Evidence map›Paper›PMID 39894501›Full record

ArticleInternal medicine (Tokyo, Japan)2025

A Rare Case of Interleukin-6-producing Adrenocortical Carcinoma Presenting with a Persistent Fever.

Kohei Oguni, Yukiko Goshima, Keita Tatsushima, Michikata Hayashida, Shinji Urakami, Shinji Ito, Yuto Yamazaki, Hironobu Sasano, Yasuhiro Takeuchi, Akira Takeshita

Abstract readCase Reports
In one paragraph

Article in Internal medicine (Tokyo, Japan), 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.

Kohei OguniDepartment of Endocrinology and Metabolism, Toranomon Hospital, Japan.
Yukiko GoshimaDepartment of Endocrinology and Metabolism, Toranomon Hospital, Japan.
Keita TatsushimaDepartment of Endocrinology and Metabolism, Toranomon Hospital, Japan.
Michikata HayashidaDepartment of Urology, Toranomon Hospital, Japan.
Shinji UrakamiDepartment of Urology, Toranomon Hospital, Japan.
Shinji ItoDepartment of Pathology, Toranomon Hospital, Japan.
Yuto YamazakiDepartment of Pathology, Tohoku University Graduate School of Medicine, Japan.
Hironobu SasanoDepartment of Pathology, Tohoku University Graduate School of Medicine, Japan.
Yasuhiro TakeuchiDepartment of Endocrinology and Metabolism, Toranomon Hospital, Japan.
Akira TakeshitaDepartment of Endocrinology and Metabolism, Toranomon Hospital, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 16-year-old girl presented with a high fever that had persisted for more than 4 weeks. Computed tomography revealed a 4-cm mass in the left adrenal gland. Clinically, there were no obvious symptoms of adrenal hormone excess; however, serum interleukin-6 (IL-6) and C-reactive protein levels were significantly elevated. After laparoscopic left adrenalectomy, the fever subsided, and her IL-6 level normalized. The tumor was pathologically diagnosed as adrenocortical carcinoma (ACC), with a Weiss score of 5/9. The tumor cells were immunoreactive for IL-6. To our knowledge, this is the first case report of symptomatic IL-6-producing ACC that initially presented with a persistent fever.

Indexed as

Adrenal Cortex NeoplasmsAdrenocortical CarcinomaFeverInterleukin-6AdolescentAdrenalectomyFemaleHumansInterleukin-6adrenocortical carcinomafever of unknown origininterleukin-6

Identifiers

PMID39894501
PMCPMC12393916

What Socratic 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 Socratic graph.