Evidence map›Paper›PMID 19841938›Full record

ArticleVirchows Archiv : an international journal of pathology2009

Histological heterogeneity of Ewing's sarcoma/PNET: an immunohistochemical analysis of 415 genetically confirmed cases with clinical support.

Antonio Llombart-Bosch, Isidro Machado, Samuel Navarro, Franco Bertoni, Patrizia Bacchini, Marco Alberghini, Apollon Karzeladze, Nikita Savelov, Semyon Petrov, Isabel Alvarado-Cabrero and 4 more

Abstract read
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In one paragraph

Article in Virchows Archiv : an international journal of pathology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 83 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
83citing papers in PubMed, 2 pooled it
8.8field-weighted citation impact, top 2% 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

83 citing papers in PubMed, 2 syntheses or guidelines pooled it, 213 citations in OpenAlex.

  1. Clinical practice guidelines for the treatment of Ewing sarcoma (Spanish Sarcoma Research Group-GEIS).Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Guideline
  2. Pooled it
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  12. [Experience in diagnosis and treatment of 6 cases of renal Ewing's sarcoma with venous thrombus].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2024
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  14. Enhanced T cell activation and cytotoxicity against AML via targeted anti-CD99 nanoparticle treatment.Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie · 2024
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23 more citing papers are in PubMed but not listed here.

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

14 authors at 7 institutions in 6 countries.

Antonio Llombart-BoschDepartment of Pathology, University of Valencia, Ave. Blasco Ibañez, 17, 46010, Valencia, Spain. antonio.llombart@uv.es
Isidro Machado
Samuel Navarro
Franco Bertoni
Patrizia Bacchini
Marco Alberghini
Apollon Karzeladze
Nikita Savelov
Semyon Petrov
Isabel Alvarado-Cabrero
Doina Mihaila
Philippe Terrier
Jose Antonio Lopez-Guerrero
Piero Picci
Orthopedic Institute · USUniversitat de València · ESRussian Cancer Research Center NN Blokhin · RUChildren's Hospital · TNFundación Instituto Valenciano de Oncología · ESHospital General de México · MXKazan Scientific Center · RU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ewing's sarcoma (ES)/peripheral neuroectodermal tumor (PNET) are malignant neoplasms affecting children and young adults. We performed a study to typify the histological diversity and evaluate antibodies that may offer diagnostic/prognostic support. In total, 415 cases of genetically confirmed paraffin-embedded ES/PNET were analyzed on whole sections and in tissue microarrays. This study confirms the structural heterogeneity of ES/PNET, distinguishing three major subtypes: conventional ES (280 cases); PNET (53 cases); and atypical ES/PNET (80), including large cells, vascular-like patterns, spindle pattern, and adamantinoma-like configuration. All cases presented positivity for at least three of the four tested antibodies (CD99, FLI1, HNK1, and CAV1). CAV1 appeared as a diagnostic immunomarker of ES/PNET being positive in CD99-negative cases. Hence, the immunohistochemical analysis confirmed the diagnostic value of all four antibodies, which together cover more than 99% of the tumors, independently of the histological variety. The univariate analysis for survival revealed atypical ES as the only histological parameter apparently associated with less favorable clinical outcome, particularly in the subgroup of patients treated with surgery. In conclusion, the diagnosis of atypical ES is a challenge for the pathologist and needs support from molecular techniques to perform an optimal differential diagnosis with other small round cell tumors.

Indexed as

Antibodies12E7 AntigenAdolescentAdultAgedAged, 80 and overAntigens, CDBiomarkers, TumorBone NeoplasmsCaveolin 1CD57 AntigensCell Adhesion MoleculesChildChild, PreschoolDisease ProgressionFemale12E7 AntigenAntibodiesAntigens, CDBiomarkers, TumorCAV1 protein, humanCaveolin 1CD57 AntigensCD99 protein, humanCell Adhesion MoleculesFLI1 protein, humanProto-Oncogene Protein c-fli-1

Identifiers

PMID19841938
OpenAlexW2083685172

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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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 OpenQuestion graph.