Evidence map›Paper›PMID 42382906›Full record

ArticleCureus2026

Metachronous Colorectal Carcinomas and Pancreatic Metastasis in Clinically Suspected Lynch Syndrome: An 18-Year Oncologic Course.

Manana Jikurashvili, Giorgi Narimanishvili, Ilya Gotsadze, Armaz Mariamidze, David Chechelashvili, Mariam Gendzekhadze, Sopiko Matcharashvili, Giorgi Datunashvili, Salome Tchokhuri

Abstract readCase Reports
In one paragraph

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

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Manana JikurashviliPathology, Tbilisi State Medical University, Tbilisi, GEO.
Giorgi NarimanishviliPathology, Pathology Research Centre, Tbilisi, GEO.
Ilya GotsadzeOncology, American Hospital Tbilisi, Tbilisi, GEO.
Armaz MariamidzePathology, Pathology Research Center, Tbilisi, GEO.
David ChechelashviliOncology, American Hospital Tbilisi, Tbilisi, GEO.
Mariam GendzekhadzePathology, Pathology Laboratory CSD Georgia, Tbilisi, GEO.
Sopiko MatcharashviliOncology, American Hospital Tbilisi, Tbilisi, GEO.
Giorgi DatunashviliGeneral Surgery, American Hospital Tbilisi, Tbilisi, GEO.
Salome TchokhuriOncology, American Hospital Tbilisi, Tbilisi, GEO.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lynch syndrome (LS) is an autosomal dominant hereditary cancer predisposition syndrome associated with colorectal and extracolonic malignancies. Metachronous colorectal carcinomas are well recognized, whereas pancreatic involvement by metastatic colorectal carcinoma is rare and diagnostically challenging. We report the case of a 58-year-old male patient with a strong family history of colorectal carcinoma and an 18-year history of multiple metachronous colorectal malignancies who developed a pancreatic body-tail mass during oncologic surveillance. Histology showed a high-grade malignant epithelial neoplasm with solid/nested architecture and extensive necrosis. Immunohistochemistry (IHC) demonstrated diffuse SATB2 positivity and loss of MLH1/PMS2 expression, with retained MSH2/MSH6. The findings favored metastatic colorectal carcinoma involving the pancreas in the setting of clinically suspected Lynch syndrome. This case emphasizes the importance of clinicopathologic correlation, cautious interpretation of MMR deficiency, and long-term multidisciplinary surveillance.

Indexed as

colorectal cancer (crc)immunohistochemistrylynch syndromemetachronous colorectal cancermultidisciplinary managementpancreatic metastasis

Identifiers

PMID42382906
PMCPMC13316268

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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.