Evidence map›Paper›PMID 40761223›Full record

ArticleAME case reports2025

A case report of cytoreductive surgery of metastatic adrenal cancer in a patient with tumor progression.

Oleksander Chaika, Viacheslav Maksimovskyi, Denys Smolyk, Daviti Ochigava

Abstract readCase Reports
In one paragraph

Article in AME case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Oleksander ChaikaSurgery Department, Odesa National Medical University, University Clinic, Odesa, Ukraine.ORCID https://orcid.org/0000-0001-7540-143X
Viacheslav MaksimovskyiSurgery Department, Odesa National Medical University, University Clinic, Odesa, Ukraine.ORCID https://orcid.org/0000-0001-5084-3290
Denys SmolykSurgery Department, Odesa National Medical University, University Clinic, Odesa, Ukraine.ORCID https://orcid.org/0009-0006-8119-6077
Daviti OchigavaSurgery Department, Odesa National Medical University, University Clinic, Odesa, Ukraine.ORCID https://orcid.org/0009-0008-6613-6855

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Adrenocortical cancer is a rare malignancy with high risk of relapse and disease progression. The approaches to the treatment of relapse cases are not sufficiently clearly defined by current clinical guidelines. Case Description: Male patient O., born in 1967, has been suffering from the cancer of right adrenal gland since 2020. The patient underwent right-sided epinephrectomy in April 2020. Later he got several courses of chemotherapy with the mixed results. Then he underwent laparoscopic cytoreductive assisted excision of the recurrent neoplasm of the right adrenal gland on 04 April 2024, and received everolimus 10 mg per day postoperatively. There was evidence of recurrence of adrenocortical cancer of the adrenal gland with invasion of the fibrous capsule without signs of tumor growth at the edges of the resection. According to immunohistochemistry data, there was a decrease in phosphatase and tensin homolog deleted on chromosome 10 (PTEN) expression, an increase in Ki-67 expression, and a lack of programmed death-ligand 1 (PD-L1) expression. According to multispiral computed tomography data from May 2024 they found an increase in cells in the lungs by 2 mm, an increase in cells in the liver by 18 and 6 mm, an increase in paracaval lymph nodes by 12 mm. The given case of relapse and progression of the disease is of interest, because the removal of part of the liver during cytoreductive surgery and preservation of the kidney improve the quality of life. Due to limited resources hyperthermic intraperitoneal chemotherapy (HIPEC) and other methods of intraoperative chemotherapy were not applied. Conclusions: Cytoreductive surgery is an important option for complex treatment in the advanced stages of adrenocortical cancer.

Indexed as

Adrenocortical cancercase reportcytoreductive surgeryoncologytreatment

Identifiers

PMID40761223
PMCPMC12319622

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.