Evidence map›Paper›PMID 38660483›Full record

ArticleJCEM case reports2024

A Large Benign Adrenocortical Adenoma Cosecreting Testosterone and Cortisol.

Martha Dillon, Sara Shteyman, Samaneh Rabiehashemi, Parvathy Madhavan, Pooja Luthra

Open access · diamondAbstract readCase Reports
In one paragraph

Article in JCEM case reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 35% 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 1 citations in OpenAlex.

  1. Pooled it
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 2 institutions in 1 country.

Martha DillonDivision of Endocrinology and Metabolism, University of Connecticut School of Medicine, Farmington, CT 06030, USA.ORCID https://orcid.org/0000-0003-2319-252X
Sara ShteymanDivision of Endocrinology and Metabolism, University of Connecticut School of Medicine, Farmington, CT 06030, USA.
Samaneh RabiehashemiDivision of Endocrinology and Metabolism, University of Connecticut School of Medicine, Farmington, CT 06030, USA.
Parvathy MadhavanDivision of Endocrinology and Metabolism, University of Connecticut School of Medicine, Farmington, CT 06030, USA.
Pooja LuthraDivision of Endocrinology and Metabolism, University of Connecticut School of Medicine, Farmington, CT 06030, USA.ORCID https://orcid.org/0000-0003-1733-4253
University of Connecticut · USHartford Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Most adrenal incidentalomas are benign neoplasms of the adrenal cortex. While the majority are nonfunctional, many secrete cortisol. Androgen- or estrogen-secreting adenomas are rare. A 44-year-old female, with history of hypertension and prediabetes, presented with worsening acne, hirsutism, secondary amenorrhea for 2 years, and a 40-pound weight gain. Laboratory evaluation showed high 24-hour urine free cortisol, suppressed adrenocorticotropic hormone (ACTH) level, indicative of ACTH independent Cushing syndrome, and elevated testosterone and androstenedione. Abdominal computed tomography (CT) revealed a 6.3 × 5.2 × 5.6 cm left adrenal mass. Patient underwent left open adrenalectomy. Pathology revealed benign adrenocortical adenoma. Postoperatively there was a significant improvement in her blood pressure and blood sugar levels, resumption of menses, and complete resolution of hyperandrogenism and hypercortisolism. We describe a patient with an adrenal adenoma cosecreting cortisol and androgen, leading to Cushing syndrome and significant virilization. Adrenal masses secreting androgens are less common and concerning for adrenocortical carcinoma (ACC). Patients with adrenal masses cosecreting multiple hormones should undergo workup expediently since ACC confers poor outcomes.

Indexed as

adrenal adenomaadrenocortical carcinomaCushing syndromehyperandrogenismhypercortisolismvirilization

Identifiers

PMID38660483
PMCPMC11040272
OpenAlexW4395064629

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.