Evidence map›Paper›PMID 41236410›Full record

ArticleAnnals of medicine2025

Comprehensive clinical analysis of gastric-type endocervical adenocarcinoma: a real-world multicenter study.

Lele Chang, Yaxin Kang, Yanhong Zhuo, Jing Liu, Lele Zang, Li Li, Ling Lin, Chengzhi Jiang, Huaiwu Lu, Qin Xu

Abstract readMulticenter Study
In one paragraph

Article in Annals of 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. Review
  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

10 authors.

Lele ChangNHC Key Laboratory of Cancer Metabolism, Department of Gynecology, Fujian Cancer Hospital, Clinical Oncology School of Fujian Medical University, Fuzhou, China.ORCID 0009-0009-2730-1245
Yaxin KangNHC Key Laboratory of Cancer Metabolism, Department of Gynecology, Fujian Cancer Hospital, Clinical Oncology School of Fujian Medical University, Fuzhou, China.ORCID 0009-0009-7585-5250
Yanhong ZhuoDepartment of Radiation Oncology, Zhangzhou Hospital Affiliated to Fujian Medical University, Zhangzhou, China.ORCID 0000-0003-3354-1877
Jing LiuNHC Key Laboratory of Cancer Metabolism, Department of Gynecology, Fujian Cancer Hospital, Clinical Oncology School of Fujian Medical University, Fuzhou, China.ORCID 0000-0001-5557-0084
Lele ZangNHC Key Laboratory of Cancer Metabolism, Department of Gynecology, Fujian Cancer Hospital, Clinical Oncology School of Fujian Medical University, Fuzhou, China.ORCID 0000-0002-4151-3182
Li LiNHC Key Laboratory of Cancer Metabolism, Department of Gynecology, Fujian Cancer Hospital, Clinical Oncology School of Fujian Medical University, Fuzhou, China.ORCID 0000-0001-9479-6908
Ling LinNHC Key Laboratory of Cancer Metabolism, Department of Gynecology, Fujian Cancer Hospital, Clinical Oncology School of Fujian Medical University, Fuzhou, China.ORCID 0000-0003-0559-2319
Chengzhi JiangDepartment of Gastrointestinal Medical Oncology, Harbin Medical University Cancer Hospital, Harbin, China.ORCID 0009-0006-9340-5091
Huaiwu LuDepartment of Gynecologic Oncology, Sun Yat-sen Memorial Hospital, Guangzhou, China.ORCID 0000-0002-7668-3333
Qin XuNHC Key Laboratory of Cancer Metabolism, Department of Gynecology, Fujian Cancer Hospital, Clinical Oncology School of Fujian Medical University, Fuzhou, China.ORCID 0009-0004-5916-9828

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGastric-type endocervical adenocarcinoma (G-EAC) is a rare malignancy, and its clinicopathological characteristics remain poorly defined. This study aimed to evaluate the real-world features, treatment patterns, and outcomes of patients with G-EAC.

methodsClinical data from 124 patients diagnosed with G-EAC between 2012 and 2024 across four tertiary hospitals in China were retrospectively analyzed. Clinicopathological features, therapeutic approaches, and survival outcomes were assessed. Overall survival (OS) was the primary endpoint. Kaplan-Meier and Cox regression analyses were performed to identify prognostic factors.

resultsThe median diagnostic age was 55 years (range, 33-82). At presentation, 62.1% of patients had invasion or metastasis, most commonly lymphovascular (47.6%). Surgery was performed in 81.5% of cases, and 84.7% received chemotherapy, primarily platinum-based (81.5%). Radiotherapy was administered to 69.4%. The 1-, 3-, and 5-year OS rates were 78.6%, 54.8%, and 46.1%, respectively. Older age (≥65 years; HR, 4.71; 95% CI, 1.52-14.58;

conclusionsG-EAC exhibits aggressive behavior and unfavorable prognosis, with a 5-year OS of 46.1%. Multimodal treatment, particularly surgery combined with chemotherapy, remains the cornerstone of management and may improve survival. Prospective multicenter studies are warranted to further define optimal therapeutic strategies for this rare entity.

Indexed as

AdenocarcinomaUterine Cervical NeoplasmsAdultAgedAged, 80 and overChinaFemaleHumansKaplan-Meier EstimateMiddle AgedNeoplasm StagingPrognosisRetrospective StudiesSurvival Rateclinical characteristicsGastric-type endocervical adenocarcinomaprognosisreal-world study

Identifiers

PMID41236410
PMCPMC12621345

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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.