Evidence map›Paper›PMID 42180104›Full record

ArticleFrontiers in oncology2026

Rectal malignant peripheral nerve sheath tumor with extremely high Ki-67 index (80%) and concomitant meningioma history: a case report.

Liangchen Li, Hongxun Ruan, Zeming Zhao, Jiyuan Zhang, Shaoqing Fan, Guiying Wang

Abstract readCase Reports
In one paragraph

Article in Frontiers in oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Liangchen LiDepartment of General Surgery, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
Hongxun RuanDepartment of General Surgery, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
Zeming ZhaoDepartment of General Surgery, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
Jiyuan ZhangDepartment of General Surgery, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
Shaoqing FanDepartment of General Surgery, The Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
Guiying WangDepartment of General Surgery, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Malignant peripheral nerve sheath tumor (MPNST) is an extremely rare and highly aggressive sarcoma with a generally poor prognosis. We report a case of a 68-year-old female with a 10-year history of meningioma resection (sporadic MPNST, no NF1 family history or clinical manifestations) who presented with anal pain without typical rectal cancer symptoms. Pelvic MRI showed a lesion in the lower rectum, presenting a "target sign" on T2WI and high signal on DWI. Postoperative pathological and immunohistochemical findings confirmed MPNST (S-100 (+), SOX-10 (+), H3K27me3 (partial loss), Ki-67 (80%)). The patient underwent laparoscopic abdominoperineal resection (APR) following the total mesorectal excision (TME) principle, achieving R0 resection. The patient recovered uneventfully without perioperative complications, and long-term surveillance was recommended. This case highlights the diagnostic challenges of sporadic rectal MPNST with non-specific symptoms and extremely high proliferative activity, and provides evidence for the feasibility of laparoscopic APR in low rectal MPNST. It also underscores the need for individualized adjuvant therapy and long-term surveillance in high-risk cases.

Indexed as

abdominoperineal resection (APR)H3K27me3Ki-67rectal MPNSTSOX-10sporadic

Identifiers

PMID42180104
PMCPMC13189751

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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.