Evidence map›Paper›PMID 34235028›Full record

ArticleCureus2021

Metachronous Renal Cell Carcinoma: A Rare Presentation of Adrenal Crisis.

Andrew V Doodnauth, Syed Hamza Bin Waqar, Miriam M Klar, Zohra R Malik, Samy I McFarlane

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Cureus, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.1field-weighted citation impact, top 50% 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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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

5 authors at 3 institutions in 1 country.

Andrew V DoodnauthInternal Medicine, State University of New York Downstate Health Sciences University, Brooklyn, USA.
Syed Hamza Bin WaqarInternal Medicine, State University of New York Downstate Health Sciences University, Brooklyn, USA.
Miriam M KlarInternal Medicine, State University of New York Downstate Health Sciences University, Brooklyn, USA.
Zohra R MalikInternal Medicine, St. John's Episcopal Hospital, Far Rockaway, USA.
Samy I McFarlaneInternal Medicine, State University of New York Downstate Health Sciences University, Brooklyn, USA.
SUNY Downstate Health Sciences University · USState University of New York · USSt. Luke's Episcopal Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Responsible for 2% of global cancer diagnoses, renal cell carcinoma (RCC) can metastasize to almost every organ system; however, metastasis to the contralateral adrenal gland is extremely rare. We report the case of a 59-year-old male who presented with atypical chest pain and altered mental status. The patient developed hypotension, with hyponatremia raising concern for adrenal insufficiency (AI). We confirmed a diagnosis of AI secondary to adrenal metastasis in the setting of radical nephrectomy with ipsilateral adrenalectomy, and the patient's symptoms resolved with adequate treatment. This report emphasizes the importance of complications caused by metastatic disease to the remaining adrenal gland in patients with RCC who have undergone ipsilateral radical nephrectomy.

Indexed as

adrenal glandsadrenal insufficiencymetastasisradical nephrectomyrenal cell carcinoma (rcc)

Identifiers

PMID34235028
PMCPMC8240675
OpenAlexW3173844259

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.