Evidence map›Paper›PMID 41472903›Full record

ArticleIJU case reports2026

Incidentally Detected Ductal Adenocarcinoma Presenting With Isolated Pulmonary Metastasis and a BRCA2 Mutation.

Hiroyuki Karasawa, Takeo Kosaka, Akari Komatsuda, Yuto Baba, Kohei Nakamura, Hiroshi Nishihara, Mototsugu Oya

Abstract read
In one paragraph

Article in IJU case reports, 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

7 authors.

Hiroyuki KarasawaDepartment of Urology Keio University School of Medicine Tokyo Japan.ORCID https://orcid.org/0009-0002-4547-4616
Takeo KosakaDepartment of Urology Keio University School of Medicine Tokyo Japan.ORCID https://orcid.org/0000-0002-4371-4594
Akari KomatsudaDepartment of Urology Kawasaki Municipal Hospital Kanagawa Japan.
Yuto BabaDepartment of Urology Keio University School of Medicine Tokyo Japan.
Kohei NakamuraGenomics Unit, Keio Cancer Center Keio University School of Medicine Tokyo Japan.
Hiroshi NishiharaGenomics Unit, Keio Cancer Center Keio University School of Medicine Tokyo Japan.
Mototsugu OyaDepartment of Urology Keio University School of Medicine Tokyo Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Ductal adenocarcinoma of the prostate is a rare and aggressive cancer that often presents with low prostate-specific antigen levels and nonspecific urinary symptoms, leading to a delayed diagnosis. Mutations in DNA repair genes such as BRCA2 may render these cancers susceptible to targeted treatments. Case Presentation: A 78-year-old man developed acute urinary retention despite a prostate-specific antigen of 0.731 ng/mL. Histopathological examination after holmium laser enucleation of the prostate revealed a ductal adenocarcinoma. Imaging revealed multiple lung nodules, and partial lung resection confirmed metastasis. Genomic profiling of the lung metastases revealed a pathogenic BRCA2 mutation. The patient received androgen deprivation therapy, followed by a combination of talazoparib and enzalutamide. Six months later, imaging revealed fewer lung metastases. Conclusion: This case illustrates the diagnostic challenges of low-prostate-specific antigen ductal adenocarcinoma and demonstrates the potential of molecular profiling to guide personalized treatment with targeted therapies for rare prostate cancer subtypes.

Indexed as

BRCA2 mutationcomprehensive genomic profilingductal adenocarcinomaPARP inhibitorprostate cancer

Identifiers

PMID41472903
PMCPMC12747786

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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.