Evidence map›Paper›PMID 31933748›Full record

ArticleInternational journal of clinical and experimental pathology2019

Evaluation of the potential of the Ki67 index to predict tumor evolution in patients with pituitary adenoma.

Carolina Petry, Jefferson Henrique Zwir Poli, Isabella de Azevedo Dossin, Carolina Garcia Soares Leães Rech, Júlia Fernanda Semmelmann Pereira Lima, Nelson Pires Ferreira, Miriam da Costa Oliveira

Open access · greenAbstract read
In one paragraph

Article in International journal of clinical and experimental pathology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 16% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Frontiers in endocrinology · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Success ofEndocrine oncology (Bristol, England) · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Pituitary Adenoma:Medicina (Kaunas, Lithuania) · 2024
    Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Review
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 2 institutions in 1 country.

Carolina PetryGraduate Program in Pathology, Federal University of Health Sciences of Porto Alegre (UFCSPA) Porto Alegre, RS, Brazil.
Jefferson Henrique Zwir PoliNeuroendocrinology Center, Santa Casa of Porto Alegre/UFCSPA Porto Alegre, RS, Brazil.
Isabella de Azevedo DossinNeuroendocrinology Center, Santa Casa of Porto Alegre/UFCSPA Porto Alegre, RS, Brazil.
Carolina Garcia Soares Leães RechNeuroendocrinology Center, Santa Casa of Porto Alegre/UFCSPA Porto Alegre, RS, Brazil.
Júlia Fernanda Semmelmann Pereira LimaGraduate Program in Pathology, Federal University of Health Sciences of Porto Alegre (UFCSPA) Porto Alegre, RS, Brazil.
Nelson Pires FerreiraNeuroendocrinology Center, Santa Casa of Porto Alegre/UFCSPA Porto Alegre, RS, Brazil.
Miriam da Costa OliveiraGraduate Program in Pathology, Federal University of Health Sciences of Porto Alegre (UFCSPA) Porto Alegre, RS, Brazil.
Santa Casa Hospital · BRUniversidade Federal de Ciências da Saúde de Porto Alegre · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aggressive course of a number of pituitary adenomas requires the investigation of potential predictors. This study aimed to investigate the proliferation marker Ki67 as a predictor of postoperative outcome in patients with pituitary adenoma regarding recurrence and regrowth of the tumor, using a Ki67 cut-off value of 3%. This retrospective study included 52 patients with pituitary adenoma who had undergone adenomectomy and had a pituitary image taken at least 1 year after surgery. Patients were divided according to Ki67 expression into high (≥3%) vs. low (<3%) levels of Ki67. The two groups were similar regarding the preoperative tumor invasion grade. The Ki67 index ranged from 0 to 30%; in 23 cases, Ki67 was ≥3%. The two groups were similar regarding tumor recurrence and regrowth: 4 cases (28%) of recurrence in the Ki67<3% group vs. none in the Ki67≥3% group (P=0.26); and 2 cases (13%) of regrowth in the Ki67<3% group vs. 7 cases (43%) in the Ki67≥3% group (P=0.11). A subgroup analysis was performed for nonfunctioning adenomas. Recurrence rates remained similar between groups (Ki67<3% group: 1 case [20%]; Ki67≥3% group: none; P>0.99), whereas regrowth rates were higher in the Ki67≥3% group (6 cases [67%] vs. 2 cases [17%] in the Ki67<3% group; P=0.03). The patient with the highest Ki67 index (30%) developed pituitary carcinoma. The results allow us to suggest the adoption of a stricter control of image monitoring in nonfunctioning adenomas with incomplete resection associated with a Ki67 index ≥3%.

Indexed as

behaviorKi67Pituitary adenomapredictorrecurrenceregrowth

Identifiers

PMID31933748
PMCPMC6944029
OpenAlexW3010294711

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.