Evidence map›Paper›PMID 34041698›Full record

ArticleEndocrine pathology2021

Middle Ear "Adenoma": a Neuroendocrine Tumor with Predominant L Cell Differentiation.

Sylvia L Asa, Knarik Arkun, Arthur S Tischler, Adnan Qamar, Fang-Ming Deng, Bayardo Perez-Ordonez, Ilan Weinreb, Justin A Bishop, Bruce M Wenig, Ozgur Mete

Abstract read
PubMed Publisher
In one paragraph

Article in Endocrine pathology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.7field-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

18 citing papers in PubMed, 26 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. The evolving roles of pathologists in paragangliomas and pheochromocytomas.Virchows Archiv : an international journal of pathology · 2026
    Review
  5. Metastastic potential of middle ear neuroendocrine tumours.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Middle ear neuroendocrine tumor: a case report.Journal of surgical case reports · 2022
    Article
  14. Article
  15. Review
  16. Review
  17. Review
  18. 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

10 authors at 6 institutions in 2 countries.

Sylvia L AsaDepartment of Pathology, University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland Ohio, 44106, USA. Pathlady01@gmail.com.ORCID http://orcid.org/0000-0001-8418-5054
Knarik ArkunDepartment of Pathology and Laboratory Medicine, Tufts Medical Center, Boston, USA.
Arthur S TischlerDepartment of Pathology and Laboratory Medicine, Tufts Medical Center, Boston, USA.
Adnan QamarDepartment of Pathology and Laboratory Medicine, Tufts Medical Center, Boston, USA.
Fang-Ming DengDepartment of Pathology, NYU, Langone, New York, USA.
Bayardo Perez-OrdonezDepartment of Pathology, University Health Network, University of Toronto, Ontario, M5G 2C4, Toronto, Canada.
Ilan WeinrebDepartment of Pathology, University Health Network, University of Toronto, Ontario, M5G 2C4, Toronto, Canada.
Justin A BishopDepartment of Pathology, University of Texas Southwestern Medical Center, Dallas, USA.
Bruce M WenigDepartment of Pathology, Moffitt Cancer Center, Tampa, FL, 33616, USA.
Ozgur MeteDepartment of Pathology, University Health Network, University of Toronto, Ontario, M5G 2C4, Toronto, Canada.
Tufts Medical Center · USUniversity Health Network · CAMoffitt Cancer Center · USNYU Langone Health · USThe University of Texas Southwestern Medical Center · USUniversity Hospitals of Cleveland · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This morphological and immunohistochemical study demonstrates that tumors currently known as "middle ear adenomas" are truly well-differentiated epithelial neuroendocrine tumors (NETs) composed of cells comparable to normal intestinal L cells, and therefore, these tumors resemble hindgut NETs. These tumors show consistent expression of glucagon, pancreatic polypeptide, PYY, and the transcription factor SATB2, as well as generic neuroendocrine markers and keratins. The same L cell markers are expressed by cells within the normal middle ear epithelium. These markers define a valuable immunohistochemical profile that can be used for differential diagnosis of middle ear neoplasms, particularly in distinguishing epithelial NETs from paragangliomas. The discovery of neuroendocrine cells expressing the same markers in non-neoplastic middle ear mucosa opens new areas of investigation into the physiology of the normal middle ear and the pathophysiology of middle ear disorders.

Indexed as

AdenomaAdultAgedAnimalsCell DifferentiationDiagnosis, DifferentialEar, MiddleEar NeoplasmsFemaleHumansImmunohistochemistryL CellsMaleMiceMiddle AgedNeuroendocrine TumorsL cellMiddle ear adenomaNeuroendocrine tumor

Identifiers

PMID34041698
OpenAlexW3165160996

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.