring CellColonic NeoplasmsColorectal NeoplasmsRectal NeoplasmsCase-Control StudiesHumansMiddle AgedNeoplasm StagingPrognosisRectumRetrospective StudiesColorectal cancerPrimary signet ring cell carcinomaYoung patients

Identifiers

PMID35395754
PMCPMC8994381
OpenAlexW4223583639

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.