Evidence map›Paper›PMID 37046342›Full record

ReviewJournal of medical case reports2023

Adrenocortical tumors in children: Sri Lankan experience from a single center, and a mini review.

Naotunna Palliya Guruge Chamidri Randika Naotunna, Harankaha Vidanalage Dinendra Nishadini Siriwardana, Balagamage Chamila Lakmini, Dilhara Senani Gamage, Sandani Gunarathna, Malik Samarasinghe, Sanjeewa Gunasekara, Navoda Atapattu

Open access · goldAbstract readCase ReportsReview
In one paragraph

Review in Journal of medical case reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.3field-weighted citation impact, top 21% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

8 authors at 2 institutions in 1 country.

Naotunna Palliya Guruge Chamidri Randika NaotunnaEndocrine and Diabetic Unit, Lady Ridgeway Hospital for Children, Colombo, Sri Lanka. chamidr101@gmail.com.ORCID http://orcid.org/0000-0002-8196-2089
Harankaha Vidanalage Dinendra Nishadini SiriwardanaEndocrine and Diabetic Unit, Lady Ridgeway Hospital for Children, Colombo, Sri Lanka.
Balagamage Chamila LakminiEndocrine and Diabetic Unit, Lady Ridgeway Hospital for Children, Colombo, Sri Lanka.
Dilhara Senani GamageEndocrine and Diabetic Unit, Lady Ridgeway Hospital for Children, Colombo, Sri Lanka.
Sandani GunarathnaPathology Unit, Lady Ridgeway Hospital for Children, Colombo, Sri Lanka.
Malik SamarasingheUniversity Surgical Unit, Lady Ridgeway Hospital for Children, Colombo, Sri Lanka.
Sanjeewa GunasekaraCancer Institute, Maharagama, Sri Lanka.
Navoda AtapattuEndocrine and Diabetic Unit, Lady Ridgeway Hospital for Children, Colombo, Sri Lanka.
Lady Ridgeway Hospital for Children · LKNational Cancer Institute of Sri Lanka · LK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPediatric adrenocortical tumors include both benign adenomas and highly virulent malignant tumors. However, they are very rare among children. The aim of this study is to evaluate the clinicopathological data of children presenting with adrenocortical tumors and assess their survival in a South Asian population. CASE PRESENTATION: This is a retrospective cohort study that includes patients diagnosed with adrenocortical tumors from August 2020 to August 2022 followed-up at Lady Ridgeway Hospital. Seven children were diagnosed with adrenal cortical tumors. Their ages ranged from 10 months to 6.5 years. Five of them were boys. All displayed signs of peripheral precocious puberty. One boy phenotypically had features of Beckwith-Wiedemann syndrome. The median time for diagnosis after the onset of symptoms was 4.4 months. The preoperative diagnosis was based on clinical manifestations, elevated dehydroepiandrosterone sulfate levels, and suprarenal masses on computed tomography. All five boys had right-sided suprarenal masses, while the two girls had them on the left side. All underwent surgery for tumor resection. The diagnosis was confirmed based on the histopathology of the adrenal specimens. Four children had a Wieneke score of 4 or more, suggesting the possibility of adrenocortical carcinoma; however, only two of them behaved as malignant tumors. To date, two children have developed local recurrences within a very short period.

conclusionAdrenocortical tumors are uncommon in children, and treatment options are limited. To identify early recurrences, routine clinical, radiological, and biochemical examinations at least once every 6-8 weeks is important.

Indexed as

Adrenal Cortex NeoplasmsAdrenocortical CarcinomaChildFemaleHumansInfantMaleRecurrenceRetrospective StudiesSri LankaAdrenocortical adenomaAdrenocortical carcinomaPaediatric cancer

Identifiers

PMID37046342
PMCPMC10099899
OpenAlexW4365137607

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.