Evidence map›Paper›PMID 40937814›Full record

SynthesisCancer medicine2025

Prognostic Implications of Cutaneous Metastases in Colorectal Cancer: A Comprehensive Systematic Review and Meta-Analysis.

Elliot Tokarski, Pierre-Louis Conan, Hugo Picchi, Brice Malgras, Evelyne Peroux, Anne-Cecile Ezanno

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Cancer medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

6 authors.

Elliot TokarskiDepartment of Digestive Surgery, Begin Military Teaching Hospital, Saint Mandé, France.
Pierre-Louis ConanDepartment of Infectious Diseases, Begin Military Teaching Hospital, Saint Mandé, France.
Hugo PicchiDepartment of Oncology, Begin Military Teaching Hospital, Saint Mandé, France.
Brice MalgrasDepartment of Digestive Surgery, Begin Military Teaching Hospital, Saint Mandé, France.
Evelyne PerouxDeparment of radiology, Begin Military Teaching Hospital, Saint-Mandé, France.
Anne-Cecile EzannoDepartment of Digestive Surgery, Begin Military Teaching Hospital, Saint Mandé, France.ORCID https://orcid.org/0000-0003-0270-5090

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundManagement of cutaneous metastases in colorectal cancer is crucial because it can significantly impact patient survival.

objectiveTo assess the global prognosis of skin metastases among patients treated for colorectal cancer.

methodsA systematic review of the PubMed database only was conducted for English articles or reports published between 1 January 1990 and 1 November 2023. Reports concerning clinical outcomes of patients with cutaneous metastases of colorectal cancer and systematic reviews of the literature were included. Study characteristics and results of eligible studies were independently extracted by two reviewers (A.C.E., E.T.). The histology, locations, and prognosis of patients with skin metastases of colorectal cancer were analyzed.

resultsData were obtained from almost 100 articles, most of which were case reports. Follow-up data were available for 62 patients. The most common site was rectal adenocarcinoma (58%), followed by right and left colon adenocarcinomas. A significant number of these metastases were metachronous (61%). The median time to death was 5.5 months [interquartile range, 3-10], ranging from 1 to 60 months. Treatment of cutaneous metastases, even if associated with other metastases, significantly improved overall survival (p < 0.001; hazard ratio, 0.15), regardless of the proposed treatment.

conclusionsWe carried out the most extensive review of the literature concerning cutaneous metastases of colorectal cancer to date. The review showed that cutaneous metastases are associated with a poor prognosis and short survival time. We suggest treating patients with cutaneous metastasis as if such metastasis were a surrogate marker or sentinel for aggressive metastatic disease.

Indexed as

Colorectal NeoplasmsSkin NeoplasmsHumansPrognosischemotherapycolorectal cancercutaneous metastasesskin metastasessurgery

Identifiers

PMID40937814
PMCPMC12426856

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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.