Evidence map›Paper›PMID 40309045›Full record

ArticleDEN open2026

Rectal metastasis from lung cancer diagnosed by endoscopic ultrasound-guided fine needle biopsy: A case report.

Shinji Mukawa, Yudai Koya, Tomoyuki Murakami, Koichiro Miyagawa, Yuki Maruno, Koki Yamaguchi, Shun Hanada, Shinji Oe, Masaru Harada

Abstract read
In one paragraph

Article in DEN open, 2026. 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
–field-weighted citation impact
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.

  1. Review
  2. 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

9 authors.

Shinji MukawaDepartment of Gastroenterology Kyushu Rosai Hospital Moji Medical Center Fukuoka Japan.ORCID https://orcid.org/0009-0000-8745-3181
Yudai KoyaDepartment of Gastroenterology Kyushu Rosai Hospital Moji Medical Center Fukuoka Japan.
Tomoyuki MurakamiDepartment of Pathology KYURIN PACELL Corporation Fukuoka Japan.
Koichiro MiyagawaThe Third Department of Internal Medicine University of Occupational and Environmental Health Fukuoka Japan.
Yuki MarunoDepartment of Gastroenterology Kyushu Rosai Hospital Moji Medical Center Fukuoka Japan.
Koki YamaguchiDepartment of Gastroenterology Kyushu Rosai Hospital Moji Medical Center Fukuoka Japan.
Shun HanadaDepartment of Gastroenterology Kyushu Rosai Hospital Moji Medical Center Fukuoka Japan.
Shinji OeThe Third Department of Internal Medicine University of Occupational and Environmental Health Fukuoka Japan.ORCID https://orcid.org/0000-0002-9623-3663
Masaru HaradaThe Third Department of Internal Medicine University of Occupational and Environmental Health Fukuoka Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 73-year-old man visited our hospital due to hyperintestinal peristalsis and diarrhea. He had been undergoing regular annual checkups for dust lung disease. Contrast-enhanced computed tomography scan showed edematous thickening of the rectal wall with contrast effect. A colonoscopy revealed a submucosal tumor-like protrusion in the Rb lesion of the rectum without neoplastic epithelial changes. Forceps biopsies of the overlying mucosa were non-diagnostic; however, endoscopic ultrasound-guided fine needle biopsy revealed that the specimen was poorly differentiated non-small cell invasive carcinoma. Then, we performed a chest computed tomography and a newly detected mass lesion in the upper lobe of the right lung. Based on immunohistochemical analysis and image findings, the patient was diagnosed with rectal metastasis from lung cancer. Subsequently, sputum cytology confirmed the diagnosis of lung adenocarcinoma. Rectal submucosal tumor-like protrusions are occasionally encountered. When a non-exposed rectal tumor is identified, it is important to differentiate metastatic diseases, consider endoscopic ultrasound-guided fine needle biopsy, and make a definitive diagnosis through detailed immunohistochemical evaluation and systemic imaging surveillance.

Indexed as

endoscopic ultrasoundendoscopic ultrasound‐guided fine needle biopsylung cancermetastatic colorectal cancerrectal metastasis

Identifiers

PMID40309045
PMCPMC12038177

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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.