Collision tumors represent a relatively uncommon form of tumor manifestation, characterized by the independent coexistence of multiple distinct types of tumors. Large cell neuroendocrine carcinoma of the colorectum is a rare entity, with limited reports describing collision tumors involving adenocarcinoma and large cell neuroendocrine carcinoma. Distant metastases of colorectal cancer typically occur in sites such as bone, liver, and lungs; however, metastasis to the gingiva is rarely encountered. This paper reports a case of a collision tumor comprising colonic adenocarcinoma and large cell neuroendocrine carcinoma, with accompanying gingival metastasis.

Background: Non-alcoholic fatty liver disease (NAFLD) is one of the most common chronic liver diseases worldwide, and its incidence has been rising in parallel with the prevalence of obesity and diabetes. A critical marker for the progression of NAFLD is advanced hepatic fibrosis (AHF), which can result in cirrhosis and hepatocellular carcinoma. This study sought to investigate the potential associations between five nutrition-related indices—the geriatric nutritional risk index (GNRI), prognostic nutritional index (PNI), controlled nutritional score (CONUT), triglyceride-total cholesterol-body mass index (TCBI), and albumin/globulin ratio (AGR)—and the progression of NAFLD and AHF. Methods: This study analyzed the association between five nutrition-related indicators and the occurrence of NAFLD and AHF by utilizing data from the National Health and Nutrition Examination Survey (NHANES) from 2017 to 2020.03. After adjusting for demographic, lifestyle, clinical, and laboratory-related factors, the associations were examined employing various statistical techniques, including multivariate logistic regression, subgroup analysis, and smooth curve fitting analysis. Results: This study included 5,514 subjects, of whom 2,088 were diagnosed with NAFLD and 359 with AHF. After adjusting for potential confounding factors using multivariate logistic regression analysis, the results revealed that GNRI, PNI, and TCBI were positively associated with the incidence of NAFLD, while CONUT and AGR demonstrated negative associations with NAFLD. Additionally, GNRI, CONUT, and TCBI were positively associated with the incidence of AHF, while AGR demonstrated a negative association with AHF.Conclusions: The study demonstrates that nutritional status plays a dual role in the progression of NAFLD and AHF, serving as both a risk and protective factor. These findings offer a scientific foundation for the early identification of high-risk populations and the development of individualized nutritional intervention strategies.

Background: Gallstones represent a common gastrointestinal disorder, affecting approximately 10-20% of the global population. Oxidative stress plays a pivotal role in the pathogenesis of gallstones; however, there remains a lack of effective clinical indicators to predict their formation. This study addresses this gap by investigating the relationship between oxidative balance score (OBS) and the incidence of gallstones and gallbladder surgery, utilizing data from the National Health and Nutrition Examination Survey (NHANES) from 2017 to 2020. Methods: This study investigated the association between OBS and the occurrence of gallstones and gallbladder surgery by analyzing data from NHANES for the period 2017–2020, adjusting for potential confounders such as age, sex, race, and comorbidities. Various statistical analyses were applied, including multivariate logistic regression, subgroup analyses, and smoothed curve-fitting models.Results: The results revealed a significant negative correlation between OBS and the risks of both gallstones and gallbladder surgery, with each one-unit increase in OBS associated with a 2.6% reduction in gallstone risk (OR=0.974, 95% CI: 0.958-0.990) and a 3.3% reduction in the risk of gallbladder surgery (OR=0.967, 95% CI: 0.950-0.983). Subgroup analyses confirmed the consistency of these associations across various demographic and health-related factors. Furthermore, a dose-response relationship was observed between higher OBS and a reduced risk of gallbladder surgery.Conclusions: This study demonstrates that a higher OBS is associated with a lower incidence of gallstones and reduced rates of gallbladder surgery, offering new insights into the link between oxidative stress levels and gallstone formation as well as surgical intervention. The findings underscore the potential of OBS as a valuable tool for identifying at-risk populations and informing personalized prevention strategies for gallstone disease.