Evidence map›Paper›PMID 25520849›Full record

ArticleEndocrinology, diabetes & metabolism case reports2014

Adrenal cancer in neurofibromatosis type 1: case report and DNA analysis.

Ravi Kumar Menon, Francesco Ferrau, Tom R Kurzawinski, Gill Rumsby, Alexander Freeman, Zahir Amin, Márta Korbonits, Teng-Teng L L Chung

Open access · goldAbstract read
In one paragraph

Article in Endocrinology, diabetes & metabolism case reports, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

16 citing papers in PubMed, 33 citations in OpenAlex.

  1. Article
  2. Diagnosis and grading of adrenal cortical carcinoma.Virchows Archiv : an international journal of pathology · 2026
    Review
  3. Article
  4. Review
  5. Article
  6. Pediatric adrenocortical carcinoma.Frontiers in endocrinology · 2022
    Review
  7. Review
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
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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

8 authors at 3 institutions in 1 country.

Ravi Kumar MenonDepartment of Endocrinology, University College Hospital NHS Foundation Trust , NW1 2PG, London , UK.
Francesco FerrauCentre for Endocrinology, Barts and the London School of Medicine, Queen Mary University of London , EC1A 7BE, London , UK.
Tom R KurzawinskiDepartment of Endocrine Surgery, University College Hospital NHS Foundation Trust , NW1 2PG, London , UK.
Gill RumsbyDepartment of Clinical Biochemistry, University College Hospital NHS Foundation Trust , NW1 2PG, London , UK.
Alexander FreemanDepartment of Pathology, University College Hospital NHS Foundation Trust , NW1 2PG, London , UK.
Zahir AminDepartment of Radiology, University College Hospital NHS Foundation Trust , NW1 2PG, London , UK.
Márta KorbonitsCentre for Endocrinology, Barts and the London School of Medicine, Queen Mary University of London , EC1A 7BE, London , UK.
Teng-Teng L L ChungDepartment of Endocrinology, University College Hospital NHS Foundation Trust , NW1 2PG, London , UK.
University College Hospital · GBQueen Mary University of London · GBUniversity College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

unlabelledAdrenal cortical carcinoma (ACC) has previously only been reported in eight patients with type 1 neurofibromatosis (NF1). There has not been any clear evidence of a causal association between NF1 gene mutations and adrenocortical malignancy development. We report the case of a 49-year-old female, with no family history of endocrinopathy, who was diagnosed with ACC on the background of NF1, due to a novel germline frame shift mutation (c.5452_5453delAT) in exon 37 of the NF1 gene. A left adrenal mass was detected by ultrasound and characterised by contrast computerised tomography (CT) scan. Biochemical tests showed mild hypercortisolism and androgen excess. A 24-h urinary steroid profile and (18)flouro deoxy glucose PET suggested ACC. An open adrenalectomy was performed and histology confirmed ACC. This is the first reported case with DNA analysis, which demonstrated the loss of heterozygosity (LOH) at the NF1 locus in the adrenal cancer, supporting the hypothesis of an involvement of the NF1 gene in the pathogenesis of ACC. LOH analysis of the tumour suggests that the loss of neurofibromin in the adrenal cells may lead to tumour formation. LEARNING POINTS: ACC is rare but should be considered in a patient with NF1 and adrenal mass when plasma metanephrines are normal.Urinary steroid metabolites and PET/CT are helpful in supporting evidence for ACC.The LOH at the NF1 region of the adrenal tumour supports the role of loss of neurofibromin in the development of ACC.

Identifiers

PMID25520849
PMCPMC4241507
OpenAlexW2153849258

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.