Evidence map›Paper›PMID 19570738›Full record

ReviewHormones (Athens, Greece)

Diagnosis of pheochromocytoma with special emphasis on MEN2 syndrome.

Karel Pacak, Graeme Eisenhofer, Ioannis Ilias

Open access · bronzeAbstract readReview
In one paragraph

Review in Hormones (Athens, Greece). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 12% of its field
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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.

  1. Multidisciplinary practice guidelines for the diagnosis, genetic counseling and treatment of pheochromocytomas and paragangliomas.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2021
    Guideline
  2. Cancer predisposition syndromes: an imaging review.Cancer imaging : the official publication of the International Cancer Imaging Society · 2026
    Review
  3. Review
  4. Hereditary Medullary Thyroid Cancer: Genotype-Phenotype Correlation.Recent results in cancer research. Fortschritte der Krebsforschung. Progres dans les recherches sur le cancer · 2025
    Review
  5. Pheochromocytoma in MEN2.Recent results in cancer research. Fortschritte der Krebsforschung. Progres dans les recherches sur le cancer · 2025
    Review
  6. Article
  7. Review
  8. Asian Conference on Tumor Ablation Guidelines for Adrenal Tumor Ablation.Endocrinology and metabolism (Seoul, Korea) · 2021
    Review
  9. Article
  10. Review
  11. The clinical genetics of phaeochromocytoma and paraganglioma.Archives of endocrinology and metabolism · 2017
    Review
  12. Hypertensive crisis secondary to pheochromocytoma.Proceedings (Baylor University. Medical Center) · 2017
    Article
  13. Primary adrenal schwannoma with catecholamine hypersecretion.Archives of medical science : AMS · 2016
    Article
  14. Pheochromocytoma Screening Initiation and Frequency in von Hippel-Lindau Syndrome.The Journal of clinical endocrinology and metabolism · 2015
    Article
  15. Familial pheochromocytomas and paragangliomas.Molecular and cellular endocrinology · 2014
    Review
  16. An update on the genetics of pheochromocytoma.Journal of human hypertension · 2013
    Review
  17. Clinical utility gene card for: multiple endocrine neoplasia type 2.European journal of human genetics : EJHG · 2012
    Article
  18. Genetic testing for pheochromocytoma.Current hypertension reports · 2010
    Review
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

3 authors at 1 institution in 1 country.

Karel PacakReproductive and Adult Endocrinology Program, Section of Medical Neuroendocrinology, NICHD, National Institutes of Health, Bethesda, MD, USA.
Graeme Eisenhofer
Ioannis Ilias
TU Dresden · DE

Funding

Diagnosis, Pathophysiology And Molecular Biology of Pheochromocytoma and ParagangliomaZIAHD008735 · NICHD · EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT · PI PACAK, KAREL · 2009 to 2024
$28.4M
Diagnosis &Pathophysiology of PheochromocytomaZ01HD008735 · NICHD · EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT · PI PACAK, KAREL · 2001 to 2008
$1.7M
Intramural NIH HHS Z01 HD008735
6 · The paper itself

Abstract

Pheochromocytomas/paragangliomas(PHEOs/PGLs) are rare but treacherous catecholamine-producing tumors which, if overlooked or improperly treated, will almost invariably prove fatal. Patients with MEN2 PHEOs have a high incidence of paroxysmal attacks and a higher prevalence of hypertension and other cardiovascular problems than do patients with Von-Hippel-Lindau (VHL) PHEOs. Compared to measurements of deconjugated metanephrines, plasma concentrations of free metanephrines are relatively independent of renal function and therefore more suitable for diagnosis of PHEO/PGL. Recently, the focus of Positron Emission Tomography (PET) imaging for these tumors has been the localization of PHEO. Although a limited number of studies are available, [18F]-fluorodopamine ([18F]DA) PET has been found to be the best overall imaging modality in the localization of PHEO. For adrenal PHEOs, this method seems to be comparable to other functional modalities such as [18F]-fluorodopa ([18F]DOPA) PET or [123I]-metaiodobenzylguanidine ([123I]MIBG)scintigraphy. For extraadrenal PHEOs, data are limited and more extensive studies are needed. In patients with metastatic PHEO, the sensitivity of [18F]DA PET is superior to [123I]MIBG. The so called "flip-flop" imaging showing superiority of non-specific [18F] flurodeoxyglucose (FDG) PET over specific [18F]DA PET has been described in rapidly progressive, often metastatic SDHB-associated PHEOs. Whether these data reflect PHEO cell dedifferentiation (e.g. losing Norepinephrine Transporter-NET) or increased metabolic rate remains to be established.

Indexed as

Fluorine RadioisotopesAdrenal Gland NeoplasmsDihydroxyphenylalanineHumansMultiple Endocrine Neoplasia Type 2aParagangliomaPheochromocytomaPositron-Emission TomographyDihydroxyphenylalanineFluorine Radioisotopesfluorodopa F 18

Identifiers

PMID19570738
PMCPMC4713023
OpenAlexW2014733893

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.