Evidence map›Paper›PMID 41306433›Full record

SynthesisFrontiers in endocrinology2025

Presentation of multiple endocrine neoplasia type 2A-associated ectopic cushing's syndrome: case report and a systematic review.

Wei Wang, Wei-Ying Chen, Mei-Xian Zhang, Zhen-Yu Chen, Zhi-Lie Cao, Jun-Wei Wang, Wu-Gen Yao, Jian-Qiang Zhao, Fei-Ping Li, Hong-Yuan Yu and 2 more

Abstract readSystematic ReviewCase Reports
In one paragraph

Synthesis in Frontiers in endocrinology, 2025. 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
–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 synthesis or guideline pooled it.

  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

12 authors.

Wei Wang *Department of Urology, Tiantai People's Hospital of Zhejiang Province, Tiantai County, Taizhou, Zhejiang, China.
Wei-Ying Chen *Department of Urology, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Enze Hospital of Hangzhou Medical College, Taizhou Enze Medical Center (Group), Taizhou, Zhejiang, China.
Mei-Xian Zhang *Department of Urology, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Enze Hospital of Hangzhou Medical College, Taizhou Enze Medical Center (Group), Taizhou, Zhejiang, China.
Zhen-Yu ChenDepartment of Urology, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Enze Hospital of Hangzhou Medical College, Taizhou Enze Medical Center (Group), Taizhou, Zhejiang, China.
Zhi-Lie CaoDepartment of Oncologic and Urologic Surgery, the 903rd People's Liberation Army (PLA) Hospital, Hangzhou Medical College, Hangzhou, Zhejiang, China.
Jun-Wei WangDepartment of Urology, Tiantai People's Hospital of Zhejiang Province, Tiantai County, Taizhou, Zhejiang, China.
Wu-Gen YaoDepartment of Urology, Linghu People's Hospital, Huzhou, Zhejiang, China.
Jian-Qiang ZhaoDepartment of Head and Neck Surgery, Zhejiang Cancer Hospital, Hangzhou, Zhejiang, China.
Fei-Ping LiDepartment of Urology, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Enze Hospital of Hangzhou Medical College, Taizhou Enze Medical Center (Group), Taizhou, Zhejiang, China.
Hong-Yuan YuDepartment of Urology, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Enze Hospital of Hangzhou Medical College, Taizhou Enze Medical Center (Group), Taizhou, Zhejiang, China.
Jun LuDepartment of Urology, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Enze Hospital of Hangzhou Medical College, Taizhou Enze Medical Center (Group), Taizhou, Zhejiang, China.
Xiao-Ping QiDepartment of Urology, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Enze Hospital of Hangzhou Medical College, Taizhou Enze Medical Center (Group), Taizhou, Zhejiang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Multiple endocrine neoplasia type 2 (MEN 2)-related ectopic Cushing's syndrome (ECS) continues to present a clinical challenge due to its rarity and complexity. This study combines case analysis with a systematic literature review to elucidate the disease patterns. Summary: We present a 55-year-old male with MEN 2-associated ECS caused by metastatic medullary thyroid carcinoma (MTC) and review 21 literature cases. The mean age of ECS diagnosis was 37.0 years (range: 13-72), with a male predominance (64%). MEN 2A (16 cases) and MEN2B (6 cases) involved Conclusions: MEN 2-related ECS should be considered in differentials. Adrenalectomy typically achieved cure in most ECS due to PHEO, but vigilance is required for the double risk of both hypercatecholaminemia and hypercortisolism during the perioperative period. Whereas most ECS due to advanced-MTC eventually required BLA to improve symptoms, yet prognosis remained generally poor. TKIs might offer benefits in the management of both MTC and hypercortisolism. The integration of

Indexed as

ACTH Syndrome, EctopicCarcinoma, NeuroendocrineCushing SyndromeMultiple Endocrine Neoplasia Type 2aThyroid NeoplasmsAdrenal Gland NeoplasmsHumansMaleMiddle AgedEctopic Cushing’s syndromehypercortisolismmedullary thyroid carcinomamultiple endocrine neoplasia type 2pheochromocytomaRET proto-oncogene

Identifiers

PMID41306433
PMCPMC12645412

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.