Evidence map›Paper›PMID 41834414›Full record

ArticleJournal of gynecologic oncology2026

Cervical neuroendocrine carcinoma with non-neuroendocrine components has a poorer prognosis than pure neuroendocrine carcinoma.

Sun Min Park, Chel Hun Choi, Kidong Kim, Hyojin Kim, Se Ik Kim, Chae Hyeong Lee

Abstract read
In one paragraph

Article in Journal of gynecologic oncology, 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. Review
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.

Sun Min Park *Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seongnam, Korea.ORCID https://orcid.org/0009-0005-2188-9800
Chel Hun Choi *Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-0199-6669
Kidong KimDepartment of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seongnam, Korea.ORCID https://orcid.org/0000-0001-9254-6024
Hyojin KimDepartment of Pathology, Seoul National University Bundang Hospital, Seongnam, Korea.ORCID https://orcid.org/0000-0001-9201-8328
Se Ik KimDepartment of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-9790-6735
Chae Hyeong LeeDepartment of Obstetrics and Gynecology, Dongguk University Ilsan Hospital, Goyang, Korea.ORCID https://orcid.org/0000-0002-1144-4243

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate whether neuroendocrine carcinoma of the cervix (NECC) with coexisting non-neuroendocrine tumor components (mixed subtype) is associated with a worse prognosis compared to the pure subtype.

methodsA total of 121 patients diagnosed with NECC at 4 participating hospitals in the Republic of Korea between August 1997 and November 2023 were included. All diagnoses were confirmed through surgical specimens obtained via conization or hysterectomy. Clinical and pathological variables were collected through medical record review. The association between tumor heterogeneity (pure vs. mixed subtype) and progression-free survival (PFS) was analyzed using a Cox proportional hazards model.

resultsThe majority of patients was diagnosed at stage I (62%), had small cell histology (63%), and presented with the pure subtype (66%). Most patients (n=106) underwent surgery with or without adjuvant therapy as initial treatment. In univariate analysis, there was no significant difference in PFS between the pure and mixed subtypes (p=0.952). However, after adjusting for covariates, the mixed subtype was significantly associated with worse PFS compared to the pure subtype (adjusted hazard ratio=3.16; 95% confidence interval=1.58-6.35; p=0.001).

conclusionNECC with non-neuroendocrine components is associated with significantly worse prognosis than the pure subtype.

Indexed as

Carcinoma, NeuroendocrineUterine Cervical NeoplasmsAdultAgedFemaleHumansHysterectomyMiddle AgedNeoplasm StagingPrognosisProgression-Free SurvivalRepublic of KoreaRetrospective StudiesCarcinoma, NeuroendocrineMixed Tumor, MalignantNeuroendocrine TumorsProgression-Free SurvivalUterine Cervical Neoplasms

Identifiers

PMID41834414
PMCPMC13365730

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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.