Evidence map›Paper›PMID 34484430›Full record

ReviewTherapeutic advances in medical oncology2021

Management of adrenocortical carcinoma: are we making progress?

Barbara Kiesewetter, Philipp Riss, Christian Scheuba, Peter Mazal, Elisabeth Kretschmer-Chott, Alexander Haug, Markus Raderer

Open access · goldAbstract readReview
In one paragraph

Review in Therapeutic advances in medical oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.8field-weighted citation impact, top 6% 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

19 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. Article
  3. Contemporary Approaches to Adrenocortical Carcinoma.Hematology/oncology clinics of North America · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Review
  13. Article
  14. Review
  15. Article
  16. Estrogen Receptors-Mediated Apoptosis in Hormone-Dependent Cancers.International journal of molecular sciences · 2022
    Review
  17. Article
  18. Article
  19. Review
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

7 authors at 1 institution in 1 country.

Barbara KiesewetterDepartment of Medicine I, Division of Oncology, Medical University of Vienna, Waehringer Guertel 18-20, Vienna, A-1090, Austria.ORCID https://orcid.org/0000-0002-5490-2371
Philipp RissDepartment of General Surgery, Division of Visceral Surgery, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0003-1472-6606
Christian ScheubaDepartment of General Surgery, Division of Visceral Surgery, Medical University of Vienna, Vienna, Austria.
Peter MazalDepartment of Pathology, Medical University of Vienna, Vienna, Austria.
Elisabeth Kretschmer-ChottDepartment of Radiology and Nuclear Medicine, Medical University of Vienna, Vienna, Austria.
Alexander HaugDepartment of Radiology and Nuclear Medicine, Medical University of Vienna, Vienna, Austria.
Markus RadererDepartment of Medicine I, Division of Oncology, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0002-3248-5802
Medical University of Vienna · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Adrenocortical carcinoma (ACC) is a rare malignancy characterized by aggressive biology and potential endocrine activity. Surgery can offer cure for localized disease but more than half of patients relapse and primary unresectable or metastasized disease is frequent. Prognosis of metastatic ACC is still limited, with less than 15% of patients alive at 5 years. Recent advances in understanding the molecular profile of ACC underline the high complexity of this disease, which is characterized by limited drugable molecular targets as well as by a complex interplay between a yet scarcely understood microenvironment and potential endocrine activity. Particularly steroid-excess further complicates therapeutic concepts such as immunotherapy, which have markedly improved outcome in other disease entities. To date, mitotane remains the only approved drug for adjuvant and palliative care in ACC. Standard chemotherapy-based protocols with cisplatin, doxorubicin and etoposide offer only marginal improvement in long-term outcome and the number of clinical trials conducted is low due to the rarity of the disease. In the current review, we summarize principles of oncological management for ACC from localized to advanced disease and discuss novel therapeutic strategies, including targeted therapies such as tyrosine kinase inhibitors and antibodies, immunotherapy with a focus on checkpoint inhibitors, individualized treatment concepts based on molecular characterization by next generation sequencing methods, the role of theranostics and evolvement of adjuvant therapy.

Indexed as

adrenocortical cancerchemotherapyimmunotherapytyrosine kinase inhibitors

Identifiers

PMID34484430
PMCPMC8411624
OpenAlexW3197605186

What Socratic holds

Textmetadata
LicenceCC BY-NC
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 Socratic graph.