Evidence map›Paper›PMID 40757070›Full record

ArticleJournal of surgical case reports2025

Large metastatic lymph nodes misdiagnosed as a pancreatic tumor: a case report.

Qiong Duan, Yanan Huang, He Li

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 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

3 authors.

Qiong DuanDepartment of General Surgery, Affiliated Zhongshan Hospital of Dalian University, No. 6 Jiefang Road, Zhongshan District, Dalian City 116001, PR China.
Yanan HuangDepartment of General Surgery, Affiliated Zhongshan Hospital of Dalian University, No. 6 Jiefang Road, Zhongshan District, Dalian City 116001, PR China.
He LiDepartment of General Surgery, Affiliated Zhongshan Hospital of Dalian University, No. 6 Jiefang Road, Zhongshan District, Dalian City 116001, PR China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Due to the anatomical proximity between pancreatic tumors and the group 8 lymph nodes of the stomach, misdiagnosis can easily occur. The patient's preoperative examination: computed tomography (CT) scan examination indicated an abdominal mass, 3.0T pancreatic magnetic resonance imaging (MRI) with contrast enhancement showed a pancreatic head lesion, possibly a neuroendocrine tumor. Gastroscopy revealed highly suspicious for cancer. Pancreaticoduodenectomy was planned. However, intraoperative exploration revealed the tumor to be localized within the Group 8 lymph nodes rather than the pancreas. Radical distal gastrectomy, along with resection of the lymph node mass, was performed. Histopathological analysis confirmed early gastric cancer with metastatic lymph node involvement. This case highlights a diagnostic pitfall wherein gastric cancer with lymph node metastasis was mistaken for a pancreatic tumor due to their anatomical overlap.

Indexed as

case reportearly gastric cancerlymph nodesmetastasis

Identifiers

PMID40757070
PMCPMC12315533

What OpenQuestion holds

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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.