Evidence map›Paper›PMID 26645353›Full record

ReviewBMC research notes2015

Pheochromocytoma multisystem crisis treated with emergency surgery: a case report and literature review.

Katsura Kakoki, Yasuyoshi Miyata, Youhei Shida, Tomoaki Hakariya, Kosuke Takehara, Seiya Izumida, Motohiro Sekino, Naoe Kinoshita, Tsukasa Igawa, Junya Fukuoka and 1 more

Open access · goldAbstract readCase ReportsReview
In one paragraph

Review in BMC research notes, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

17 citing papers in PubMed, 37 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Precision Medicine in Phaeochromocytoma and Paraganglioma.Journal of personalized medicine · 2021
    Review
  10. Article
  11. Article
  12. Article
  13. Adrenal Incidentaloma.Endocrine reviews · 2020
    Review
  14. Article
  15. Article
  16. Livedo reticularis: a cutaneous clue to an underlying endocrine crisis.Endocrinology, diabetes & metabolism case reports · 2018
    Article
  17. 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 3 institutions in 1 country.

Katsura KakokiDepartment of Urology, Nagasaki University, Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan. k-kakoki@nagasaki-u.ac.jp.
Yasuyoshi MiyataDepartment of Urology, Nagasaki University, Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan. int.doc.miya@m3.dion.ne.jp.
Youhei ShidaDepartment of Urology, Nagasaki University, Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan. yshida.urodr@gmail.com.
Tomoaki HakariyaDepartment of Urology, Nagasaki University, Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan. erbb2jp@yahoo.co.jp.
Kosuke TakeharaDepartment of Urology, Nagasaki University, Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan. takehara@nagasaki-u.ac.jp.
Seiya IzumidaDepartment of Cardiovascular Medicine, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, 852-8501, Japan. seiya-izumida@nagasaki-u.ac.jp.
Motohiro SekinoDivision of Intensive Care, Nagasaki University Hospital, Nagasaki, 852-8501, Japan. m-sekino@nagasaki-u.ac.jp.
Naoe KinoshitaDepartment of Pathology, Nagasaki University Hospital, Nagasaki, 852-8501, Japan. daimonji@nagasaki-u.ac.jp.
Tsukasa IgawaDepartment of Urology, Nagasaki University, Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan. tigawa@med.kurume-u.ac.jp.
Junya FukuokaDepartment of Pathology, Nagasaki University Hospital, Nagasaki, 852-8501, Japan. fukuokaj@nagasaki-u.ac.jp.
Hideki SakaiDepartment of Urology, Nagasaki University, Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan. hsakai@nagasaki-u.ac.jp.
Nagasaki University · JPNagasaki University Hospital · JPKurume University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPheochromocytoma is a neuroendocrine tumor that predominantly presents with hypertension, palpitations, and tachycardia due to excessive catecholamine excretion. Although pheochromocytoma multisystem crisis (PMC) is relatively rare, urologists and clinicians should focus on early diagnosis as delay in initiating the appropriate treatment can lead to mortality CASE PRESENTATION: A 70-year-old man developed ileus after a few days of medication for hypertension. Computed tomography incidentally revealed a left adrenal mass. This finding together with his clinical course was compatible with pheochromocytoma. An α-blocker was administered immediately, and his blood pressure was well controlled. However, his general condition and laboratory data deteriorated rapidly, and the patient was diagnosed with PMC with lethal status. Thus, emergency adrenalectomy was performed without confirmation of catecholamine levels. From the resected specimen, his tumor was judged as pheochromocytoma. On immunohistochemical analysis, the proliferation index evaluated by Ki-67 staining was 9.7 %. This case report was approved by the Human Ethics Review Committee of the Nagasaki University Hospital.

conclusionThe present case of PMC was successfully treated with emergency surgery. The benign pheochromocytoma also presented with high cell proliferation potential, which may be a cause of the extreme aggressiveness of PMC.

Indexed as

Adrenal Gland NeoplasmsAgedHumansMalePheochromocytoma

Identifiers

PMID26645353
PMCPMC4673852
OpenAlexW2263553890

What OpenQuestion holds

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LicenceCC BY
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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.