Evidence map›Paper›PMID 40511448›Full record

ArticleSurgical case reports2025

Gallbladder Mixed Neuroendocrine-Non-Neuroendocrine Neoplasm Consisting of Adenocarcinoma and Neuroendocrine Tumor G2 Diagnosed after Surgery for Acute Cholecystitis: A Case Report and Exome Analysis.

Takaomi Seki, Hideki Suzuki, Yoshiyasu Takayama, Yohei Morishita, Kosuke Taniguchi, Reika Kawabata-Iwakawa, Takehiko Yokobori, Hayato Ikota, Takahiro Shirakura, Kenichiro Araki and 2 more

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In one paragraph

Article in Surgical case reports, 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

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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.

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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

12 authors.

Takaomi SekiDepartment of Surgery, Isesaki Municipal Hospital, Isesaki, Gunma, Japan.
Hideki SuzukiDepartment of Surgery, Isesaki Municipal Hospital, Isesaki, Gunma, Japan.
Yoshiyasu TakayamaDepartment of Pathology, Isesaki Municipal Hospital, Isesaki, Gunma, Japan.
Yohei MorishitaLaboratory for Analytical Instruments, Education and Research Support Centre, Graduate School of Medicine, Gunma University, Maebashi, Gunma, Japan.
Kosuke TaniguchiDepartment of Human Molecular Genetics, Graduate School of Medicine, Gunma University, Maebashi, Gunma, Japan.
Reika Kawabata-IwakawaDivision of Integrated Oncology Research, Gunma University Initiative for Advanced Research, Gunma University, Maebashi, Gunma, Japan.
Takehiko YokoboriDivision of Integrated Oncology Research, Gunma University Initiative for Advanced Research, Gunma University, Maebashi, Gunma, Japan.
Hayato IkotaDepartment of Diagnostic Pathology, Gunma University Hospital, Maebashi, Gunma, Japan.
Takahiro ShirakuraDepartment of Diagnostic Pathology, Gunma University Hospital, Maebashi, Gunma, Japan.
Kenichiro ArakiDepartment of General Surgical Science, Division of Hepatobiliary and Pancreatic Surgery, Graduate School of Medicine, Gunma University, Maebashi, Gunma, Japan.
Kenichiro HataDepartment of Human Molecular Genetics, Graduate School of Medicine, Gunma University, Maebashi, Gunma, Japan.
Ken ShirabeDepartment of General Surgical Science, Division of Hepatobiliary and Pancreatic Surgery, Graduate School of Medicine, Gunma University, Maebashi, Gunma, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAmong neuroendocrine neoplasms (NENs), non-neuroendocrine and NEN components may rarely coexist, which are referred to as mixed neuroendocrine-non-NENs (MiNENs). Most gallbladder MiNENs are progressive and associated with neuroendocrine carcinoma (NEC), but rarely with neuroendocrine tumor (NET) as a component. To our knowledge, there are 4 reported cases of mixed gallbladder tumors with NET as a component. From the genetic analysis of MiNENs consisting of NEC, MiNEN is believed to have a common origin, as each tumor component shares a common CASE PRESENTATION: A 77-year-old woman presented to our hospital with epigastric pain. An emergency laparoscopic cholecystectomy was performed with a diagnosis of acute gallstone cholecystitis. Pathological examination revealed gallbladder MiNEN (adenocarcinoma + NET G2). Additional surgery was performed, but no residual tumor was found. The patient has been recurrence-free for 36 months after surgery without adjuvant therapy. The origin of the tumor was examined. Macroscopically, adenocarcinoma cells were present on both sides of the NET, while microscopically, some adenocarcinoma cells were positive for neuroendocrine markers (synaptophysin and chromogranin A). Staining for p53 showed wild-type staining with scattered, weakly expressing cells in both tumors. Subsequently, we performed whole-exome sequencing of each tumor component. The results showed that each tumor component shared

conclusionsIn this case report, the tumors shared a common genetic mutation, suggesting that MiNENs with NET components may share a common origin. Furthermore, the NEN component of MiNEN occurring in the gallbladder was associated with a

Indexed as

acute cholecystitisgallbladder cancermixed neuroendocrine–non-neuroendocrine neoplasms (MiNENs)

Identifiers

PMID40511448
PMCPMC12162149

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