Evidence map›Paper›PMID 23935154›Full record

ArticleNeuro-oncology2013

Cells with intense EGFR staining and a high nuclear to cytoplasmic ratio are specific for infiltrative glioma: a useful marker in neuropathological practice.

Fanny Burel-Vandenbos, Laurent Turchi, Maxime Benchetrit, Eric Fontas, Zoe Pedeutour, Valérie Rigau, Fabien Almairac, Damien Ambrosetti, Jean-François Michiels, Thierry Virolle

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Article in Neuro-oncology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.1field-weighted citation impact, top 22% 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

15 citing papers in PubMed, 21 citations in OpenAlex.

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  8. Electrotherapies for Glioblastoma.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2021
    Review
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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 1 country.

Fanny Burel-VandenbosCorresponding Author: Fanny Burel-Vandenbos, MD, Laboratoire Central d'Anatomie Pathologique, Hopital Pasteur, 30 avenue de la Voie Romaine, 06000 Nice, France. burel-vandenbos.f@chu-nice.fr.
Laurent Turchi
Maxime Benchetrit
Eric Fontas
Zoe Pedeutour
Valérie Rigau
Fabien Almairac
Damien Ambrosetti
Jean-François Michiels
Thierry Virolle
Centre Hospitalier Universitaire de Montpellier · FRUniversité Côte d'Azur · FRCentre Hospitalier Universitaire de Nice · FRCentre National de la Recherche Scientifique · FRInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe differential diagnosis between infiltrative glioma (IG) and benign or curable glial lesions, such as gliosis, pilocytic astrocytoma, dysembryoplastic neuroepithelial tumor, ganglioglioma, or demyelinating disease, may be challenging for the pathologist because specific markers are lacking. Recently, we described a strong EGFR immunolabelling pattern in cells with a high nuclear to cytoplasmic ratio that enables the discrimination of low-grade IG from gliosis. The aim of this study was to extend our observation to high-grade glioma to assess whether EGFR expression pattern is of value in the discrimination of all IG from noninfiltrative glial lesions (NIG), including gliosis, benign tumors, and demyelinating disease.

methodsOne hundred one IG and 58 NIG were compared for immunohistochemical expression of EGFR with use of an antibody that recognizes an epitope in the extracellular domain of both EGFRwt and EGFRvIII. Highly EGFR-positive cells with a high nuclear to cytoplasmic ratio were isolated and further characterized.

resultsCells with intense EGFR staining and a high nuclear to cytoplasmic ratio were significantly associated with the diagnosis of IG (P < .0001). The sensitivity and specificity of this staining pattern for the diagnosis of IG were 95% and 100%, respectively. EGFR expression was independent of IDH1 mutations and EGFR amplification. Finally, we showed that these particular cells displayed the phenotype and properties of glial progenitors and coexpressed CXCR4, a marker of invasiveness.

conclusionsWe demonstrate that cells with intense EGFR staining and a high nuclear to cytoplasmic ratio are specific criteria for the diagnosis of IG, irrespective of grade, histological subtype, and progression pathway, and their identification represents a tool to discriminate IG from benign or curable glial lesions.

Indexed as

AdultBiomarkers, TumorBlotting, WesternBrain NeoplasmsCell NucleusChildCytoplasmErbB ReceptorsFemaleFlow CytometryFluorescent Antibody TechniqueGliomaHumansImmunoenzyme TechniquesIn Situ Hybridization, FluorescenceMaleBiomarkers, TumorEGFR protein, humanepidermal growth factor receptor VIIIErbB ReceptorsEGFRglioblastomasgliosisimmunohistochemistryinfiltrative gliomasprogenitors

Identifiers

PMID23935154
PMCPMC3779042
OpenAlexW2157728363

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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.