Evidence map›Paper›PMID 36168962›Full record

Observational studyJournal of digestive diseases2022

Sporadic, non-functional, gastrin-producing duodenal neuroendocrine tumors: A retrospective study of an infrequent disease.

Lucía de Jorge Huerta, Isabel Solares Fernández, Beatriz Sánchez-Moreno, David Males Maldonado, Carolina de Ibarrola Andrés, Raquel Díaz-Simón

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Journal of digestive diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 32% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Observational
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

6 authors at 1 institution in 1 country.

Lucía de Jorge HuertaDepartment of Internal Medicine, Hospital Universitario 12 de Octubre, Instituto de Investigación i + 12, Madrid, Spain.ORCID https://orcid.org/0000-0002-1904-1107
Isabel Solares FernándezDepartment of Internal Medicine, Hospital Universitario 12 de Octubre, Instituto de Investigación i + 12, Madrid, Spain.
Beatriz Sánchez-MorenoDepartment of Internal Medicine, Hospital Universitario 12 de Octubre, Instituto de Investigación i + 12, Madrid, Spain.
David Males MaldonadoDepartment of Endocrinology and Metabolism, Hospital Universitario 12 de Octubre, Instituto de Investigación i + 12, Madrid, Spain.
Carolina de Ibarrola AndrésDepartment of Anatomical Pathology, Hospital Universitario 12 de Octubre, Instituto de Investigación i + 12, Madrid, Spain.
Raquel Díaz-SimónDepartment of Internal Medicine, Hospital Universitario 12 de Octubre, Instituto de Investigación i + 12, Madrid, Spain.
Hospital Universitario 12 De Octubre · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesNon-functioning gastrin-producing neuroendocrine neoplasms (NEN) of the duodenum are rare gastrointestinal tumors without a clinical syndrome due to gastrin production. Their incidence has significantly increased as an incidental finding during endoscopic studies. The aim of this study was to describe the characteristics and prognostic factors of this emergent and infrequent neoplasm.

methodsWe performed a retrospective observational study based on the duodenal NENs samples with positive staining for gastrin at the Department of Pathology, University Hospital 12-de-Octubre (Madrid, Spain) between 2000 and 2017. Patients with clinically functional tumors ([Zollinger-Ellison syndrome] or gastrin >1000 pg/mL), with previously diagnosed multiple endocrine neoplasia (MEN) syndrome or synchronous neoplasia were excluded. Clinicopathological and therapeutic variables, follow-up, recurrence, and mortality data were collected.

resultsIn all, 21 patients were included. Most of the tumors were diagnosed incidentally as a single small polypoid lesion limited to mucosa/submucosa and with a low histological grade. Four (19.0%) patients presented with metastatic involvement at diagnosis (lymphatic and/or hepatic). These four patients also had a high or intermediate mitotic grade and infiltration further than submucosa. Local resection was applied in most cases as curative treatment. There were two cases of tumor recurrence and two tumor-related deaths with a 5-year disease-free survival of 81.0%.

conclusionsThe majority of these tumors were diagnosed at a localized stage and had a good prognosis with treatment. Nevertheless, given the potential metastatic risk, a close follow-up is necessary, especially in those with aggressive pathological factors such as deep infiltration or high histological grade.

Indexed as

Duodenal NeoplasmsNeuroendocrine TumorsGastrinsHumansIntestinal NeoplasmsPancreatic NeoplasmsRetrospective StudiesStomach NeoplasmsGastrinsduodenal neuroendocrine tumorsduodenumgastrin stainingneuroendocrine tumorsnon functioning tumor

Identifiers

PMID36168962
PMCPMC10099524
OpenAlexW4297488927

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.