Evidence map›Paper›PMID 41404596›Full record

ArticleJCEM case reports2026

Aggressive Macroprolactinoma Refractory to Multiple Lines of Localized and Systemic Therapy.

Navya Konindala, Ravi Paluri, Hima Darapu

Abstract readCase Reports
In one paragraph

Article in JCEM case reports, 2026. 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

3 authors.

Navya KonindalaDepartment of Endocrinology, Atrium Health Wake Forest Baptist Medical Center, Winston-Salem, NC 27157, USA.ORCID https://orcid.org/0000-0002-1995-4897
Ravi PaluriDepartment of Hematology and Oncology, Atrium Health Wake Forest Baptist Medical Center, Winston-Salem, NC 27157, USA.ORCID https://orcid.org/0000-0002-2317-7082
Hima DarapuDepartment of Endocrinology, Atrium Health Wake Forest Baptist Medical Center, Winston-Salem, NC 27157, USA.ORCID https://orcid.org/0009-0007-2425-6907

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aggressive prolactinomas are rare and pose considerable therapeutic challenges, especially in cases refractory to conventional treatments, including dopamine agonists, surgery, and radiotherapy. We present a case of a 77-year-old man with refractory, treatment-resistant macroprolactinoma and describe the sequential use of capecitabine temozolomide, olaparib bevacizumab, pembrolizumab, and pazopanib. Despite disease progression on multiple lines of therapy, pazopanib achieved disease stability, after which the tumor demonstrated slow progression. This case highlights the urgent need for novel therapeutic approaches and predictive biomarkers in managing refractory aggressive prolactinomas.

Indexed as

aggressive prolactinomabevacizumabmacroprolactinomapazopanibpembrolizumabtemozolomide resistancetyrosine kinase inhibitor

Identifiers

PMID41404596
PMCPMC12704101

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.