Evidence map›Paper›PMID 22983831›Full record

ReviewEndocrine2013

Ectopic acromegaly due to growth hormone releasing hormone.

Ali A Ghazi, Alireza Amirbaigloo, Azizollah Abbasi Dezfooli, Navid Saadat, Siavash Ghazi, Marina Pourafkari, Farrokh Tirgari, Dheepti Dhall, Serguei Bannykh, Shlomo Melmed and 1 more

Open access · greenAbstract readReview
In one paragraph

Review in Endocrine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 10% 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

26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 69 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Growth hormone-releasing hormone, growth hormone, and neuroendocrine tumors.Journal of clinical & translational endocrinology · 2026
    Review
  4. Pituitary adenoma imaging as a determinant of acromegaly diagnosis and outcomes.The Journal of clinical endocrinology and metabolism · 2026
    Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Genetics of Acromegaly and Gigantism.Journal of clinical medicine · 2021
    Review
  13. Acromegaly with empty sella syndrome.Endocrinology, diabetes & metabolism case reports · 2021
    Article
  14. Article
  15. Article
  16. Review
  17. Identification of a TMEM127 variant in a patient with paraganglioma and acromegaly.Endocrinology, diabetes & metabolism case reports · 2020
    Article
  18. Review
  19. Review
  20. 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

11 authors at 6 institutions in 2 countries.

Ali A GhaziEndocrine Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Alireza Amirbaigloo
Azizollah Abbasi Dezfooli
Navid Saadat
Siavash Ghazi
Marina Pourafkari
Farrokh Tirgari
Dheepti Dhall
Serguei Bannykh
Shlomo Melmed
Odelia Cooper
Cedars-Sinai Medical Center · USShahid Beheshti University of Medical Sciences · IRMasih Daneshvari Hospital · IRResearch Institute for Endocrine Sciences · IRTaleghani General Hospital · IRTehran University of Medical Sciences · IR

Funding

Mechanisms of Pituitary TumorigenesisR01CA075979 · NCI · CEDARS-SINAI MEDICAL CENTER · PI MELMED, SHLOMO · 1999 to 2012
$3.5M
ErbB Family in Pituitary TumorsK23DK085148 · NIDDK · CEDARS-SINAI MEDICAL CENTER · PI COOPER, ODELIA · 2009 to 2013
$844k
NCI NIH HHS CA75979NCI NIH HHS R01 CA075979NIDDK NIH HHS K23 DK085148NIDDK NIH HHS K23DK085148
6 · The paper itself

Abstract

Acromegaly secondary to extra-pituitary tumors secreting growth hormone releasing hormone (GHRH) is rarely encountered. We review the literature on ectopic acromegaly and present the index report of ectopic acromegaly secondary to GHRH secretion from a mediastinal paraganglioma. Clinical and pathological manifestations and therapeutic management of 99 patients with ectopic acromegaly are reviewed. Acromegaly secondary to ectopic GHRH secretion is usually caused by a neuroendocrine tumor in the lung and pancreas. We report an additional cause of ectopic acromegaly from a mediastinal paraganglioma. Diagnostic criteria of ectopic GHRH syndrome include biochemical and pathologic tumoral confirmation of GHRH secretion and expression. Management of ectopic acromegaly consists of surgical resection of the primary tumor and biochemical normalization, with possible adjuvant use of somatostatin analogs. The review demonstrates that there are several tumor types, including paragangliomas which may secrete GHRH, leading to acromegaly. Clinical and laboratory manifestations of the syndrome and challenges in diagnosis and management of these rarely encountered patients require early diagnosis and appropriate treatment to prevent long-term morbidity and mortality with ectopic acromegaly.

Indexed as

AcromegalyAdolescentAdultAgedCombined Modality TherapyFemaleGrowth Hormone-Releasing HormoneHumansLung NeoplasmsMaleMediastinal NeoplasmsMiddle AgedPancreatic NeoplasmsParaganglioma, Extra-AdrenalSomatostatinYoung AdultGrowth Hormone-Releasing HormoneSomatostatin

Identifiers

PMID22983831
PMCPMC3553305
OpenAlexW2055363686

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.