Evidence map›Paper›PMID 22987117›Full record

ArticleCellular oncology (Dordrecht, Netherlands)2012

CDC73 mutations and parafibromin immunohistochemistry in parathyroid tumors: clinical correlations in a single-centre patient cohort.

Vito Guarnieri, Claudia Battista, Lucia Anna Muscarella, Michele Bisceglia, Danilo de Martino, Filomena Baorda, Evaristo Maiello, Leonardo D'Agruma, Iacopo Chiodini, Celeste Clemente and 13 more

Abstract read
In one paragraph

Article in Cellular oncology (Dordrecht, Netherlands), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 2 pooled it
2.1field-weighted citation impact, top 14% 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

43 citing papers in PubMed, 2 syntheses or guidelines pooled it, 87 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Mutational patterns in a large cohort of parathyroid carcinomas.Journal of endocrinological investigation · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. The Consistency ofInternational journal of endocrinology · 2025
    Review
  11. Article
  12. Article
  13. Phenotype of Parathyroid-targetedJournal of the Endocrine Society · 2024
    Article
  14. Article
  15. Article
  16. Immunohistochemical Profile of Parathyroid Tumours: A Comprehensive Review.International journal of molecular sciences · 2022
    Review
  17. Mortality factors in recurrent parathyroid cancer: a pooled analysis.Journal of bone and mineral metabolism · 2022
    Article
  18. Review
  19. Article
  20. 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

23 authors at 8 institutions in 2 countries.

Vito GuarnieriGenetics Unit, Ospedale "Casa Sollievo della Sofferenza", Istituto di Ricovero e Cura a Carattere Scientifico, San Giovanni Rotondo, Foggia, Italy.
Claudia Battista
Lucia Anna Muscarella
Michele Bisceglia
Danilo de Martino
Filomena Baorda
Evaristo Maiello
Leonardo D'Agruma
Iacopo Chiodini
Celeste Clemente
Salvatore Minisola
Elisabetta Romagnoli
Sabrina Corbetta
Raffaella Viti
Cristina Eller-Vainicher
Anna Spada
Michela Iacobellis
Nazzarena Malavolta
Massimo Carella
Lucie Canaff
Geoffrey N Hendy
David E C Cole
Alfredo Scillitani
Casa Sollievo della Sofferenza · ITUniversity of Milan · ITSapienza University of Rome · ITMcGill University · CAOspedale Generale Regionale Francesco Miulli · ITPoliclinico S.Orsola-Malpighi · ITRoyal Victoria Hospital · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine if molecular and immunohistochemical (IHC) features of the HRPT2/CDC73 gene and its product, parafibromin, predict the natural history of parathyroid malignancy, particularly atypical adenoma, as seen in a single-centre patient cohort.

methodsMatched tumor and non-tumor tissues were obtained from 46 patients with parathyroid carcinoma (CA) (n = 15), atypical adenoma (AA) (n = 14) and typical adenoma (TA) (n = 17), as defined by standardized histopathological criteria. Exons and exon-intron boundaries of the CDC73 gene were sequenced to identify germline or somatic mutations. IHC staining for parafibromin was performed and scored as positive if nuclear staining was at least partially IHC-positive.

resultsMutations of CDC73 were observed in 9/15 (60 %) CA, 2/14 (14 %) AA, and 1/17 (6 %) TA tumors. A recurrent two basepair mutation in exon 7 -- c.679_680delAG -- accounted for half of all identified mutations. Absence of parafibromin nuclear staining was noted in 8/12 (67 %) CA, 2/13 (15 %) AA, and 3/17 (18 %) TA tumors. Median follow up times were 88 months for CA, 76 months for AA, and 104 months for TA patients. One patient, a member of a previously reported multiplex family with a germline CDC73 mutation was found to have a second adenoma after removal of an atypical adenoma.

conclusionsMolecular screening and IHC are both useful tools in the differential diagnosis of parathyroid tumors, but both have limited sensitivity and specificity. CDC73 mutations and negative immunostaining were common in atypical adenomas, but no local recurrence was observed in any case with successful surgical removal after follow-up periods of 27 to 210 months.

Indexed as

MutationAdenomaAdultAgedAged, 80 and overCarcinomaCohort StudiesFemaleHumansImmunohistochemistryMaleMiddle AgedParathyroid NeoplasmsPedigreePolymerase Chain ReactionTumor Suppressor ProteinsCDC73 protein, humanTumor Suppressor Proteins

Identifiers

PMID22987117
PMCPMC12995092
OpenAlexW2078062201

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.