Evidence map›Paper›PMID 38081746›Full record

ArticleBMJ case reports2023

High-grade dysplasia of the cystic duct margin: how should this be managed?

Lalita Maria Andersen, Ian Y Goh, Mehan Siriwardhane

Open access · greenAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 63% 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, 0 citations in OpenAlex.

  1. 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

3 authors at 2 institutions in 1 country.

Lalita Maria AndersenGeneral Surgery, Mater Adult Hospital, South Brisbane, Queensland, Australia lalita.andersen@gmail.com.ORCID http://orcid.org/0000-0001-5455-8614
Ian Y GohSurgery, Hervey Bay Hospital, Pialba, Queensland, Australia.ORCID http://orcid.org/0000-0002-6717-1504
Mehan SiriwardhaneGeneral Surgery, Mater Adult Hospital, South Brisbane, Queensland, Australia.
Mater Adult Hospital · AUTAFE Queensland Gold Coast · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

High-grade dysplasia (HGD) in the cystic duct is a rare epithelial lesion that may lead to biliary tract malignancy. Due to its association with aggressive multifocal cholangiocarcinoma, it is important to investigate for concurrent malignancy, remove all areas of HGD and monitor for recurrence or metastasis.We present a case of a woman in her 60s with cholecystitis who underwent a laparoscopic cholecystectomy. On histopathology, the patient was found to have incidental HGD involving the cystic duct margin. After ensuring the absence of concurrent malignancy on cross-sectional imaging, she underwent further resection until the margins were clear of dysplasia. In the absence of clear follow-up guidelines, the patient was closely monitored with outpatient scans for up to 5 years.

Indexed as

Bile Duct NeoplasmsCholangiocarcinomaCholecystectomy, LaparoscopicAgedBile Ducts, IntrahepaticCystic DuctFemaleHumansHyperplasiaMiddle AgedBiliary interventionGeneral surgeryMalignant and Benign haematologyPancreas and biliary tractSurgical oncology

Identifiers

PMID38081746
PMCPMC10729155
OpenAlexW4389580718

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.