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Pheochromocytoma and paraganglioma with negative results for urinary metanephrines show higher risks for metastatic diseases

Authors :
Masakatsu Sone
Shintaro Okamura
Takanobu Yoshimoto
Mitsuhide Naruse
Nobuya Inagaki
Akiyo Tanabe
Takamasa Ichijo
Mika Tsuiki
Yoshiyu Takeda
Kentaro Okamoto
Akiyuki Kawashima
Shoichiro Izawa
Michio Otsuki
Takuyuki Katabami
Source :
Endocrine. 74:155-162
Publication Year :
2021
Publisher :
Springer Science and Business Media LLC, 2021.

Abstract

Few studies have assessed the clinical features of pheochromocytoma and paraganglioma (PPGL) not producing excessive catecholamine. We aimed to clarify the clinical characteristics of PPGL patients with negative results for urinary metanephrines. This is a retrospective cross-sectional study. We established a database by combining datasets from the Nationwide Cohort Study on the Development of Diagnosis and Treatment of Pheochromocytoma in Japan (PHEO-J) and the Advancing Care and Pathogenesis of Intractable Adrenal diseases in Japan (ACPA-J). We compared the clinical differences between PPGL patients with negative results for urinary metanephrines and those with catecholamine-producing PPGL. Five hundred PPGL patients in the combined database were analyzed. Among them, 31 were negative for metanephrines. PPGL with negative results for urinary metanephrines was significantly associated with extra-adrenal disease (Odds ratio (OR) 6.58, 95% CI (confidence interval) 3.03–14.3, p

Details

ISSN :
15590100 and 1355008X
Volume :
74
Database :
OpenAIRE
Journal :
Endocrine
Accession number :
edsair.doi...........888c0073f8975818d71db0285924b016