Evidence map›Paper›PMID 41745365›Full record

ReviewJournal of personalized medicine2026

Gastric-Type Cervical Adenocarcinoma: Clinicopathologic Features, Molecular Landscape, and Therapeutic Challenges.

Hiroshi Yoshida, Daiki Higuchi, Waku Takigawa, Nao Kikkawa, Taro Yamanaka, Ayaka Nagao, Mayumi Kobayashi-Kato, Masaya Uno, Mitsuya Ishikawa, Kouya Shiraishi

Abstract readReview
In one paragraph

Review in Journal of personalized medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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.

Hiroshi YoshidaDepartment of Diagnostic Pathology, National Cancer Center Hospital, Tokyo 104-0045, Japan.ORCID 0000-0002-7569-7813
Daiki HiguchiDivision of Genome Biology, National Cancer Center Research Institute, Tokyo 104-0045, Japan.
Waku TakigawaDepartment of Gynecology, National Cancer Center Hospital, Tokyo 104-0045, Japan.
Nao KikkawaDepartment of Diagnostic Radiology, National Cancer Center Hospital, Tokyo 104-0045, Japan.
Taro YamanakaDivision of Genome Biology, National Cancer Center Research Institute, Tokyo 104-0045, Japan.ORCID 0000-0001-9346-5090
Ayaka NagaoDepartment of Radiation Oncology, National Cancer Center Hospital, Tokyo 104-0045, Japan.
Mayumi Kobayashi-KatoDepartment of Gynecology, National Cancer Center Hospital, Tokyo 104-0045, Japan.ORCID 0000-0003-4065-0289
Masaya UnoDepartment of Gynecology, National Cancer Center Hospital, Tokyo 104-0045, Japan.ORCID 0000-0001-8549-1635
Mitsuya IshikawaDepartment of Gynecology, National Cancer Center Hospital, Tokyo 104-0045, Japan.ORCID 0000-0001-8855-2966
Kouya ShiraishiDivision of Genome Biology, National Cancer Center Research Institute, Tokyo 104-0045, Japan.ORCID 0000-0002-5821-7400

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Endocervical adenocarcinoma is now classified within an etiologic framework based on the presence or absence of high-risk human papillomavirus (HPV) infection. Gastric-type endocervical adenocarcinoma (GAS) is the prototypical HPV-independent subtype, accounting for up to 25% of endocervical adenocarcinomas and showing a particularly high frequency in East Asia. GAS is typically diagnosed at a more advanced stage than usual-type HPV-associated endocervical adenocarcinoma (UEA); exhibits deep stromal and parametrial invasion, lymphovascular space invasion, and a strong propensity for ovarian and peritoneal metastasis; and is associated with markedly worse survival, even in stage I disease. Radiological evaluation is challenging because of diffuse infiltrative growth, prominent mucin production, and frequent underestimation of extra-cervical spread. Histologically, GAS shows gastric-type (pyloric) differentiation, ranging from minimal deviation adenocarcinoma to poorly differentiated forms, and often overlaps with precursor lesions such as atypical lobular endocervical glandular hyperplasia and gastric-type adenocarcinoma in situ. Immunophenotypically, GAS is typically p16-negative, ER/PR-negative, and frequently exhibits mutant-type p53 and expression of gastric markers including MUC6, HIK1083, and claudin 18.2. Recent next-generation sequencing and multi-omics studies have revealed recurrent alterations in

Indexed as

cervical cancerclinicopathologic featuresgastric-type adenocarcinomagenetic alterationshistologyimmunohistochemistrytherapeutic targets

Identifiers

PMID41745365
PMCPMC12942037

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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.