Evidence map›Paper›PMID 41225508›Full record

ReviewJournal of medical case reports2025

Colorectal clear cell carcinoma: a literature review.

Mahsa Salehi, Shafi Rehman, Afrooz Jafari, Mohammad Javad Yazdani, Sana Hashim, Hamid Reza Jafari

Abstract readReview
In one paragraph

Review in Journal of medical 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. Clear Cell Carcinoma of the Left Colon: A Case Report.The American journal of case reports · 2026
    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.

Mahsa SalehiAnatomical and Clinical Pathology, Mazandaran University of Medical Sciences, Mazandaran, Iran. mahsa.salehi2020@gmail.com.
Shafi RehmanAnatomical and Clinical Pathology, Khyber Medical College, Peshawar, Pakistan.
Afrooz JafariObstetrics and Gynecology, Shahrekord University of Medical Sciences, Shahrekord, Iran.
Mohammad Javad YazdaniGeneral Surgery, Isfahan University of Medical Sciences, Isfahan, Iran.
Sana HashimBatterjee Medical College, Jeddah, KSA, Saudi Arabia.
Hamid Reza JafariGeneral Surgery, Isfahan University of Medical Sciences, Isfahan, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClear cell carcinoma of the colon is a rare entity in colon malignancy. All of the cases involving primary colon clear cell carcinoma are case studies. Since clear cell component can be seen in colon metastasis, adenocarcinoma, and tubular adenoma, precise diagnosis of primary colon clear cell carcinoma is crucial by pathological means. In this study, the main purpose was to focus on the clinical and pathological features of primary colon clear cell carcinoma.

methodIn this review article, we used PubMed, Google Scholar, and ScienceDirect to extract article including data of primary colon clear cell carcinoma. Preferred Reporting Items for Systematic Reviews standards were followed to include and exclude articles.

resultOut of 340 articles, 18 were eligible for our study based on our inclusion and exclusion criteria. Of the 34 patients diagnosed with colon clear cell carcinoma, 18 were male (53%) and 16 were female (47%) as per gender distribution. The mean age of the patients was 57.6 years old. Abdominal pain/discomfort and gastrointestinal bleeding were the most common symptoms. Tumors were mostly located in descending colon. Cytokeratin had a positive predictive value of (84.6%) and vimentin resembled a negative predictive value of 100%. Caudal-type homeobox 2 had 70% positive predictive value. Nonetheless, cytokeratin 7 had a negative predictive value of 74%. Moreover, alpha-fetoprotein had a negative predictive value of 85.7%. Although epithelial membrane antigen showed 100% positive predictive value, human melanoma black-45 had a 100% negative predictive value in all five cases. Carcinoembryonic antigen testing on 20 cases showed positive result in 16 patients. Alcian blue staining of tumor cells in eight patients had 87.5% negative predictive value, meanwhile, periodic acid-Schiff staining of tumor cells of eight samples out of ten tested positive.

conclusionThis review article gathered the literature mainly focused on colon clear cell carcinoma. The most common site of tumor was left side colon with symptoms of abdominal pain and gastrointestinal bleeding. Surgery was the preferred intervention. Pathological investigation included cytokeratin 20, cytokeratin 7, alpha-fetoprotein, carcinoembryonic antigen, caudal-type homeobox 2, and staining. However, due to rarity of colic clear cell carcinoma and small sample size, the etiology of colon clear cell carcinoma is unknown and no pathognomonic diagnostic criteria is introduced. Further clinical studies are required to shed light on this scarce type of colon cancer.

Indexed as

Adenocarcinoma, Clear CellColonic NeoplasmsColorectal NeoplasmsAbdominal PainAgedBiomarkers, TumorFemaleHumansMaleMiddle AgedBiomarkers, TumorColon cancerColon clear cell carcinomaHistopathologyIHCImmunohistochemistryStaining

Identifiers

PMID41225508
PMCPMC12613855

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.