Evidence map›Paper›PMID 37325968›Full record

ReviewJapanese journal of clinical oncology2023

Comprehensive review of undifferentiated carcinoma of the pancreas: from epidemiology to treatment.

Hiroshi Imaoka, Masafumi Ikeda, Kumiko Umemoto, Yu Sunakawa, Makoto Ueno, Hideki Ueno, Masato Ozaka, Takamichi Kuwahara, Naohiro Okano, Masashi Kanai and 14 more

Open access · hybridAbstract readReview
In one paragraph

Review in Japanese journal of clinical oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
3.5field-weighted citation impact, top 7% 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, 15 citations in OpenAlex.

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  13. Investigating the synergistic effects of immunochemotherapy in esophageal squamous cell carcinoma.Esophagus : official journal of the Japan Esophageal Society · 2025
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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

24 authors at 20 institutions in 1 country.

Hiroshi ImaokaDepartment of Hepatobiliary and Pancreatic Oncology, National Cancer Center Hospital East, Kashiwa, Japan.ORCID 0000-0003-0584-0095
Masafumi IkedaDepartment of Hepatobiliary and Pancreatic Oncology, National Cancer Center Hospital East, Kashiwa, Japan.
Kumiko UmemotoDepartment of Clinical Oncology, St. Marianna University School of Medicine, Kawasaki, Japan.
Yu SunakawaDepartment of Clinical Oncology, St. Marianna University School of Medicine, Kawasaki, Japan.
Makoto UenoDepartment of Gastroenterology, Kanagawa Cancer Center, Yokohama, Japan.
Hideki UenoHepatobiliary and Pancreatic Oncology, National Cancer Center Hospital, Tokyo, Japan.
Masato OzakaHepato-Biliary-Pancreatic Medicine Department, Cancer Institute Hospital of Japanese Foundation for Cancer Research, Tokyo, Japan.
Takamichi KuwaharaDepartment of Gastroenterology, Aichi Cancer Center Hospital, Nagoya, Japan.
Naohiro OkanoDepartment of Medical Oncology, Kyorin University Faculty of Medicine, Tokyo, Japan.ORCID 0000-0002-4098-5217
Masashi KanaiDepartment of Medical Oncology, Kyoto University Hospital, Kyoto, Japan.
Terumasa HisanoDepartment of Hepato-Biliary-Pancreatology, National Hospital Organization Kyushu Cancer Center, Fukuoka, Japan.
Yuko SuzukiDepartment of Gastroenterology, Saitama Cancer Center, Saitama, Japan.
Akinori AsagiDepartment of Gastrointestinal Medical Oncology, National Hospital Organization Shikoku Cancer Center, Matsuyama, Japan.
Kazuhiko ShiojiDepartment of Internal Medicine, Niigata Cancer Center Hospital, Niigata, Japan.
Akiko TodakaDivision of Gastrointestinal Oncology, Shizuoka Cancer Center, Shizuoka, Japan.ORCID 0000-0002-7308-5960
Kunihiro TsujiDepartment of Gastroenterology, Ishikawa Prefectural Central Hospital, Kanazawa, Japan.
Kenji IkezawaDepartment of Hepatobiliary and Pancreatic Oncology, Osaka International Cancer Institute, Osaka, Japan.
Ikuya MikiDepartment of Gastroenterological Oncology, Hyogo Cancer Center, Akashi, Japan.
Yoshito KomatsuDepartment of Gastroenterology, Hokkaido University Hospital, Sapporo, Japan.
Noriyuki AkutsuDepartment of Gastroenterology and Hepatology, Sapporo Medical University School of Medicine, Sapporo, Japan.
Tatsuya YamashitaDepartment of Gastroenterology, Kanazawa University Hospital, Kanazawa, Japan.
Hiroyuki OkuyamaDepartment of Medical Clinical Oncology, Kagawa University Hospital, MikiKagawa, Japan.
Junji FuruseDepartment of Gastroenterology, Kanagawa Cancer Center, Yokohama, Japan.
Hiroaki NaganoDepartment of Gastroenterological, Breast and Endocrine Surgery, Yamaguchi University Graduate School of Medicine, Ube, Japan.
Kanagawa Prefectural Hospital Organization · JPNational Cancer Center Hospital East · JPSt. Marianna University School of Medicine · JPAichi Cancer Center · JPHokkaido University Hospital · JPHyogo Prefectural Cancer Center · JPIshikawa Prefectural Central Hospital · JPJapanese Foundation For Cancer Research · JPKagawa University Hospital · JPKanazawa University Hospital · JPKyorin University · JPKyoto University Hospital · JPNational Hospital Organization Kyushu Cancer Center · JPNiigata Cancer Center Hospital · JPOsaka International Cancer Institute · JPSaitama Cancer Center · JPSapporo Medical University · JPShikoku Cancer Center · JPShizuoka Cancer Center · JPYamaguchi University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Undifferentiated carcinoma (UC) of the pancreas is a rare subtype of pancreatic cancer displaying no definitive direction of differentiation. UC has been reported as a highly aggressive malignant neoplasm, with a median overall survival of <1 year, except for several surgical series. On the other hand, UC tissue sometimes contains non-neoplastic osteoclast-like giant cells (OGCs), and such cases have been reported to have relatively longer survival. Thus, the World Health Organization (WHO) classification histologically distinguishes UC with OGCs (UCOGCs) from UC, and UCs were subclassified into three subtypes: anaplastic UC, sarcomatoid UC and carcinosarcoma. However, still less is known about UC due to its rarity, and such situations lead to further difficulties in treatment for UC. To date, only surgical resection can offer curative treatment for patients with UC, and no clear evidence for chemotherapy exists for them. However, a retrospective cohort study and case reports showed that relatively promising results paclitaxel-containing regimens for treatment of patients with unresectable UC. Furthermore, high programmed cell death protein 1 expression has been reported in sarcomatoid UCs and UCOGCs, and promising responses to anti-programmed death-ligand 1 therapy have been described in case reports of UCOGCs. Recent advances in chemotherapeutic agents and molecular technologies are opening up the possibilities for expanded treatments.

Indexed as

CarcinomaPancreatic NeoplasmsHumansPancreasRetrospective Studiesanaplastic carcinomacarcinosarcomaosteoclast-like giant cellssarcomatoid undifferentiated carcinomaundifferentiated carcinoma

Identifiers

PMID37325968
PMCPMC10473279
OpenAlexW4380869583

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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.