Evidence map›Paper›PMID 26248895›Full record

ArticleModern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc2015

GNAS mutations are not detected in parosteal and low-grade central osteosarcomas.

Carolina Salinas-Souza, Carlos De Andrea, Michel Bihl, Michal Kovac, Nischalan Pillay, Tim Forshew, Alice Gutteridge, Hongtao Ye, M Fernanda Amary, Roberto Tirabosco and 3 more

Open access · bronzeAbstract read
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In one paragraph

Article in Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
4.8field-weighted citation impact, top 4% 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

23 citing papers in PubMed, 60 citations in OpenAlex.

  1. Low-Grade Fibro-Osseous Lesions With Isolated Chromosome 12 Chromothripsis: A Distinct Entity Or a Low-Grade Central Osteosarcoma With a Novel Driver?Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2026
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  14. What's new in bone forming tumours of the skeleton?Virchows Archiv : an international journal of pathology · 2020
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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

13 authors at 5 institutions in 3 countries.

Carolina Salinas-SouzaUCL Advanced Diagnostics Molecular Profiling Laboratory, Sarah Cannon-UCL Laboratories, UCL Cancer Institute, London, UK.
Carlos De AndreaUCL Advanced Diagnostics Molecular Profiling Laboratory, Sarah Cannon-UCL Laboratories, UCL Cancer Institute, London, UK.
Michel BihlInstitute of Pathology, University Hospital Basel, Basel, Switzerland.
Michal KovacBone Tumour Reference Centre, University Hospital Basel, Basel, Switzerland.
Nischalan PillayRoyal National Orthopaedic Hospital NHS Trust, Stanmore, Middlesex, UK.
Tim ForshewUCL Cancer Institute, London, UK.
Alice GutteridgeUCL Cancer Institute, London, UK.
Hongtao YeRoyal National Orthopaedic Hospital NHS Trust, Stanmore, Middlesex, UK.
M Fernanda AmaryRoyal National Orthopaedic Hospital NHS Trust, Stanmore, Middlesex, UK.ORCID http://orcid.org/0000-0002-6707-8246
Roberto TiraboscoRoyal National Orthopaedic Hospital NHS Trust, Stanmore, Middlesex, UK.
Silvia Regina Caminada ToledoPediatric Oncology Institute/Federal University of São Paulo, São Paulo, Brazil.
Daniel BaumhoerBone Tumour Reference Centre, University Hospital Basel, Basel, Switzerland.
Adrienne M FlanaganRoyal National Orthopaedic Hospital NHS Trust, Stanmore, Middlesex, UK.
Royal National Orthopaedic Hospital NHS Trust · GBUniversity Hospital of Basel · CHCRUK Lung Cancer Centre of Excellence · GBUniversidade Federal de São Paulo · BRUniversity College London · GB

Funding

Cancer Research UK 18387
6 · The paper itself

Abstract

Parosteal osteosarcoma, low-grade central osteosarcoma, and fibrous dysplasia share similar histological features that may pose a diagnostic challenge. The detection of GNAS mutations in primary bone tumors has been useful in clinical practice for diagnosing fibrous dysplasia. However, the recent report of GNAS mutations being detected in a significant proportion of parosteal osteosarcoma challenges the specificity of this mutation. As the number of cases reported in this study was small we set out to determine if these results could be reproduced. We studied 97 formalin-fixed paraffin-embedded low-grade osteosarcomas from 90 patients including 62 parosteal osteosarcomas, of which MDM2 amplification was detected in 79%, 11 periosteal osteosarcomas and 24 low-grade central osteosarcoma samples. The mutational status of GNAS was analyzed in codons p.R201, p.Q227, and other less common GNAS alterations by bidirectional Sanger sequencing and/or next generation sequencing using the Life Technologies Ion Torrent platform. GNAS mutations were not detected in any of the low-grade osteosarcomas from which informative DNA was extracted. Our findings therefore support prior observations that GNAS mutations are highly specific for fibrous dysplasia and occur rarely, if ever, in parosteal and other low-grade osteosarcomas.

Indexed as

AdultBone NeoplasmsChromograninsDNA Mutational AnalysisFemaleGene AmplificationGTP-Binding Protein alpha Subunits, GsHigh-Throughput Nucleotide SequencingHumansIn Situ Hybridization, FluorescenceMaleMultiplex Polymerase Chain ReactionMutationOsteosarcomaProto-Oncogene Proteins c-mdm2ChromograninsGNAS protein, humanGTP-Binding Protein alpha Subunits, GsMDM2 protein, humanProto-Oncogene Proteins c-mdm2

Identifiers

PMID26248895
OpenAlexW2407934711

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.