Evidence map›Paper›PMID 26064059›Full record

ReviewOncoTargets and therapy2015

Clinical and pathological analysis of 116 cases of adult adrenal cortical adenoma and literature review.

Ai-Hua Jia, Hong-Quan Du, Min-Hua Fan, Yu-Hong Li, Jun-Long Xu, Gui-Fen Niu, Jie Bai, Guang-Zhen Zhang, Yu-Bo Ren

Open access · goldAbstract readReview
In one paragraph

Review in OncoTargets and therapy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 30% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

9 authors at 1 institution in 1 country.

Ai-Hua JiaDepartment of Pathology, Liaocheng People's Hospital, Liaocheng, People's Republic of China.
Hong-Quan DuDepartment of Endocrinology, Liaocheng People's Hospital, Liaocheng, People's Republic of China.
Min-Hua FanDepartment of Endocrinology, Liaocheng People's Hospital, Liaocheng, People's Republic of China.
Yu-Hong LiDepartment of Pathology, Liaocheng People's Hospital, Liaocheng, People's Republic of China.
Jun-Long XuDepartment of Pathology, Liaocheng People's Hospital, Liaocheng, People's Republic of China.
Gui-Fen NiuDepartment of Endocrinology, Liaocheng People's Hospital, Liaocheng, People's Republic of China.
Jie BaiDepartment of Endocrinology, Liaocheng People's Hospital, Liaocheng, People's Republic of China.
Guang-Zhen ZhangDepartment of Endocrinology, Liaocheng People's Hospital, Liaocheng, People's Republic of China.
Yu-Bo RenDepartment of Pathology, Liaocheng People's Hospital, Liaocheng, People's Republic of China.
Liaocheng People's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study is to investigate origin, gross features, microscopic features, immunohistochemical properties, and differential diagnosis of adrenal cortical adenoma (ACA) in patients ≥20 years old.

methodsThe clinicopathological features of 116 cases of ACA and the immunohistochemical features of 50 cases of ACA were evaluated, and the relevant literature was reviewed.

resultsIn our cohort, 76.72% (89/116) of the cases were functional, and 27 cases had non-functional, benign adrenal adenomas. ACA presented as an island tumor with an envelope, and the mean tumor size was 3.6 cm (range 1-5 cm), with a mean tumor weight of 9.28 g (range 5-113 g). The shape of the tumor cells was consistent, and mitosis was rarely observed. Forty of the 46 patients with cortisol-secreting ACA had tumors containing granule cells. Primary aldosteronism was observed in 43 cases. Thirty-eight cases had endoscopically visible tumors, with clear cells and lipid-rich cytoplasm arranged in irregular patches or strips. Cortisol-producing ACAs were associated with atrophy of the non-tumorous cortex. Adrenocortical adenomas displayed positive immunohistochemical staining for MELAN-A, Syn (46 of 50 cases of ACA), NSE (44 of 50 cases of ACA), Vim (42 of 50 cases of ACA) and Ki-67 <5% (24 of 50 cases of ACA; the remaining 26 cases were negative for Ki-67).

conclusionPrediction of endocrine syndrome in functional ACA was possible based on its structure and morphologic features, which could prevent an unanticipated postoperative crisis. However, a clinical study is needed to validate these findings.

Indexed as

adrenal cortical adenomaimmunohistochemical stainingpathological analysispathological features

Identifiers

PMID26064059
PMCPMC4455871
OpenAlexW1946227275

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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.