Evidence map›Paper›PMID 22135120›Full record

ArticleThe oncologist2011

Prevalence of skin lesions in familial adenomatous polyposis: a marker for presymptomatic diagnosis?

Bettina Burger, Nadja Cattani, Swantje Trueb, Rosaria de Lorenzo, Mauro Albertini, Emanuele Bontognali, Christoph Itin, Nathalie Schaub, Peter H Itin, Karl Heinimann

Open access · bronzeAbstract read
In one paragraph

Article in The oncologist, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 26% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Guideline
  2. Review
  3. Review
  4. Article
  5. Genes · 2023
    Review
  6. Review
  7. Article
  8. Review
  9. [Cutaneous polyposis in a female patient with an APC variant without adenomatous polyposis of the colon].Der Hautarzt; Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete · 2021
    Article
  10. Article
  11. Review
  12. 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 at 5 institutions in 2 countries.

Bettina BurgerResearch Group of Dermatology, Department of Biomedicine, University Hospital Basel, Basel, Switzerland. burgerb@uhbs.ch
Nadja Cattani
Swantje Trueb
Rosaria de Lorenzo
Mauro Albertini
Emanuele Bontognali
Christoph Itin
Nathalie Schaub
Peter H Itin
Karl Heinimann
University Hospital of Basel · CHDepartment of Biomedicine Basel · CHIS practice · BEFreiwillige Akademische Gesellschaft · CHTheological Seminary Bienenberg · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsBenign skin tumors such as lipomas, fibromas, and epidermal cysts are among the extracolonic manifestations of familial adenomatous polyposis (FAP). Readily detectable by inspection, they could serve as presymptomatic diagnostic markers to identify FAP patients. We therefore prospectively determined the prevalence of cutaneous lesions in genetically confirmed adenomatous polyposis coli (APC) mutation carriers and assessed their potential usefulness in the identification of FAP patients.

methodsWhole-skin examination was performed in 56 adult APC mutation carriers, compared with a control group (n = 116). In addition, FAP patients were investigated for the presence of congenital hypertrophy of the retinal pigment epithelium (CHRPE), an established clinical marker for FAP, and a detailed review of medical records was performed.

resultsNearly half of all FAP patients (48.2%) had at least one FAP-associated skin lesion, compared with one third (34.5%) of controls. Only multiple lipomas and combined skin lesions were significantly more prevalent in APC mutation carriers. CHRPE was observed in 22 (43.1%) of 51 FAP patients, including 14 (37.8%) of 37 individuals with APC mutations outside the CHRPE-associated region between codons 311 and 1465.

conclusionsDespite a significantly higher prevalence of multiple lipomas, occurring at younger age, and combined skin lesions in APC mutation carriers, the low diagnostic sensitivity of FAP-associated skin lesions precludes their use as markers for FAP in clinical practice. Based on our findings, the common CHRPE-associated region should be extended to APC codons 148-2043.

Indexed as

Genes, APCAdenomatous Polyposis ColiAdultCase-Control StudiesEpidermal CystFemaleFibromaHeterozygoteHumansLipomaMalePigment Epithelium of EyePredictive Value of TestsProspective StudiesRetinal DiseasesSkin Neoplasms

Identifiers

PMID22135120
PMCPMC3248768
OpenAlexW2153392586

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.