{"id":"https://openalex.org/W3083335200","doi":"https://doi.org/10.1007/s13193-020-01205-4","title":"Differentiating Benign from Malignant Adrenocortical Tumors by a Single Morphological Parameter\u2014a Clinicopathological Study on 837 Adrenocortical Neoplasias","display_name":"Differentiating Benign from Malignant Adrenocortical Tumors by a Single Morphological Parameter\u2014a Clinicopathological Study on 837 Adrenocortical Neoplasias","publication_year":2020,"publication_date":"2020-09-05","ids":{"openalex":"https://openalex.org/W3083335200","doi":"https://doi.org/10.1007/s13193-020-01205-4","mag":"3083335200","pmid":"https://pubmed.ncbi.nlm.nih.gov/33281410","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/7714795"},"language":"en","primary_location":{"id":"doi:10.1007/s13193-020-01205-4","doi":"https://doi.org/10.1007/s13193-020-01205-4","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s13193-020-01205-4","pdf_url":"https://link.springer.com/content/pdf/10.1007/s13193-020-01205-4.pdf","source":{"id":"https://openalex.org/S160466835","display_name":"Indian Journal of Surgical Oncology","issn_l":"0975-7651","issn":["0975-7651","0976-6952"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","doyens","norway-1","poland-40","russia-white-list-4"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Indian Journal of Surgical Oncology","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://link.springer.com/content/pdf/10.1007/s13193-020-01205-4.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5031571885","display_name":"Martin Karl Walz","orcid":"https://orcid.org/0000-0002-5441-8563","observed_orcids":["https://orcid.org/0000-0002-5441-8563"]},"institutions":[{"id":"https://openalex.org/I4210146447","display_name":"Kliniken Essen-Mitte","ror":"https://ror.org/03v958f45","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I4210146447"]}],"countries":["DE"],"is_corresponding":true,"raw_author_name":"Martin K. Walz","raw_affiliation_strings":["Department of Surgery and Center of Minimally Invasive Surgery, Kliniken Essen-Mitte, Essen, Germany"],"raw_orcid":"https://orcid.org/0000-0002-5441-8563","affiliations":[{"raw_affiliation_string":"Department of Surgery and Center of Minimally Invasive Surgery, Kliniken Essen-Mitte, Essen, Germany","institution_ids":["https://openalex.org/I4210146447"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5047405133","display_name":"Klaus Alfred Metz","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210119759","display_name":"Essen University Hospital","ror":"https://ror.org/02na8dn90","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I4210119759"]},{"id":"https://openalex.org/I62318514","display_name":"University of Duisburg-Essen","ror":"https://ror.org/04mz5ra38","country_code":"DE","type":"education","lineage":["https://openalex.org/I62318514"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Klaus A. Metz","raw_affiliation_strings":["Institute of Pathology, University Hospital Essen, University of Duisburg-Essen, Essen, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute of Pathology, University Hospital Essen, University of Duisburg-Essen, Essen, Germany","institution_ids":["https://openalex.org/I4210119759","https://openalex.org/I62318514"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113908851","display_name":"Sarah Theurer","orcid":"https://orcid.org/0000-0002-2704-6469","observed_orcids":["https://orcid.org/0000-0002-2704-6469","https://orcid.org/0000-0002-8783-5558"]},"institutions":[{"id":"https://openalex.org/I4210119759","display_name":"Essen University Hospital","ror":"https://ror.org/02na8dn90","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I4210119759"]},{"id":"https://openalex.org/I62318514","display_name":"University of Duisburg-Essen","ror":"https://ror.org/04mz5ra38","country_code":"DE","type":"education","lineage":["https://openalex.org/I62318514"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Sarah Theurer","raw_affiliation_strings":["Institute of Pathology, University Hospital Essen, University of Duisburg-Essen, Essen, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute of Pathology, University Hospital Essen, University of Duisburg-Essen, Essen, Germany","institution_ids":["https://openalex.org/I4210119759","https://openalex.org/I62318514"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5013812189","display_name":"Cathrin Myland","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210146447","display_name":"Kliniken Essen-Mitte","ror":"https://ror.org/03v958f45","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I4210146447"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Cathrin Myland","raw_affiliation_strings":["Department of Surgery and Center of Minimally Invasive Surgery, Kliniken Essen-Mitte, Essen, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery and Center of Minimally Invasive Surgery, Kliniken Essen-Mitte, Essen, Germany","institution_ids":["https://openalex.org/I4210146447"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5073704450","display_name":"Pier Francesco Alesina","orcid":"https://orcid.org/0000-0002-8508-9934","observed_orcids":["https://orcid.org/0000-0002-8508-9934"]},"institutions":[{"id":"https://openalex.org/I4210146447","display_name":"Kliniken Essen-Mitte","ror":"https://ror.org/03v958f45","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I4210146447"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Pier F. Alesina","raw_affiliation_strings":["Department of Surgery and Center of Minimally Invasive Surgery, Kliniken Essen-Mitte, Essen, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery and Center of Minimally Invasive Surgery, Kliniken Essen-Mitte, Essen, Germany","institution_ids":["https://openalex.org/I4210146447"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5040808094","display_name":"Kurt Werner Schmid","orcid":"https://orcid.org/0000-0002-0241-0420","observed_orcids":["https://orcid.org/0000-0002-0241-0420"]},"institutions":[{"id":"https://openalex.org/I4210119759","display_name":"Essen University Hospital","ror":"https://ror.org/02na8dn90","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I4210119759"]},{"id":"https://openalex.org/I62318514","display_name":"University of Duisburg-Essen","ror":"https://ror.org/04mz5ra38","country_code":"DE","type":"education","lineage":["https://openalex.org/I62318514"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Kurt W. Schmid","raw_affiliation_strings":["Institute of Pathology, University Hospital Essen, University of Duisburg-Essen, Essen, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute of Pathology, University Hospital Essen, University of Duisburg-Essen, Essen, Germany","institution_ids":["https://openalex.org/I4210119759","https://openalex.org/I62318514"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5031571885"],"corresponding_institution_ids":["https://openalex.org/I4210146447"],"apc_list":{"value":3260,"currency":"USD","value_usd":3260},"apc_paid":{"value":3260,"currency":"USD","value_usd":3260},"fwci":1.1161,"has_fulltext":true,"cited_by_count":10,"citation_normalized_percentile":{"value":0.74665849,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":91,"max":97},"biblio":{"volume":"11","issue":"4","first_page":"705","last_page":"710"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11054","display_name":"Adrenal and Paraganglionic Tumors","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11054","display_name":"Adrenal and Paraganglionic Tumors","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10754","display_name":"Neuroendocrine Tumor Research Advances","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10449","display_name":"Renal cell carcinoma treatment","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/adrenocortical-carcinoma","display_name":"adrenocortical carcinoma","score":0.9539999961853027},{"id":"https://openalex.org/keywords/adrenocortical-tumors","display_name":"adrenocortical tumors","score":0.8870000243186951},{"id":"https://openalex.org/keywords/benign-versus-malignant-differentiation","display_name":"benign versus malignant differentiation","score":0.8519999980926514},{"id":"https://openalex.org/keywords/ki-67-proliferation-index","display_name":"Ki-67 proliferation index","score":0.8870000243186951},{"id":"https://openalex.org/keywords/adrenal-adenoma","display_name":"adrenal adenoma","score":0.9869999885559082},{"id":"https://openalex.org/keywords/distant-metastasis","display_name":"distant metastasis","score":0.5680000185966492},{"id":"https://openalex.org/keywords/adrenalectomy","display_name":"adrenalectomy","score":0.7269999980926514},{"id":"https://openalex.org/keywords/tumor-recurrence","display_name":"tumor recurrence","score":0.4560000002384186},{"id":"https://openalex.org/keywords/adrenal-metastasis","display_name":"adrenal metastasis","score":0.43299999833106995},{"id":"https://openalex.org/keywords/adrenal-pheochromocytoma","display_name":"adrenal pheochromocytoma","score":0.6629999876022339},{"id":"https://openalex.org/keywords/adrenal-ganglioneuroma","display_name":"adrenal ganglioneuroma","score":0.8299999833106995}],"concepts":[{"id":"https://openalex.org/C2781399356","wikidata":"https://www.wikidata.org/wiki/Q918285","display_name":"Adrenocortical carcinoma","level":2,"score":0.9199674725532532},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7785696983337402},{"id":"https://openalex.org/C2779399171","wikidata":"https://www.wikidata.org/wiki/Q1483951","display_name":"Malignancy","level":2,"score":0.7256748676300049},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.6771640777587891},{"id":"https://openalex.org/C125473707","wikidata":"https://www.wikidata.org/wiki/Q9914","display_name":"H&E stain","level":3,"score":0.6042372584342957},{"id":"https://openalex.org/C2778674399","wikidata":"https://www.wikidata.org/wiki/Q4684749","display_name":"Adrenocortical adenoma","level":3,"score":0.5316299200057983},{"id":"https://openalex.org/C74864618","wikidata":"https://www.wikidata.org/wiki/Q2332446","display_name":"Staining","level":2,"score":0.30920296907424927},{"id":"https://openalex.org/C2777428134","wikidata":"https://www.wikidata.org/wiki/Q272741","display_name":"Adenoma","level":2,"score":0.1879960596561432}],"mesh":[],"locations_count":5,"locations":[{"id":"doi:10.1007/s13193-020-01205-4","doi":"https://doi.org/10.1007/s13193-020-01205-4","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s13193-020-01205-4","pdf_url":"https://link.springer.com/content/pdf/10.1007/s13193-020-01205-4.pdf","source":{"id":"https://openalex.org/S160466835","display_name":"Indian Journal of Surgical Oncology","issn_l":"0975-7651","issn":["0975-7651","0976-6952"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","doyens","norway-1","poland-40","russia-white-list-4"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Indian Journal of Surgical Oncology","raw_type":"journal-article"},{"id":"pmid:33281410","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/33281410","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Indian journal of surgical oncology","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:7714795","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC7714795/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Indian J Surg Oncol","raw_type":"Text"},{"id":"pmh:oai:bibliographie.ub.uni-due.de:ubo_mods_00156063","doi":null,"is_oa":false,"landing_page_url":"https://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&origin=inward&scp=85090211769","pdf_url":null,"source":{"id":"https://openalex.org/S7407055102","display_name":"Universit\u00e4tsbibliographie, Universit\u00e4t Duisburg-Essen","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"article"},{"id":"pmh:oai:frl.publisso.de:frl:6472197","doi":null,"is_oa":true,"landing_page_url":"https://repository.publisso.de/resource/frl:6472197","pdf_url":null,"source":{"id":"https://openalex.org/S4306402606","display_name":"Informationszentrum Lebenswissenschaften (ZB MED)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210112663","host_organization_name":"ZB MED - Information Centre for Life Sciences","host_organization_lineage":["https://openalex.org/I4210112663"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"http://lobid.org/resources/99370674936806441#!, 11(4):705-710","raw_type":"Zeitschriftenartikel"}],"best_oa_location":{"id":"doi:10.1007/s13193-020-01205-4","doi":"https://doi.org/10.1007/s13193-020-01205-4","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s13193-020-01205-4","pdf_url":"https://link.springer.com/content/pdf/10.1007/s13193-020-01205-4.pdf","source":{"id":"https://openalex.org/S160466835","display_name":"Indian Journal of Surgical Oncology","issn_l":"0975-7651","issn":["0975-7651","0976-6952"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","doyens","norway-1","poland-40","russia-white-list-4"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Indian Journal of Surgical Oncology","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9789000153541565,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320317492","display_name":"Universit\u00e4tsklinikum Essen","ror":"https://ror.org/02na8dn90"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W3083335200.pdf","grobid_xml":"https://content.openalex.org/works/W3083335200.grobid-xml"},"referenced_works_count":12,"referenced_works":["https://openalex.org/W1980615409","https://openalex.org/W2013731095","https://openalex.org/W2024032836","https://openalex.org/W2035178765","https://openalex.org/W2039836243","https://openalex.org/W2053263151","https://openalex.org/W2072921325","https://openalex.org/W2074994568","https://openalex.org/W2326550013","https://openalex.org/W2793855796","https://openalex.org/W2883682970","https://openalex.org/W3189608989"],"related_works":["https://openalex.org/W2593223356","https://openalex.org/W1992388682","https://openalex.org/W2402694323","https://openalex.org/W2072921325","https://openalex.org/W2975100740","https://openalex.org/W2064066032","https://openalex.org/W4211253689","https://openalex.org/W2807464731","https://openalex.org/W81415776","https://openalex.org/W7215214237"],"abstract_inverted_index":{"The":[0,163,216,302],"morphological":[1,228,286],"differentiation":[2],"between":[3],"benign":[4],"and":[5,74,106,134,139,145,156,176,241,310],"malignant":[6],"adrenocortical":[7,34,54,69,116,193,244,300],"tumors":[8,35,119,154,161,189,219],"is":[9,291,308],"an":[10],"ongoing":[11],"problem":[12],"in":[13,33,236,243,270,299],"diagnostic":[14],"pathology.":[15],"In":[16,197],"recent":[17],"decades":[18],"the":[19,29,37,109,271],"complex":[20],"scoring":[21],"systems":[22],"have":[23],"been":[24],"widely":[25],"used":[26],"to":[27,52,293],"calculate":[28],"probability":[30],"of":[31,39,42,65,81,84,96,114,125,166,238,251,256,276,305],"malignancy":[32],"on":[36,61],"basis":[38],"a":[40,48,57,62,126,248,284,295],"variety":[41],"histomorphological":[43,59,303],"parameters.":[44],"We":[45,281],"herewith":[46],"present":[47,110],"substantially":[49],"simplified":[50],"method":[51],"diagnose":[53],"carcinoma":[55,194],"by":[56,90,122],"single":[58,127,227,285],"parameter":[60,287,307],"consecutive":[63],"series":[64,111],"more":[66],"than":[67],"800":[68],"tumors.":[70,117,301],"Between":[71],"January":[72],"2000":[73],"May":[75],"2019,":[76],"altogether":[77],"2305":[78],"adrenalectomies":[79],"for":[80,177],"all":[82,198,268],"types":[83],"diseases":[85],"were":[86,120,142,190,234],"removed,":[87],"approximately":[88],"98%":[89],"minimally":[91],"invasive":[92],"approaches.":[93],"After":[94],"exclusion":[95],"pheochromocytomas,":[97],"adrenal":[98,100,160,188],"ganglioneuromas,":[99],"metastases,":[101],"Cushing's":[102],"disease":[103],"related":[104],"specimens,":[105],"Conn's":[107],"adenomas,":[108],"finally":[112],"consisted":[113],"837":[115],"All":[118],"analyzed":[121],"experienced":[123],"pathologists":[124],"institution":[128],"using":[129],"standard":[130],"histopathological":[131],"methods":[132],"(Hematoxylin-Eosin":[133],"Ki67":[135,230],"stained":[136],"sections).":[137],"Clinical":[138],"histopathologic":[140],"data":[141],"prospectively":[143],"collected":[144],"retrospectively":[146],"analyzed.":[147],"Clinically,":[148],"385":[149],"patients":[150,258,269],"had":[151,158],"420":[152],"functioning":[153],"(FT),":[155],"417":[157],"non-functioning":[159],"(NFT).":[162],"mean":[164,249],"size":[165,202],"FT":[167],"was":[168],"3.8":[169],"\u00b1":[170,180,204],"1.4":[171],"cm":[172,182],"(range":[173,183],"0.5-16":[174],"cm)":[175],"NFT":[178],"4.5":[179],"1.6":[181],"1.5-18":[184],"cm).":[185],"Histomorphologically,":[186],"32":[187,199,239,257],"classified":[191],"as":[192,261],"(ACC;":[195],"3.8%).":[196],"cases":[200],"(tumor":[201],"9.1":[203],"4.0":[205],"cm,":[206],"range":[207],"3-18":[208],"cm),":[209],"confluenting":[210],"tumor":[211,289],"necrosis":[212],"could":[213],"be":[214],"demonstrated.":[215],"remaining":[217],"805":[218],"(control":[220],"group)":[221],"completely":[222],"lacked":[223],"this":[224,306],"highly":[225,311],"reproducible":[226],"feature.":[229],"levels":[231],"above":[232],"10%":[233],"found":[235],"31":[237],"ACCs":[240],"never":[242],"adenomas":[245],"(ACA).":[246],"With":[247],"follow-up":[250],"8.2":[252],"years,":[253],"24":[254],"out":[255],"primarily":[259],"diagnosed":[260],"ACC":[262],"developed":[263],"distant":[264,279],"metastases":[265],"(75.0%),":[266],"whereas":[267],"control":[272],"group":[273],"remained":[274],"free":[275],"local":[277],"or":[278],"recurrence.":[280],"conclude":[282],"that":[283],"(confluenting":[288],"necrosis)":[290],"sufficient":[292],"predict":[294],"poor":[296],"clinical":[297],"course":[298],"diagnosis":[304],"straightforward":[309],"reproducible.":[312]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":4},{"year":2022,"cited_by_count":3},{"year":2021,"cited_by_count":2}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2020-09-11T00:00:00"}
