Evidence map›Paper›PMID 40735333›Full record

ArticleJournal of surgical case reports2025

Harnessing immunotherapy in sporadic MSI-H/dMMR colorectal cancer: a case study.

Allyson Whitsett, Vincent Marcucci, Glenn Parker

Abstract readCase Reports
In one paragraph

Article in Journal of surgical case reports, 2025. 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
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.

  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.

Allyson WhitsettSt. George's University, School of Medicine, St. George's, Grenada.
Vincent MarcucciDepartment of Surgery, Jersey Shore University Medical Center, 1945 Route 33, Neptune, NJ 07756, United States.
Glenn ParkerSt. George's University, School of Medicine, St. George's, Grenada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Colorectal cancer (CRC) is a prevalent malignancy, with microsatellite instability-high (MSI-H) or deficient mismatch repair (dMMR) tumors representing a distinct, immunogenic subset. These tumors respond poorly to conventional chemotherapy but demonstrate favorable outcomes with immune checkpoint inhibitors (ICIs). We report the case of a 90-year-old male with severe anemia and a newly diagnosed sporadic MSI-H/dMMR CRC characterized by poorly differentiated, mucinous, and signet ring cell features. Molecular profiling revealed MLH1/PMS2 loss and MLH1 promoter hypermethylation. Despite his advanced age and multiple comorbidities, the patient underwent surgical resection followed by referral for ICI therapy in lieu of cytotoxic chemotherapy. This case highlights the importance of molecular testing in guiding treatment decisions and supports the consideration of ICIs in select elderly patients. It emphasizes that age alone should not preclude the use of effective, personalized therapies in CRC, particularly in those with good functional status and biomarkers predictive of immunotherapy response.

Indexed as

colon cancercolon-rectal surgeryimmunotherapymicrosatellite instability

Identifiers

PMID40735333
PMCPMC12306434

What OpenQuestion holds

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LicenceCC BY-NC
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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.