Evidence map›Paper›PMID 22362045›Full record

ArticleWorld journal of surgery2012

Ectopic hormone-secreting pheochromocytoma: a francophone observational study.

James Kirkby-Bott, Laurent Brunaud, Muriel Mathonet, Etienne Hamoir, Jean-Louis Kraimps, Christophe Trésallet, Laurence Amar, Alexandre Rault, Jean-Francois Henry, Bruno Carnaille

Open access · greenAbstract readEvaluation StudyMulticenter Study
PubMed Publisher
In one paragraph

Article in World journal of surgery, 2012. 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
2.3field-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, 36 citations in OpenAlex.

  1. Ectopic ACTH Syndrome Caused by Pheochromocytoma: A Case Report and Systematic Review.Endocrine, metabolic & immune disorders drug targets · 2026
    Pooled it
  2. Article
  3. Composite pheochromocytoma-ganglioneuroma secreting vasoactive intestinal peptide.Endocrinology, diabetes & metabolism case reports · 2026
    Article
  4. Article
  5. Review
  6. Article
  7. A rare cause of severe Cushing's syndrome.Endocrinology, diabetes & metabolism case reports · 2020
    Article
  8. Adrenocorticotropic hormone-producing pheochromocytoma: A case report.International journal of surgery case reports · 2020
    Article
  9. Article
  10. Review
  11. Article
  12. [Ectopia of the adrenal].Der Pathologe · 2018
    Review
  13. Article
  14. Article
  15. Article
  16. Bowel perforation complicating an ACTH-secreting phaeochromocytoma.Endocrinology, diabetes & metabolism case reports · 2016
    Article
  17. Article
  18. Article
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 at 6 institutions in 2 countries.

James Kirkby-BottService de Chirurgie Endocrinienne, Université Lille Nord, CHU, 59037 Lille Cedex, France.
Laurent Brunaud
Muriel Mathonet
Etienne Hamoir
Jean-Louis Kraimps
Christophe Trésallet
Laurence Amar
Alexandre Rault
Jean-Francois Henry
Bruno Carnaille
Centre Hospitalier Universitaire de Bordeaux · FRCentre Hospitalier Universitaire de Limoges · FRCentre Pompidou · FRHôpital de la Timone · FRPitié-Salpêtrière Hospital · FRUniversity of Liège · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEctopic hormone-secreting pheochromocytomas are rare; only case reports exist in the literature. This condition has been linked with increased malignancy, familial syndromes, and ACTH secretion. We wanted to test these hypotheses and shed light on the nature of ectopic hormone-secreting pheochromocytomas.

methodsThis is a multicenter (francophone) observational study. Inclusion was based upon abnormal preoperative hormone tests in patients with pheochromocytoma that normalized after removal of the tumor. Where possible, immunohistochemistry was performed to confirm that ectopic secretion came from the tumor.

resultsSixteen cases were found: nine female and seven male patients. Median age was 50.5 (range 31-89) years. Most presented with hypertension, diabetes, or cushingoid features. Ten patients had specific symptoms from the ectopic hormone secretion. Two had a familial syndrome. Of eight patients with excess cortisol secretion, three died as a result of the tumor resection: two had pheochromocytomas >15 cm and their associated cortisol hypersecretion complicated their postoperative course. The other died from a torn subhepatic vein. The 13 survivors did not develop any evidence of malignancy during follow-up (median 50 months). Symptoms from the ectopic secretion resolved after removal of the tumor. Immunohistochemistry was performed and was positive in eight tumors: five ACTH, three calcitonins, and one VIP.

conclusionsMost pheochromocytomas with ectopic secretion are neither malignant nor familial. Most ectopic hormone-secreting pheochromocytoma cause hypercortisolemia. Patients with a pheochromocytoma should be worked up for ectopic hormones, because removal of the pheochromocytoma resolves those symptoms. Associated cortisol secretion needs careful attention.

Indexed as

ACTH Syndrome, EctopicAdrenalectomyAdrenal Gland NeoplasmsAdultAgedAged, 80 and overBelgiumFemaleFranceHumansMaleMiddle AgedPheochromocytomaRetrospective StudiesRisk FactorsTreatment Outcome

Identifiers

PMID22362045
OpenAlexW2020163860

What OpenQuestion holds

Textmetadata
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.