Evidence map›Paper›PMID 24333842›Full record

ArticleGynecologic oncology2014

Outcome of unexpected adnexal neoplasia discovered during risk reduction salpingo-oophorectomy in women with germ-line BRCA1 or BRCA2 mutations.

James R Conner, Emily Meserve, Ellen Pizer, Judy Garber, Michael Roh, Nicole Urban, Charles Drescher, Bradley J Quade, Michael Muto, Brooke E Howitt and 5 more

Open access · greenAbstract read
In one paragraph

Article in Gynecologic oncology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 4 pooled it
12.0field-weighted citation impact, top 1% 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

32 citing papers in PubMed, 4 syntheses or guidelines pooled it, 87 citations in OpenAlex.

  1. Risk of Peritoneal Carcinomatosis After Risk-Reducing Salpingo-Oophorectomy: A Systematic Review and Individual Patient Data Meta-Analysis.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2022
    Pooled it
  2. Recommendations for diagnosing STIC: a systematic review and meta-analysis.Virchows Archiv : an international journal of pathology · 2022
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Oncologic outcomes of incidental serous tubal intraepithelial carcinoma and associated high-grade serous carcinoma in high-risk patients undergoing risk-reducing surgery.International journal of gynecological cancer : official journal of the International Gynecological Cancer Society · 2026
    Article
  6. Timing of depression in relation to risk of ovarian cancer.Journal of the National Cancer Institute · 2025
    Article
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  13. An Alternate Diagnostic Algorithm for the Diagnosis of Intraepithelial Fallopian Tube Lesions.International journal of gynecological pathology : official journal of the International Society of Gynecological Pathologists · 2020
    Observational
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 6 institutions in 1 country.

James R ConnerDivision of Women's and Perinatal Pathology, Department of Pathology, Brigham and Women's Hospital, USA.
Emily MeserveDivision of Women's and Perinatal Pathology, Department of Pathology, Brigham and Women's Hospital, USA.
Ellen PizerCell-Netix, Seattle, USA.
Judy GarberDana Farber/Brigham and Women's Cancer Center, Boston, MA, USA.
Michael RohDepartment of Pathology, University of Michigan Medical School, Ann Arbor, USA.
Nicole UrbanFred Hutchinson Cancer Research Center, Seattle, WA, USA.
Charles DrescherUniversity of Washington School of Medicine, Seattle, WA, USA.
Bradley J QuadeDivision of Women's and Perinatal Pathology, Department of Pathology, Brigham and Women's Hospital, USA.
Michael MutoDivision of Gynecologic Pathology, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, USA.
Brooke E HowittDivision of Women's and Perinatal Pathology, Department of Pathology, Brigham and Women's Hospital, USA.
Mark D PearlmanDepartment of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor, USA.
Ross S BerkowitzDivision of Gynecologic Pathology, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, USA.
Neil HorowitzDivision of Gynecologic Pathology, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, USA.
Christopher P CrumDivision of Women's and Perinatal Pathology, Department of Pathology, Brigham and Women's Hospital, USA. Electronic address: ccrum@partners.org.
Colleen FeltmateDivision of Gynecologic Pathology, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, USA.
Brigham and Women's Hospital · USUniversity of Michigan–Ann Arbor · USDana-Farber Brigham Cancer Center · USFred Hutch Cancer Center · USSeattle University · USUniversity of Washington · US

Funding

Vaccinating against IGFBP-2 to prevent ovarian cancer relapseP50CA083636 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI DRESCHER, CHARLES, URBAN, NICOLE DENISE · 1999 to 2015
$35.1M
The squamocolumnar junction and cervical cancerR21CA173190 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI CRUM, CHRISTOPHER PAUL, MCKEON, FRANK D. · 2013 to 2014
$451k
p53 signatures and pelvic serous carcinomaR21CA124688 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI CRUM, CHRISTOPHER PAUL · 2007 to 2009
$420k
NCI NIH HHS P50 CA083636NCI NIH HHS R21 CA124688NCI NIH HHS R21CA124688-01A1NCI NIH HHS R21 CA173190
6 · The paper itself

Abstract

objectiveThis study computed the risk of clinically silent adnexal neoplasia in women with germ-line BRCA1 or BRCA2 mutations (BRCA(m+)) and determined recurrence risk.

methodsWe analyzed risk reduction salpingo-oophorectomies (RRSOs) from 349 BRCA(m+) women processed by the SEE-FIM protocol and addressed recurrence rates for 29 neoplasms from three institutions.

resultsNineteen neoplasms (5.4%) were identified at one institution, 9.2% of BRCA1 and 3.4% of BRCA2 mutation-positive women. Fourteen had a high-grade tubal intraepithelial neoplasm (HGTIN, 74%). Mean age (54.4) was higher than the BRCA(m+) cohort without neoplasia (47.8) and frequency increased with age (p < 0.001). Twenty-nine BRCA(m+) patients with neoplasia from three institutions were followed for a median of 5 years (1-8 years.). One of 11 with HGTIN alone (9%) recurred at 4 years, in contrast to 3 of 18 with invasion or involvement of other sites (16.7%). All but two are currently alive. Among the 29 patients in the three institution cohort, mean ages for HGTIN and advanced disease were 49.2 and 57.7 (p = 0.027).

conclusionsAdnexal neoplasia is present in 5-6% of RRSOs, is more common in women with BRCA1 mutations, and recurs in 9% of women with HGTIN alone. The lag in time from diagnosis of the HGTIN to pelvic recurrence (4 years) and differences in mean age between HGTIN and advanced disease (8.5 years) suggest an interval of several years from the onset of HGTIN until pelvic cancer develops. However, some neoplasms occur in the absence of HGTIN.

Indexed as

Genes, BRCA1Genes, BRCA2Germ-Line MutationAdultAgedFemaleGenetic Predisposition to DiseaseHumansHysterectomyMiddle AgedNeoplasm Recurrence, LocalOvarian NeoplasmsOvariectomyRisk FactorsTreatment OutcomeBRCAFallopianOvarian cancerSerous cancer

Identifiers

PMID24333842
PMCPMC3932113
OpenAlexW2094947162

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.