Evidence map›Paper›PMID 23512282›Full record

ReviewEndocrine pathology2013

Double, synchronous pituitary adenomas causing acromegaly and Cushing's disease. A case report and review of literature.

Grzegorz Zieliński, Maria Maksymowicz, Jan Podgórski, Włodzimierz T Olszewski

Abstract readCase ReportsReview
In one paragraph

Review in Endocrine pathology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
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  13. Multiple Pituitary Adenomas: A Systematic Review.Frontiers in endocrinology · 2016
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Grzegorz ZielińskiDepartment of Neurosurgery, Military Institute of Medicine, 128 Szaserów Street., 04-141 Warszawa 44, Warsaw, Poland. gzielinski@wim.mil.pl
Maria Maksymowicz
Jan Podgórski
Włodzimierz T Olszewski

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Double pituitary adenomas are very rare and present up to 1 % of pituitary adenomas in unselected autopsy series and up to 2 % in large surgical series. We report a case of a 47-year-old man presented slight clinical features of acromegaly with 2 years duration. Endocrine evaluation confirmed active acromegaly and revealed adrenocorticotropin hormone-dependent hypercortisolemia. Preoperative magnetic resonance imaging of the pituitary demonstrated clearly separated double microadenomas with different intensity. The patient underwent transsphenoidal surgery and both tumors were completely removed and were fixed separately. The histological and ultrastructural examination confirmed coincidence of the double, clearly separated pituitary adenomas in one gland. Postoperative function of the hypothalamo-hypophyseal axis was normalized. We conclude from this case and a literature review that double endocrinologically active pituitary adenomas leading to acromegaly and Cushing's disease may occur. Additionally, a review of the literature regarding multiple pituitary adenomas has also been performed.

Indexed as

Neoplasms, Multiple PrimaryAcromegalyAdenomaHumansMagnetic Resonance ImagingMaleMiddle AgedPituitary ACTH HypersecretionPituitary GlandPituitary NeoplasmsTreatment Outcome

Identifiers

PMID23512282
PMCPMC3656222

What OpenQuestion holds

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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.