Evidence map›Paper›PMID 34036514›Full record

ArticleEndocrine2021

Clinical presentation, genotype-phenotype correlations, and outcome of pancreatic neuroendocrine tumors in Von Hippel-Lindau syndrome.

F Penitenti, L Landoni, M Scardoni, M L Piredda, S Cingarlini, A Scarpa, M D'Onofrio, D Girelli, M V Davi

Open access · hybridAbstract read
In one paragraph

Article in Endocrine, 2021. 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
1.4field-weighted citation impact, top 19% 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, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. 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

9 authors at 1 institution in 1 country.

F PenitentiDepartment of Medicine, Section of Endocrinology, ENETS Center of Excellence, University and Hospital Trust of Verona, Verona, Italy.
L LandoniDepartment of Surgery, The Pancreas Institute, ENETS Center of Excellence, University and Hospital Trust of Verona, Verona, Italy.
M ScardoniDepartment of Diagnostics and Public Health, Section of Pathology, ENETS Center of Excellence, University and Hospital Trust of Verona, Verona, Italy.
M L PireddaARC-Net Research Center, University and Hospital Trust of Verona, Verona, Italy.
S CingarliniDepartment of Medicine, Section of Oncology, ENETS Center of Excellence, University and Hospital Trust of Verona, Verona, Italy.
A ScarpaDepartment of Diagnostics and Public Health, Section of Pathology, ENETS Center of Excellence, University and Hospital Trust of Verona, Verona, Italy.
M D'OnofrioDepartment of Radiology, ENETS Center of Excellence, University and Hospital Trust of Verona, Verona, Italy.
D GirelliDepartment of Medicine, Section of Internal Medicine, ENETS Center of Excellence, University and Hospital Trust of Verona, Verona, Italy.
M V DaviDepartment of Medicine, Section of Endocrinology, ENETS Center of Excellence, University and Hospital Trust of Verona, Verona, Italy. mariavittoria.davi@aovr.veneto.it.ORCID 0000-0002-6076-4411
University of Verona · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeData regarding the clinical management and follow-up of pancreatic neuroendocrine tumors (PanNETs) associated with Von Hippel-Lindau (VHL) syndrome are limited. This study aimed to assess clinical presentation, genotype-phenotype correlations, treatment and prognosis of PanNETs in a series of VHL syndrome patients.

methodsRetrospective analysis of data of patients observed between 2005 and 2020.

resultsSeventeen patients, including 12 probands and 5 relatives (mean age 30.8 ± 18.4; 7 males), were recruited. PanNETs were found in 13/17 patients (77.5%) at a median age of 37 years: 4/13 (30.7%) at the time of VHL diagnosis and 9 (69.3%) during follow up. Six (46.1%) PanNET patients underwent surgery, whereas seven were conservatively treated (mean tumor diameter: 40 ± 10.9 vs. 15 ± 5.3 mm respectively). Four patients (30.7%) had lymph node metastases and a mean tumor diameter significantly larger than the nonmetastatic PanNETs (44.2 ± 9.3 vs. 17.4 ± 7 mm, p = 0.00049, respectively). Five (83.3%) operated patients had stable disease after a median follow up of 3 years whereas one patient showed liver metastases. Six (85.7%) non-resected PanNETs were stable after a median follow-up of 2 years, whereas one patient developed a new small PanNET and a slight increase in diameter of a pre-existing PanNET. No correlation was found between the type of germline mutation and malignant behavior of PanNETs.

conclusionsPanNETs are a common disease of the VHL syndrome and can be the presenting feature. Tumor size rather than genetic mutation is a prognostic factor of malignancy.

Indexed as

Neuroendocrine TumorsPancreatic Neoplasmsvon Hippel-Lindau DiseaseAdolescentAdultChildGenetic Association StudiesHumansMaleMiddle AgedRetrospective StudiesVon Hippel-Lindau Tumor Suppressor ProteinYoung AdultVon Hippel-Lindau Tumor Suppressor ProteinClinical presentationGenotype–phenotype correlationsPancreatic neuroendocrine tumorsVon Hippel–Lindau syndrome

Identifiers

PMID34036514
PMCPMC8440302
OpenAlexW3164636785

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.