Evidence map›Paper›PMID 41111754›Full record

ArticleCureus2025

Late-Onset Isolated Drain Site Metastasis in Colorectal Cancer Managed by a Multidisciplinary Approach.

David Chapman, Manaswini Krishnakumar, Adeel Shamim, Aswanth Reddy

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

David ChapmanFamily Medicine, Mercy Hospital, Fort Smith, USA.
Manaswini KrishnakumarInternal Medicine, Saint Vincent Hospital, Worcester, USA.
Adeel ShamimSurgery, Mercy Hospital, Fort Smith, USA.
Aswanth ReddyHematology and Oncology, Mercy Clinic, Fort Smith, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Colorectal cancer (CRC) is one of the most common cancers globally and a leading cause of cancer-related deaths. Over the past decade, our understanding of CRC has significantly evolved, particularly in the areas of genomic prognostication and targeted therapies. However, surgical management beyond the initial resection of the primary tumor remains an area of ongoing discussion and research. We report a case of a 51-year-old man with metastatic CRC and liver metastases, treated with right hemicolectomy and chemotherapy, achieving complete remission. Two years later, he developed an isolated subcutaneous recurrence at the prior surgical drain site. Microsatellite instability status changed from primary to recurrent lesions. Surgical resection achieved negative margins, and the patient has since remained disease-free without additional therapy. This rare presentation challenges traditional models of CRC metastasis and highlights the potential role of lymphatic dissemination, tumor dormancy, or surgical seeding.

Indexed as

colorectal cancerdelayed metastasisgenomic class switchsubcutaneous metastasistumor seeding

Identifiers

PMID41111754
PMCPMC12531097

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.