Evidence map›Paper›PMID 24307542›Full record

ArticleThe Journal of pathology2014

Mutational analysis of BRAF and KRAS in ovarian serous borderline (atypical proliferative) tumours and associated peritoneal implants.

Laura Ardighieri, Felix Zeppernick, Charlotte G Hannibal, Russell Vang, Leslie Cope, Jette Junge, Susanne K Kjaer, Robert J Kurman, Ie-Ming Shih

Abstract read
In one paragraph

Article in The Journal of pathology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
9.9field-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

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 59 citations in OpenAlex.

  1. Guideline
  2. Review
  3. Early Genetic Divergence of High-Grade Carcinomas Originating from Low-Grade Serous Ovarian Neoplasms.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2025
    Article
  4. Targeting BRAF pathway in low-grade serous ovarian cancer.Journal of gynecologic oncology · 2024
    Review
  5. KRAS mutation in primary ovarian serous borderline tumors correlates with tumor recurrence.Virchows Archiv : an international journal of pathology · 2023
    Article
  6. Article
  7. Article
  8. Review
  9. High Frequency ofDiagnostics (Basel, Switzerland) · 2019
    Article
  10. Oncotarget · 2019
    Article
  11. Article
  12. Review
  13. Article
  14. BRAFHistopathology · 2018
    Article
  15. Review
  16. KRAS mutation of extraovarian implants of serous borderline tumor: prognostic indicator for adverse clinical outcome.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2018
    Article
  17. Review
  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

9 authors at 5 institutions in 3 countries.

Laura ArdighieriDepartments of Pathology and Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Felix Zeppernick
Charlotte G Hannibal
Russell Vang
Leslie Cope
Jette Junge
Susanne K Kjaer
Robert J Kurman
Ie-Ming Shih
Johns Hopkins University · USDanish Cancer Society · DKHvidovre Hospital · DKJohns Hopkins Medicine · USUniversitätsklinikum Aachen · DE

Funding

Translational Research Central ServicesP30CA006973 · NCI · JOHNS HOPKINS UNIVERSITY · PI Rosalie Wollett · 1985 to 2026
$208.6M
Pathogenesis of Ovarian Serous Borderline TumorsR01CA116184 · NCI · JOHNS HOPKINS UNIVERSITY · PI KURMAN, ROBERT J. · 2007 to 2010
$1.2M
NCI NIH HHS P30 CA006973NCI NIH HHS R01 CA116184NCI NIH HHS R01CA116184
6 · The paper itself

Abstract

There is debate as to whether peritoneal implants associated with serous borderline tumours/atypical proliferative serous tumours (SBT/APSTs) of the ovary are derived from the primary ovarian tumour or arise independently in the peritoneum. We analysed 57 SBT/APSTs from 45 patients with advanced-stage disease identified from a nation-wide tumour registry in Denmark. Mutational analysis for hotspots in KRAS and BRAF was successful in 55 APSTs and demonstrated KRAS mutations in 34 (61.8%) and BRAF mutations in eight (14.5%). Mutational analysis was successful in 56 peritoneal implants and revealed KRAS mutations in 34 (60.7%) and BRAF mutations in seven (12.5%). Mutational analysis could not be performed in two primary tumours and in nine implants, either because DNA amplification failed or because there was insufficient tissue for mutational analysis. For these specimens we performed VE1 immunohistochemistry, which was shown to be a specific and sensitive surrogate marker for a V600E BRAF mutation. VE1 staining was positive in one of two APSTs and seven of nine implants. Thus, among 63 implants for which mutation status was known (either by direct mutational analysis or by VE1 immunohistochemistry), 34 (53.9%) had KRAS mutations and 14 (22%) had BRAF mutations, of which identical KRAS mutations were found in 34 (91%) of 37 SBT/APST-implant pairs and identical BRAF mutations in 14 (100%) of 14 SBT/APST-implant pairs. Wild-type KRAS and BRAF (at the loci investigated) were found in 11 (100%) of 11 SBT/APST-implant pairs. Overall concordance of KRAS and BRAF mutations was 95% in 59 of 62 SBT/APST-implant (non-invasive and invasive) pairs (p < 0.00001). This study provides cogent evidence that the vast majority of peritoneal implants, non-invasive and invasive, harbour the identical KRAS or BRAF mutations that are present in the associated SBT/APST, supporting the view that peritoneal implants are derived from the primary ovarian tumour.

Indexed as

Cystadenocarcinoma, SerousDenmarkDNA Mutational AnalysisDNA, NeoplasmFemaleHumansImmunohistochemistryLaser Capture MicrodissectionMutationOvarian NeoplasmsPeritoneal NeoplasmsProto-Oncogene ProteinsProto-Oncogene Proteins B-rafProto-Oncogene Proteins p21(ras)ras ProteinsSensitivity and SpecificityBRAF protein, humanDNA, NeoplasmKRAS protein, humanProto-Oncogene ProteinsProto-Oncogene Proteins B-rafProto-Oncogene Proteins p21(ras)ras Proteinsovarian low-grade serous carcinomaovarian neoplasmsserous borderline tumour

Identifiers

PMID24307542
PMCPMC4086471
OpenAlexW1864663303

What OpenQuestion holds

Textmetadata
LicenceTDM
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.