Evidence map›Paper›PMID 42835373›Full record

ArticleIJU case reports2026

Prostatic Adenosquamous Carcinoma With a Minute Squamous Component in the Initial Biopsy and Early Liver Metastasis: A Case Report.

Yohei Tsubouchi, Taku Naiki, Aya Naiki-Ito, Rei Unno, Toshiki Etani, Takashi Nagai, Toshiharu Morikawa, Daiki Ishikawa, Hiroko Suzuki, Takahiro Yasui

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. 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

10 authors.

Yohei TsubouchiDepartment of Nephro-urology Nagoya City University, Graduate School of Medical Sciences Nagoya Japan.ORCID https://orcid.org/0009-0007-5395-662X
Taku NaikiDepartment of Nephro-urology Nagoya City University, Graduate School of Medical Sciences Nagoya Japan.ORCID https://orcid.org/0000-0002-7638-6048
Aya Naiki-ItoDepartment of Experimental Pathology and Tumor Biology Nagoya City University, Graduate School of Medical Sciences Nagoya Japan.ORCID https://orcid.org/0000-0003-0828-2033
Rei UnnoDepartment of Nephro-urology Nagoya City University, Graduate School of Medical Sciences Nagoya Japan.ORCID https://orcid.org/0000-0003-0584-3712
Toshiki EtaniDepartment of Nephro-urology Nagoya City University, Graduate School of Medical Sciences Nagoya Japan.
Takashi NagaiDepartment of Nephro-urology Nagoya City University, Graduate School of Medical Sciences Nagoya Japan.ORCID https://orcid.org/0000-0002-9635-4553
Toshiharu MorikawaDepartment of Nephro-urology Nagoya City University, Graduate School of Medical Sciences Nagoya Japan.ORCID https://orcid.org/0009-0006-4430-0277
Daiki IshikawaDepartment of Nephro-urology Nagoya City University, Graduate School of Medical Sciences Nagoya Japan.ORCID https://orcid.org/0009-0007-7975-2983
Hiroko SuzukiDepartment of Nephro-urology Nagoya City University, Graduate School of Medical Sciences Nagoya Japan.
Takahiro YasuiDepartment of Nephro-urology Nagoya City University, Graduate School of Medical Sciences Nagoya Japan.ORCID https://orcid.org/0000-0003-2197-2477

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: We report a case of de novo prostatic adenosquamous carcinoma with a minute squamous component in the initial biopsy and early liver metastasis despite a marked prostate-specific antigen response. Case Presentation: A 72-year-old man was diagnosed with locally advanced prostate cancer with nodal and multiple bone metastases. Prostate biopsy initially showed adenocarcinoma with a Gleason score of 4 + 5. After leuprolide and abiraterone plus radiotherapy, prostate-specific antigen decreased from 13.0 to 0.22 ng/mL; however, a liver metastasis developed. Re-evaluation of the prostate biopsy revealed minute squamous differentiation, and liver biopsy showed metastatic squamous cell carcinoma. Immunohistochemistry showed retained MLH1 and PMS2 expression with loss of MSH2 and MSH6 in both specimens. Genomic profiling showed microsatellite instability-high status. Conclusion: Repeat biopsy and molecular-pathological reassessment may be important when radiographic progression is discordant with prostate-specific antigen kinetics.

Indexed as

adenosquamous carcinomaliver metastasismicrosatellite instabilitymismatch repair deficiencyprostate cancer

Identifiers

PMID42835373
PMCPMC13635683

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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.