Evidence map›Paper›PMID 40821722›Full record

ArticleDEN open2026

A Case of Human Epidermal Growth Factor Receptor 2-Positive Colon Cancer With Invasive Micropapillary Carcinoma Component.

Masashi Kono, Yoriaki Komeda, Hiroshi Kashida, Satoru Hagiwara, Akihiro Yoshida, Shunsuke Omoto, Mamoru Takenaka, Naoko Tsuji, George Tribonias, Masatoshi Kudo

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 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

10 authors.

Masashi KonoDepartment of Gastroenterology and Hepatology Faculty of Medicine Kindai University Osaka Japan.
Yoriaki KomedaDepartment of Gastroenterology and Hepatology Faculty of Medicine Kindai University Osaka Japan.ORCID https://orcid.org/0000-0002-0068-8461
Hiroshi KashidaDepartment of Gastroenterology and Hepatology Faculty of Medicine Kindai University Osaka Japan.
Satoru HagiwaraDepartment of Gastroenterology and Hepatology Faculty of Medicine Kindai University Osaka Japan.
Akihiro YoshidaDepartment of Gastroenterology and Hepatology Faculty of Medicine Kindai University Osaka Japan.
Shunsuke OmotoDepartment of Gastroenterology and Hepatology Faculty of Medicine Kindai University Osaka Japan.ORCID https://orcid.org/0000-0001-7291-3608
Mamoru TakenakaDepartment of Gastroenterology and Hepatology Faculty of Medicine Kindai University Osaka Japan.ORCID https://orcid.org/0000-0001-7308-4311
Naoko TsujiDepartment of Gastroenterology and Hepatology Faculty of Medicine Kindai University Osaka Japan.
George TriboniasDepartment of Gastroenterology Red Cross Hospital Athens Greece.
Masatoshi KudoDepartment of Gastroenterology and Hepatology Faculty of Medicine Kindai University Osaka Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A female patient in her 60s tested positive for the fecal occult blood test while undergoing health screening. Colonoscopy revealed a 15-mm-sized flat elevated lesion with a central depression in the sigmoid colon. Narrow-band imaging magnification revealed a Japan Narrow-Band Imaging Expert Team classification of type 2B, whereas crystal violet staining showed a mild to severely irregular type VI pit pattern. Ultra-magnification imaging revealed an EC3a morphology in the depressed area. Endoscopic ultrasonography revealed partial disruption of the third layer, leading to the diagnosis of T1b (SM) colon cancer. Owing to the intermediate lesion size and since the patient had requested it, an endoscopic submucosal dissection was performed as an initial treatment. Pathological analysis revealed a moderately differentiated tubular adenocarcinoma with an invasive micropapillary carcinoma (IMPC) component, with deep submucosal invasion. Additional surgery was performed, and no recurrence was observed in the following three years. IMPC is known for its high rate of lymph-node metastasis and poor prognosis, as reported for breast, bladder, and lung cancers. IMPC is rare; this report presents a literature review and case details. This case represents the first reported instance of identification of a cancerous IMPC component by magnifying endoscopy at the T1b (SM) depth. Thus, even for intermediate lesions, IMPC should be considered as a differential diagnosis when endoscopic imaging suggests malignancy.

Indexed as

colon cancer | endoscopic submucosal dissection | endoscopic ultrasonography | IMPC | invasive micropapillary carcinoma

Identifiers

PMID40821722
PMCPMC12352125

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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.