Evidence map›Paper›PMID 30217968›Full record

ReviewThe American journal of case reports2018

Laparoscopic Trans-Abdominal Right Adrenalectomy for a Large Primitive Adrenal Oncocytic Carcinoma: A Case Report and Review of Literature.

Valerio Panizzo, Barbara Rubino, Guglielmo Niccolò Piozzi, Paolo Ubiali, Anna Morandi, Marco Nencioni, Giancarlo Micheletto

Open access · hybridAbstract readCase ReportsReview
In one paragraph

Review in The American journal of case reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

10 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
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  10. Urinary steroid profiling in diagnostic evaluation of an unusual adrenal mass.Endocrinology, diabetes & metabolism case reports · 2019
    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

7 authors at 5 institutions in 1 country.

Valerio PanizzoDepartment of General Surgery, Istituto Clinico Sant'Ambrogio, Milan, Italy.
Barbara RubinoDepartment of Pathology and Cytodiagnostic, IRCCS Policlinico San Donato, Milan, Italy.
Guglielmo Niccolò PiozziGeneral Surgery Residency Program, University of Milan, Milan, Italy.
Paolo UbialiDepartment of General Surgery, Santa Maria degli Angeli Hospital, Pordenone, Italy.
Anna MorandiDepartment of Pediatric Surgery, Fondazione IRCCS Ca' Granda - Maggiore Policlinico Hospital, Milan, Italy.
Marco NencioniDepartment of General Surgery, San Raffaele Hospital, Milan, Italy.
Giancarlo MichelettoDepartment of General Surgery, Istituto Clinico Sant'Ambrogio, Milan, Italy.
Istituto Clinico Sant'Ambrogio · ITAzienda Ospedaliera Santa Maria Degli Angeli · ITFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITIRCCS Policlinico San Donato · ITUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND Adrenocortical oncocytic neoplasms (AONs) are extremely rare tumors. AONs are classified as: oncocytoma (AO), oncocytic neoplasm of uncertain malignant potential (AONUMP), and oncocytic carcinoma (AOC). Among the 162 reported cases of AONs in the literature, 30 cases were classified as malignant. Adrenalectomy is the treatment of choice for AON. CASE REPORT We report the case of a 48-year-old man with a primitive 12-cm mass affecting the right adrenal gland, detected by ultrasonography during follow-up for alcoholic liver cirrhosis. Computed tomography (CT) scan and magnetic resonance imaging (MRI) showed a mass of the right adrenal gland compressing the inferior vena cava (IVC) and dislocating the right lobe of the liver, with no invasion of kidney, liver, or IVC. Preoperative blood tests showed mild transaminase increase. Laparoscopic right adrenalectomy with lateral transperitoneal approach was performed. The postoperative course was uneventful. The lesion was diagnosed as a primitive adrenal oncocytic carcinoma (AOC). No recurrence was evidenced during 24-month follow-up. CONCLUSIONS Although AONs are very rare, they must be considered in the differential diagnosis of adrenal masses due to their prognostic difference compared to non-oncocytic tumors. AOCs are a rare presentation of AONs. Only 30 cases are described in the literature. Laparotomic adrenalectomy is the treatment of choice for AOC. We report the first case of laparoscopic lateral trans-abdominal adrenalectomy for a voluminous AOC (120×95×110 mm) and we review the literature regarding AOCs. Laparoscopy in experienced hands is safe and effective for the treatment of AONs. Despite the rarity of AOC, a case series should be performed to confirm the results of our case report.

Indexed as

Adenoma, OxyphilicAdrenalectomyAdrenal Gland NeoplasmsHumansLaparoscopyMaleMiddle Aged

Identifiers

PMID30217968
PMCPMC6152586
OpenAlexW2890818427

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.