Evidence map›Paper›PMID 24197525›Full record

ArticleIndian journal of pediatrics2014

Pheochromocytoma management, outcomes and the role of cortical preservation.

Alisha Gupta, Sandeep Agarwala, Nikhil Tandon, M Srinivas, Minu Bajpai, Devendra Kumar Gupta, Arun Kumar Gupta, Chandersekhar Bal, Rakesh Kumar, Veereshwar Bhatnagar

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Article in Indian journal of pediatrics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.5field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

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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.

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3 · Its place in the literature

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3 citing papers in PubMed, 10 citations in OpenAlex.

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4 · The record

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5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Alisha GuptaDepartment of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, 110029, India.
Sandeep Agarwala
Nikhil Tandon
M Srinivas
Minu Bajpai
Devendra Kumar Gupta
Arun Kumar Gupta
Chandersekhar Bal
Rakesh Kumar
Veereshwar Bhatnagar
All India Institute of Medical Sciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate the management and outcome of children with pheochromocytoma and determine the role of cortex preservation in cases of bilateral disease.

methodsRetrospective review of children, below 12 y of age, with pheochromocytoma managed between November 2003 and December 2012 was done.

resultsTwelve patients, nine boys and three girls with median age 9 y were enrolled. Eleven (92 %) had adrenal tumors and in one it was extra-adrenal. Five (42 %) had bilateral disease. Ten presented with hypertension, one with headache and one with abdominal pain and fever. All were stabilized pre-operatively with alpha and beta blockers and volume expansion. Six children with unilateral disease underwent total adrenalectomy. Out of five with bilateral disease, one child underwent bilateral total adrenalectomy and was later started on hormone replacement. Remaining four underwent total adrenalectomy on one side and partial on the other side. Post-operatively all became symptom free and normotensive and were off medications within 1 mo. Two children developed recurrence 1 mo post-operatively, one with an initial unilateral pheochromocytoma and one with paraganglionoma. At the last follow up, 10 out of 12(83 %) were disease free while two with recurrence are still awaiting surgery.

conclusionsSurgical resection of pheochromocytoma is effective treatment to achieve cure and prolong survival. Cortex preservation should be done in bilateral disease as risk of recurrence in such cases seems to be of lesser significance as compared to the morbidity and mortality of adrenal insufficiency and consequent lifelong hormone replacement.

Indexed as

Adrenal CortexAdrenalectomyAdrenal Gland NeoplasmsChildFemaleHumansMalePheochromocytomaRetrospective StudiesTreatment Outcome

Identifiers

PMID24197525
OpenAlexW1963997410

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