{"title":"New surgical approach for distal clavicle fractures: A case report.","authors":"Wen-Tao Hu, Zi-Yan Zhang, Ji Qu, Cheng-Dong Piao","doi":"10.12998/wjcc.v13.i18.103777","DOIUrl":"10.12998/wjcc.v13.i18.103777","url":null,"abstract":"<p><strong>Background: </strong>Clavicle fractures are a common type of fracture that often occurs after high-energy trauma. The treatment methods for clavicle fractures remain controversial. Both locking compression and hook plates are recommended.</p><p><strong>Case summary: </strong>A 44-year-old male suffered an injury during skiing. Radiography revealed a right-sided distal clavicular fracture. The fracture was treated using a hook plate due to its small size. During the surgical procedure, Kirschner wires were used to drill holes in the acromion. The end of the hook plate was inserted into the hole rather than below the edge of the acromion.</p><p><strong>Conclusion: </strong>One year later, imaging revealed complete healing of the fracture, and the hook plate was removed. The patient was satisfied with the course and treatment results. Additionally, a new classification system was proposed based on the degree of injury to the distal clavicle joint surface. The incidence of postoperative complications associated with the use of hook plates for clavicular fracture treatment is relatively high. Complications can be reduced by changing the hook plate placement.</p>","PeriodicalId":23912,"journal":{"name":"World Journal of Clinical Cases","volume":"13 18","pages":"103777"},"PeriodicalIF":1.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11926940/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144508620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Unexpected contralateral axillary lymph node metastasis without ipsilateral involvement in triple-negative breast cancer: A case report and review of literature.","authors":"Yun-Ting Lin, Zhi-Jie Hong, Guo-Shiou Liao, Ming-Shen Dai, Tai-Kuang Chao, Wen-Chiuan Tsai, Yu-Kai Sung, Chuang-Hsin Chiu, Cheng-Kuang Chang, Jyh-Cherng Yu","doi":"10.12998/wjcc.v13.i18.103571","DOIUrl":"10.12998/wjcc.v13.i18.103571","url":null,"abstract":"<p><strong>Background: </strong>Breast cancer is a leading cause of cancer-related mortality among women worldwide, with invasive ductal carcinoma (IDC) being the most prevalent subtype. Lymph node metastasis is the primary prognostic indicator, typically evaluated <i>via</i> biopsy of the ipsilateral sentinel or axillary lymph nodes. Contralateral axillary metastasis (CAM) without ipsilateral involvement is exceedingly rare, particularly in early-stage breast cancer. This report presents a case of CAM in a patient with triple-negative breast cancer (TNBC), underscoring diagnostic and therapeutic complexities.</p><p><strong>Case summary: </strong>A 73-year-old female presented with left-sided early-stage IDC in February 2023. Despite a modified radical mastectomy and pathologically negative ipsilateral lymph nodes, a postoperative positron emission tomography (PET) scan detected fluorodeoxyglucose-avid nodes in the contralateral axilla. Biopsy confirmed metastatic ductal carcinoma with triple-negative status, resulting in an upstaged diagnosis of metastatic breast cancer, stage IV, M1. The patient underwent six cycles of adjuvant chemotherapy, with follow-up PET imaging showing regression of the contralateral lesion. This case highlights the importance of advanced imaging in TNBC for precise staging and treatment optimization.</p><p><strong>Conclusion: </strong>This case highlights the aggressive nature of TNBC and the need for advanced imaging to ensure accurate staging and effective management.</p>","PeriodicalId":23912,"journal":{"name":"World Journal of Clinical Cases","volume":"13 18","pages":"103571"},"PeriodicalIF":1.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11926934/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144508657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Misdiagnosis of psoriatic arthritis in a patient with paronychia confirmed by dermatological examination: A case report.","authors":"Angelo Nigro","doi":"10.12998/wjcc.v13.i18.102194","DOIUrl":"10.12998/wjcc.v13.i18.102194","url":null,"abstract":"<p><strong>Background: </strong>This case highlights the importance of a multidisciplinary approach in differentiating localized infections from systemic inflammatory diseases like psoriatic arthritis. Nail psoriasis can mimic conditions like paronychia, complicating diagnosis. We wrote this report to emphasize the need for clinical vigilance when interpreting imaging findings, especially in patients with a family history of psoriasis. Misdiagnosis can lead to unnecessary systemic treatments, underscoring the significance of dermatological input in achieving accurate diagnoses.</p><p><strong>Case summary: </strong>A 56-year-old woman presented with redness and swelling of multiple fingertips. Her family history of psoriasis raised suspicion of psoriatic arthritis. Two rheumatologists diagnosed psoriatic arthritis based on ultrasound findings of enthesitis with a positive Doppler signal and recommended methotrexate. However, she was reluctant to initiate therapy due to potential side effects. At our Rheumatology Center, paronychia was suspected, and laboratory tests excluded systemic inflammatory arthritis. Dermatological examination confirmed paronychia, and treatment with fluconazole and ceftriaxone was initiated to address suspected mixed bacterial and fungal infections. Imaging studies, including hand and wrist X-rays, showed no erosions or other signs of psoriatic arthritis. The patient responded well to antimicrobial therapy, with resolution of symptoms. This case highlights the need for thorough clinical evaluation, careful interpretation of imaging findings, and collaboration between rheumatologists and dermatologists to avoid misdiagnosis and inappropriate treatment.</p><p><strong>Conclusion: </strong>This case underscores the need for thorough clinical evaluation and caution in interpreting nonspecific imaging findings, especially in patients with a family history of psoriasis. While familial predisposition may raise suspicion for psoriatic arthritis, it is essential to integrate laboratory data, imaging studies, and clinical presentation, including response to targeted antimicrobial therapy. A multidisciplinary approach, involving both rheumatologists and dermatologists, is crucial to preventing misdiagnosis, ensuring appropriate treatment, and avoiding the potential harms of unwarranted therapies.</p>","PeriodicalId":23912,"journal":{"name":"World Journal of Clinical Cases","volume":"13 18","pages":"102194"},"PeriodicalIF":1.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11926929/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144508609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Luscan-Lumish syndrome: A case report.","authors":"Bogumiła Wójcik-Niklewska, Erita Filipek","doi":"10.12998/wjcc.v13.i18.101471","DOIUrl":"10.12998/wjcc.v13.i18.101471","url":null,"abstract":"<p><strong>Background: </strong>Luscan-Lumish syndrome (LLS) is a rare genetic congenital anomaly syndrome characterised by neurodevelopmental disorders, including delayed psychomotor development, behavioral difficulties, relative or true macrocephaly and, in individual cases, ocular abnormalities. This paper aims to present the case of a child with ocular abnormalities associated with LLS.</p><p><strong>Case summary: </strong>A 10-year-old girl born at 40 weeks gestation with features of dysmorphia, neurodevelopmental disorders, genetically confirmed LLS, convergent strabismus and suspected congenital glaucoma. Eye examination, ultrasound, optical coherence tomography (OCT), perimetry and electrophysiological study [pattern visually evoked potentials (VEP)] were performed. Best-corrected distance visual acuity was 0.5 in the right eye (correction -1.0 Dsph, -1.0 Dcyl, axis 180°) and 0.62 in the left eye (correction -2.0 Dsph). Near visual acuity (Snellen Chart) with the above correction was -0.5 D. A cycloplegic refraction test yielded -1.25 Dsph, -1.25 Dcyl, axis 165° in the right eye, and -2.0 Dsph, -0.25 Dcyl, axis 154° in the left eye. Intraocular pressure was 15 mmHg in both eyes. OCT of the maculae showed no abnormalities. In both eyes, the average ganglion cell layer and inner plexiform layer thickness was 73 μm. OCT of the optic nerve disc showed an average retinal nerve fibre layer thickness of 89 μm in the right eye and 81 μm in the left eye, with symmetry of 90%. The rim area was 1.59 mm<sup>2</sup> and 1.74 mm<sup>2</sup> in the right and left eye, respectively. The disc area was 2.77 mm² in the right eye and 2.89 mm<sup>2</sup> in the left. The average cup-to-disc ratio was 0.64 in the right eye and 0.62 in the left eye. Ocular ultrasound depicted single extra echoes inside the vitreous chamber; otherwise, there were no abnormalities. Right and left eyeball lengths were 24.59 mm and 24.51 mm, respectively. Kinetic perimetry revealed no visual field defects, while static testing showed single relative scotomas. The mean defect was 4.7 dB in the right and 2.6 dB in the left eye. The loss variance values were 4.8 and 3.8 dB for the right and left eye, respectively. Pattern VEP test revealed normal values of P100 Latency. Wave amplitude in the right eye was 50% at a visual angle of 1.0° and 30% at 15'. Due to the rarity of LLS, it seems interesting to present the child ophthalmological examination with changes in the electrophysiological examination.</p><p><strong>Conclusion: </strong>Although eye abnormalities are infrequently described in children with LLS, the patients should undergo eye examinations, especially as they may have central nervous system anomalies that may give rise to visual impairments. Generally, children with genetically determined congenital syndromes should receive regular ophthalmic check-ups for a thorough evaluation of the eyes and prognosis of the development of visual function.</p>","PeriodicalId":23912,"journal":{"name":"World Journal of Clinical Cases","volume":"13 18","pages":"101471"},"PeriodicalIF":1.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11926932/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144508608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Use of OviTex 1S, reinforced tissue matrix, for the repair of post renal transplant incisional hernias: Four case reports.","authors":"Mariam Abed, Angus Bradley, Abbas Ghazanfar","doi":"10.12998/wjcc.v13.i18.99749","DOIUrl":"10.12998/wjcc.v13.i18.99749","url":null,"abstract":"<p><strong>Background: </strong>Incisional hernia is one of the known complications of renal transplant surgery, with a reported incidence between 1.1% to 3.8%. Depending on the site and extent of incisional hernia, it may require surgery particularly if it contains the transplanted kidney either partially or completely. The current common clinical practice is to repair incisional hernias using polypropylene meshes, which have their own risks and benefits. Biological meshes, which are made from human or animal-derived connective tissue, are also in use and have a less inflammatory response. Recently, hybrid meshes have been developed. These are composed of both biological and synthetic products. One such example is OviTex 1S permanent, which is a sterile reinforced tissue matrix composed of ovine (sheep) derived extracellular matrix and monofilament polypropylene. In this case report, we are sharing our experience with the use of OviTex 1S in the repair of post-renal transplant incisional hernias.</p><p><strong>Case summary: </strong>We report four cases of post-renal transplant incisional hernia with a median time of 27 months post-surgery. The median size of the defect was 15 cm long. There was no post-operative complication. One patient required renal transplant biopsy after mesh repair, which was easily performed compared with polypropylene meshes repaired hernias in the past.</p><p><strong>Conclusion: </strong>The OviTex 1S mesh provides benefits in hernial repairs pKTx, but cost is an issue, and their long-term viability is unclear. Continued use and reporting will help build a more informed picture.</p>","PeriodicalId":23912,"journal":{"name":"World Journal of Clinical Cases","volume":"13 18","pages":"99749"},"PeriodicalIF":1.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11926933/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144508658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Primary mucosa associated lymphoid tissue lymphoma of the gallbladder: A case report and review of literature.","authors":"Mi-Rin Lee, Kyu-Yun Jang, Jae-Do Yang","doi":"10.12998/wjcc.v13.i18.103055","DOIUrl":"10.12998/wjcc.v13.i18.103055","url":null,"abstract":"<p><strong>Background: </strong>The primary lymphomas of mucosa associated lymphoid tissue (MALT) of the gallbladder (GB) is an extremely rare of non-Hodgkin lymphoma. Many patients exhibit symptoms like gallstone disease, and in some cases, the lymphoma may be detected through imaging even without apparent symptoms. Only 19 cases of primary MALT lymphoma in the GB have been previously reported. Differential diagnosis from typical GB carcinoma based solely on imaging findings can be challenging, and definitive diagnosis often requires surgical intervention.</p><p><strong>Case summary: </strong>We present a patient in an 82-year-old man who was initially diagnosed with prostate cancer but incidentally detected GB wall thickening from magnetic resonance imaging conducted for prostatic surgery and subsequent radical cholecystectomy revealed primary MALT lymphoma of the GB. The patient was followed up by a medical oncologist, and after discussion, the decision was made to continue observation with close monitoring without systemic chemotherapy given the asymptomatic presentation. The patient has been free of recurrence for 16 months after the surgery. Although precise diagnosis before the surgery was difficult in this case, preoperative examinations revealed a submucosal tumor-like lesion.</p><p><strong>Conclusion: </strong>MALT lymphoma of GB remains little known in many previous studies. It is really difficult to preoperatively diagnose. The combination of clinical presentation, postoperative histology and immunohistochemistry contribute to diagnosis and carry out appropriate management.</p>","PeriodicalId":23912,"journal":{"name":"World Journal of Clinical Cases","volume":"13 18","pages":"103055"},"PeriodicalIF":1.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11926935/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144508621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cristina Isabel Martínez-Hincapie, Daniel González-Arroyave, Carlos M Ardila
{"title":"Rectal abscess secondary to foreign body insertion: A case report.","authors":"Cristina Isabel Martínez-Hincapie, Daniel González-Arroyave, Carlos M Ardila","doi":"10.12998/wjcc.v13.i18.103438","DOIUrl":"10.12998/wjcc.v13.i18.103438","url":null,"abstract":"<p><strong>Background: </strong>Rectal foreign bodies, though uncommon, present diagnostic and therapeutic challenges, particularly when they result from accidental ingestion. The nonspecific symptoms and the potential for serious complications necessitate a thorough and methodical approach to diagnosis and treatment. This case report aims to highlight the diagnostic complexities and management strategies involved in treating a patient with a rectal foreign body, focusing on the use of advanced imaging techniques and the importance of a multidisciplinary approach.</p><p><strong>Case summary: </strong>A 48-year-old male with a history of hypertension presented with a one-year history of post-defecation anorectal pain and mild post-defecation rectorrhagia. Initial evaluation revealed hemodynamic stability and a tender, non-mucosal lesion in the anterior left rectal region. Imaging studies, including colonoscopy, magnetic resonance imaging, and endosonography, identified an erythematous, exophytic lesion and a perirectal abscess containing a foreign body. Surgical intervention revealed necrotic tissue and purulent material, along with two solid foreign body fragments (bone or plant matter). Postoperative follow-up showed the patient in good condition, and pathology confirmed the fragments as mature bone.</p><p><strong>Conclusion: </strong>This case underscores the diagnostic challenges posed by rectal foreign bodies with nonspecific symptoms and no clear history of ingestion.</p>","PeriodicalId":23912,"journal":{"name":"World Journal of Clinical Cases","volume":"13 18","pages":"103438"},"PeriodicalIF":1.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11926938/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144508623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Abdominal tuberculosis with pancreatic head involvement mimicking pancreatic malignancy in a young man: A case report.","authors":"Lei Ma, Kun-Peng Wang, Chong Jin","doi":"10.12998/wjcc.v13.i18.101612","DOIUrl":"10.12998/wjcc.v13.i18.101612","url":null,"abstract":"<p><strong>Background: </strong>Pancreatic tuberculosis (PTB) is a rare disease, even in immunocompetent hosts. Abdominal tuberculosis involving the pancreatic head and peripancreatic areas may simulate pancreatic head carcinoma.</p><p><strong>Case summary: </strong>We present the case of a 32-year-old man who was admitted to our hospital for intermittent epigastric pain and weight loss. A computed tomography scan and magnetic resonance imaging revealed a mass in the head of the pancreas. The lesion was initially diagnosed as pancreatic head carcinoma on abdominal imaging. Laparotomy confirmed the diagnosis of PTB and the patient received antituberculosis therapy.</p><p><strong>Conclusion: </strong>The present case is reported to emphasize the importance of including PTB in the differential diagnosis of pancreatic lesions.</p>","PeriodicalId":23912,"journal":{"name":"World Journal of Clinical Cases","volume":"13 18","pages":"101612"},"PeriodicalIF":1.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11926931/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144508604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Improved superelastic Ni-Ti alloy wire for treating skeletal class III malocclusion combined with anterior crossbite: A case report.","authors":"Yu-Hsiang Sean Chang, Yuan-Hou Chen, Jian-Hong Yu","doi":"10.12998/wjcc.v13.i18.101545","DOIUrl":"10.12998/wjcc.v13.i18.101545","url":null,"abstract":"<p><strong>Background: </strong>Correcting skeletal class III malocclusion with anterior crossbite in adolescents using only orthodontic treatment poses challenges. This report highlights a novel approach leveraging improved superelastic Ni-Ti alloy wire (ISW) to address these conditions effectively.</p><p><strong>Case summary: </strong>A 17-year-old male patient presented with the chief complaint of an underbite. The patient was given a diagnosis of skeletal class III malocclusion and anterior crossbite. The orthodontic treatment plan was implemented and did not require teeth extractions or orthognathic surgery. Key interventions involved the application of ISW, intermaxillary elastics, and ISW unilateral multi-bend edgewise archwire. The unique combination of these techniques enabled the correction without the need for extractions or surgery. This approach leverages the advanced biomechanical properties of ISW, including its super-elasticity and shape memory, to enhance treatment efficacy. The treatment lasted 17 months, and major improvements in overjet, overbite, and alignment were achieved. The results were favorable, and stability was discovered during follow-up.</p><p><strong>Conclusion: </strong>The application of ISW for treating skeletal class III malocclusion with anterior crossbite in a 17-year-old male patient resulted in exceptional outcomes. The treatment led to a marked improvement in the patient's facial profile and to proper overjet, overbite, and midline alignment. These results were maintained over a one-year follow-up, indicating that a minimally invasive orthodontic approach can effectively address complex skeletal discrepancies in adolescent patients. This case illustrates that with the careful use of advanced orthodontic techniques, major skeletal challenges can be resolved without resorting to surgical procedures.</p>","PeriodicalId":23912,"journal":{"name":"World Journal of Clinical Cases","volume":"13 18","pages":"101545"},"PeriodicalIF":1.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11926936/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144508607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Rates of p16 and p53 expression in head and neck cutaneous squamous cell carcinoma vary according to human papillomavirus status.","authors":"Rachid Ait Addi","doi":"10.12998/wjcc.v13.i18.104313","DOIUrl":"10.12998/wjcc.v13.i18.104313","url":null,"abstract":"<p><p>The strong association between human papillomavirus (HPV) infection and oropharyngeal squamous cell carcinoma (SCC) is well-documented, with p16 expression serving as a reliable predictor of HPV involvement. HPV-related tumors are characterized by distinct mechanisms affecting p16 and p53 protein pathways. However, the prevalence of HPV and the combined predictive utility of p16 and p53 expression in head and neck cutaneous SCC remain less explored, necessitating further research to understand their role in this subset of SCC. HPV, p16, and p53 statuses were determined using immunohistochemistry staining methods rather than more sensitive techniques such as polymerase chain reaction or HPV genotyping, limiting the ability to assess specific area HPV types potentially associated with prognosis. Further studies assessing multiple molecular markers in head and neck cutaneous patients will better predict the diverse outcomes and potentially the type of treatment targeted to those markers.</p>","PeriodicalId":23912,"journal":{"name":"World Journal of Clinical Cases","volume":"13 18","pages":"104313"},"PeriodicalIF":1.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11926926/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144508622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}