Evidence map›Paper›PMID 29589251›Full record

ArticleClinical journal of gastroenterology2018

Hepatocellular adenoma in a woman who was undergoing testosterone treatment for gender identity disorder.

Keizo Kato, Hiroshi Abe, Noriko Hanawa, Junya Fukuzawa, Ryota Matsuo, Takeshi Yonezawa, Sadahiro Itoh, Yoshiyuki Sato, Makiko Ika, Shohei Shimizu and 5 more

Abstract readCase Reports
PubMed Publisher
In one paragraph

Article in Clinical journal of gastroenterology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 18% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Sex differences in chronic liver disease and benign liver lesions.JHEP reports : innovation in hepatology · 2023
    Review
  5. Review
  6. Review
  7. 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

15 authors at 3 institutions in 1 country.

Keizo KatoLiver Disease Control Unit, The Jikei University School of Medicine, Tokyo, Japan. honoharunobuzo@yahoo.co.jp.
Hiroshi AbeDivisions of Gastroenterology and Hepatology, Shinmatsudo Central General Hospital, Chiba, Japan.
Noriko HanawaDivisions of Gastroenterology and Hepatology, Shinmatsudo Central General Hospital, Chiba, Japan.
Junya FukuzawaDivision of Surgery, Shinmatsudo Central General Hospital, Chiba, Japan.
Ryota MatsuoDivision of Surgery, Shinmatsudo Central General Hospital, Chiba, Japan.
Takeshi YonezawaDivisions of Gastroenterology and Hepatology, Shinmatsudo Central General Hospital, Chiba, Japan.
Sadahiro ItohDivisions of Gastroenterology and Hepatology, Shinmatsudo Central General Hospital, Chiba, Japan.
Yoshiyuki SatoDivisions of Gastroenterology and Hepatology, Shinmatsudo Central General Hospital, Chiba, Japan.
Makiko IkaDivisions of Gastroenterology and Hepatology, Shinmatsudo Central General Hospital, Chiba, Japan.
Shohei ShimizuDivisions of Gastroenterology and Hepatology, Shinmatsudo Central General Hospital, Chiba, Japan.
Shinji EndoDivisions of Gastroenterology and Hepatology, Shinmatsudo Central General Hospital, Chiba, Japan.
Hiroshi HanoDepartment of Pathology, Jikei University School of Medicine, Tokyo, Japan.
Asami IzuDepartment of Pathology, Nihon University School of Medicine, Tokyo, Japan.
Masahiko SugitaniDepartment of Pathology, Nihon University School of Medicine, Tokyo, Japan.
Akihito TsubotaLiver Disease Control Unit, The Jikei University School of Medicine, Tokyo, Japan.
Shinmatsudo Central General Hospital · JPJikei University School of Medicine · JPNihon University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 32-year-old Japanese woman was admitted to our hospital for the diagnosis and treatment of multiple liver tumors. She had been receiving 125 mg testosterone enanthate every 2 weeks following female-to-male gender identity disorder (GID) diagnosis at 20 years of age. Ultrasonography, computed tomography, and magnetic resonance imaging showed 11 hepatic nodular tumors with a maximum diameter of 28 mm. Liver tumors with hepatocellular adenoma (HCA) were diagnosed with needle biopsy. Segmentectomy of the left lateral lobe including two lesions, subsegmentectomy of S6 including two lesions, enucleation of each tumor in S5 and S7, and open surgical radiofrequency ablation for each tumor in S4 and S7 were performed. Immunohistochemical specimens showed that the tumor cells were diffusely and strongly positive for glutamine synthetase and that the nuclei were ectopically positive for β-catenin. Thus, the tumors were diagnosed as β-catenin-activated HCA (b-HCA). Transcatheter arterial chemoembolization plus subsequent radiofrequency ablation was performed for the 3 residual lesions in S4 and S8. Although testosterone enanthate was being continued for GID, no recurrence was observed until at least 22 months after the intensive treatments. HCA development in such patients receiving testosterone should be closely monitored using image inspection.

Indexed as

Gender IdentityAdultAndrogensCarcinoma, HepatocellularFemaleHumansLiver NeoplasmsNeoplasms, Multiple PrimaryTestosteroneAndrogensTestosteronetestosterone enanthateGender identity disorderTestosteroneβ-Catenin-activated hepatocellular adenoma

Identifiers

PMID29589251
OpenAlexW2795328858

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.