Evidence map›Paper›PMID 40489816›Full record

ReviewMedicine2025

Unusual giant low-grade appendiceal mucinous neoplasm: A case report and literature review.

Xuhui Ma, Wei Dong, Qing Yang, Jie Yu, Shunchang Zhou, Yuxu Zhong, Haibo Chu

Abstract readCase ReportsReview
In one paragraph

Review in Medicine, 2025. 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. Article
  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

7 authors.

Xuhui MaDepartment of General Surgery, Jiaozhou Branch of Shanghai East Hospital, Tongji University, Qingdao, Shandong, P.R. China.
Wei DongDepartment of General Surgery, Jiaozhou Branch of Shanghai East Hospital, Tongji University, Qingdao, Shandong, P.R. China.
Qing YangDepartment of Pathology, Jiaozhou Branch of Shanghai East Hospital, Tongji University, Qingdao, Shandong, P.R. China.
Jie YuDepartment of General Surgery, Jiaozhou Branch of Shanghai East Hospital, Tongji University, Qingdao, Shandong, P.R. China.
Shunchang ZhouDepartment of General Surgery, Jiaozhou Branch of Shanghai East Hospital, Tongji University, Qingdao, Shandong, P.R. China.
Yuxu ZhongState Key Laboratory of Toxicology and Medical Countermeasures, Beijing Institute of Toxicology and Pharmacology, Beijing, P.R. China.
Haibo ChuDepartment of General Surgery, Jiaozhou Branch of Shanghai East Hospital, Tongji University, Qingdao, Shandong, P.R. China.ORCID 0009-0007-5429-4429

Funding

2023 Medical and health Scientific research guidance Project of Qingdao 2023-WJZD055
6 · The paper itself

Abstract

rationaleLow-grade appendiceal mucinous neoplasm (LAMN) is a rare subtype of appendiceal pathology characterized by epithelial hyperplasia, cellular atypia, and mucinous accumulation within the appendiceal lumen, leading to obstructive expansion of the organ. Representing a mere 0.2% to 0.3% of all appendectomies and approximately 0.5% of gastrointestinal tumors, LAMN poses diagnostic challenges in surgical practice. PATIENT CONCERNS: We conducted a retrospective analysis of a patient with the appendiceal neoplasm. A 39-year-old female presented to Jiaozhou Hospital, East Hospital Affiliated to Tongji University on July 9, 2022, complaining of a nine-day history of right lower abdominal pain, distension, and nausea. Physical examination revealed a palpable measuring 15 × 6 cm in the right lower quadrant, accompanied by tenderness, rebound tenderness, and muscular guarding. DIAGNOSES: Histopathological examination confirmed the diagnosis of a LAMN without evidence of lymphovascular invasion, serosal, or mesenteric infiltration.

interventionsAfter antiinflammatory therapy and comprehensive assessment, the neoplasm was excised through three-dimensional laparoscopic surgery. OUTCOMES: No recurrence was observed during an 32-month postoperative follow-up period. LESSONS: Despite its rarity, LAMN warrants clinical attention due to its nonspecific symptoms. Computed tomography scans significantly improve preoperative diagnostic accuracy, with pathological diagnosis serving as the gold standard. Surgical intervention is the preferred treatment option, albeit controversies persist regarding surgical extent and the utilization of preoperative and postoperative chemotherapy.

Indexed as

Adenocarcinoma, MucinousAppendiceal NeoplasmsAdultAppendectomyAppendixFemaleHumansLaparoscopyTomography, X-Ray Computeddiagnosislaparoscopic surgerylow-grade appendiceal mucinous neoplasm

Identifiers

PMID40489816
PMCPMC12150952

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