Evidence map›Paper›PMID 40909300›Full record

ArticleIJU case reports2025

Late-Onset Bone Metastasis 46 Years After Initial Surgery for Pheochromocytoma: A Case Report.

Fumio Ishizaki, Kaede Hiruma, Yusuke Tani, Hideaki Sugino, Tatsuro Sanami, Tsutomu Anraku, Masahiro Ikeda, Masayuki Tasaki, Kazuhide Saito, Yoshihiko Tomita

Abstract read
In one paragraph

Article in IJU case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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. 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.

Fumio IshizakiDepartment of Urology, Molecular Oncology, Graduate School of Medical and Dental Sciences Niigata University Niigata Japan.ORCID https://orcid.org/0009-0002-0736-4475
Kaede HirumaDepartment of Urology, Molecular Oncology, Graduate School of Medical and Dental Sciences Niigata University Niigata Japan.
Yusuke TaniDivision of Molecular and Diagnostic Pathology, Niigata University Graduate School of Medical and Dental Sciences Niigata University Niigata Japan.
Hideaki SuginoDivision of Molecular and Diagnostic Pathology, Niigata University Graduate School of Medical and Dental Sciences Niigata University Niigata Japan.
Tatsuro SanamiDepartment of Urology, Molecular Oncology, Graduate School of Medical and Dental Sciences Niigata University Niigata Japan.ORCID https://orcid.org/0009-0001-0510-8905
Tsutomu AnrakuDepartment of Urology, Molecular Oncology, Graduate School of Medical and Dental Sciences Niigata University Niigata Japan.ORCID https://orcid.org/0000-0002-2128-7886
Masahiro IkedaDepartment of Urology, Molecular Oncology, Graduate School of Medical and Dental Sciences Niigata University Niigata Japan.
Masayuki TasakiDepartment of Urology, Molecular Oncology, Graduate School of Medical and Dental Sciences Niigata University Niigata Japan.
Kazuhide SaitoDepartment of Urology, Molecular Oncology, Graduate School of Medical and Dental Sciences Niigata University Niigata Japan.
Yoshihiko TomitaDepartment of Urology, Molecular Oncology, Graduate School of Medical and Dental Sciences Niigata University Niigata Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Pheochromocytoma is a rare catecholamine-producing tumor with metastatic potential. Recurrence after more than 40 years is exceptionally rare. Case Presentation: During evaluation for ischemic colitis, a 71-year-old woman was found to have multiple bone metastases, possibly linked to catecholamine excess. She had undergone left adrenalectomy for pheochromocytoma at age 25. Bone biopsy confirmed metastatic pheochromocytoma, and immunohistochemical findings were similar to the original tumor. Urinary metanephrine and normetanephrine were markedly elevated. She declined systemic therapy and has remained clinically stable for 6 years, with her blood pressure well controlled on doxazosin. Conclusion: This case illustrates a recurrence 46 years after adrenalectomy, potentially representing the longest reported interval to date. It highlights the silent and indolent nature of some metastatic pheochromocytomas and underscores the necessity of lifelong follow-up. The patient's stable course also emphasizes the clinical heterogeneity of metastatic pheochromocytoma and supports the need for individualized follow-up and treatment strategies.

Indexed as

bone metastasislate recurrencepheochromocytoma

Identifiers

PMID40909300
PMCPMC12408166

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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.