Evidence map›Paper›PMID 26649796›Full record

ArticleThyroid : official journal of the American Thyroid Association2016

Mutational Analysis in Pediatric Thyroid Cancer and Correlations with Age, Ethnicity, and Clinical Presentation.

Maria Eleni Nikita, Wen Jiang, Shih-Min Cheng, Feras M Hantash, Michael J McPhaul, Robert O Newbury, Susan A Phillips, Richard E Reitz, Frederic M Waldman, Ron S Newfield

Open access · hybridAbstract read
In one paragraph

Article in Thyroid : official journal of the American Thyroid Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 7% 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

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 73 citations in OpenAlex.

  1. Pooled it
  2. Pathogenesis of Thyroid Cancer with Particular Emphasis on the Role of AnoikisJournal of clinical research in pediatric endocrinology · 2026
    Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Molecular Landscape of Pediatric Thyroid Cancer: A Review.Diagnostics (Basel, Switzerland) · 2022
    Review
  13. Article
  14. Article
  15. The Role of American Thyroid Association Pediatric Thyroid Cancer Risk Stratification andJournal of clinical research in pediatric endocrinology · 2022
    Article
  16. BRAFCancer medicine · 2022
    Article
  17. TheCancers · 2021
    Article
  18. Article
  19. Molecular pathogenesis of pediatric thyroid carcinoma.Journal of radiation research · 2021
    Review
  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

10 authors at 2 institutions in 1 country.

Maria Eleni Nikita1 Division of Pediatric Endocrinology, San Diego, and Rady Children's Hospital San Diego , California.
Wen Jiang2 Division of Pediatric Otolaryngology, San Diego, and Rady Children's Hospital San Diego , California.
Shih-Min Cheng3 Hematology and Oncology, Quest Diagnostics Nichols Institute , San Juan Capistrano, California.
Feras M Hantash3 Hematology and Oncology, Quest Diagnostics Nichols Institute , San Juan Capistrano, California.
Michael J McPhaul3 Hematology and Oncology, Quest Diagnostics Nichols Institute , San Juan Capistrano, California.
Robert O Newbury4 Department of Pathology; University of California, San Diego, and Rady Children's Hospital San Diego , California.
Susan A Phillips1 Division of Pediatric Endocrinology, San Diego, and Rady Children's Hospital San Diego , California.
Richard E Reitz3 Hematology and Oncology, Quest Diagnostics Nichols Institute , San Juan Capistrano, California.
Frederic M Waldman3 Hematology and Oncology, Quest Diagnostics Nichols Institute , San Juan Capistrano, California.
Ron S Newfield1 Division of Pediatric Endocrinology, San Diego, and Rady Children's Hospital San Diego , California.
Quest Diagnostics (United States) · USRady Children's Hospital-San Diego · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWell-differentiated thyroid cancer (WDTC) incidence in pediatrics is rising, most being papillary thyroid carcinoma (PTC). The objective of the study was to assess the prevalence of different mutations in pediatric WDTC and correlate the genotype with the clinical phenotype.

methodsThis is a single-center retrospective study. Thyroid tissue blocks from 42 consecutive pediatric WDTC patients who underwent thyroidectomy between 2001 and 2013 were analyzed at Quest Diagnostics for BRAF(V600E), RAS mutations (N,K,H), and RET/PTC and PAX8/PPARγ rearrangements, using validated molecular methods. Thyroid carcinomas included PTC, follicular thyroid carcinoma (FTC), and follicular variant of PTC (FVPTC).

resultsThirty-nine samples (29 females) were genotyped. The mean age at diagnosis was 14.7 years (range 7.9-18.4 years), and most were Hispanic (56.4%) or Caucasian (35.9%). The mean follow-up period was 2.9 years. Mutations were noted in 21/39 (53.8%), with both BRAF(V600E) (n = 9), and RET/PTC (n = 6) detected only in PTC. Mutations were detected in 2/5 FTC (PAX8/PPARγ and NRAS) and 3/6 FVPTC cases (PAX8/PPARγ). Of 28 PTC patients, 57.1% had mutations: 32.1% with BRAF(V600E), 21.4% with RET/PTC, and 3.6% with NRAS. Of patients with BRAF(V600E), 77.8% were Hispanic and 88.9% were >15 years, while all RET/PTC-positive patients were ≤15 years (p = 0.003). Tumor size, lymph node involvement, and distant metastasis at diagnosis (or soon after (131)I ablation) did not vary significantly based on the mutation.

conclusionsBRAF(V600E) was the most common mutation, especially in older and Hispanic adolescents. A larger, ethnically diverse pediatric cohort followed long term will enable the genotypic variability, clinical presentation, and response to therapy to be better assessed.

Indexed as

DNA Mutational AnalysisAdenocarcinoma, FollicularAdolescentAge FactorsCarcinoma, Papillary, FollicularCell DifferentiationChildEthnicityFemaleFollow-Up StudiesGenetic Association StudiesGenetic Predisposition to DiseaseHumansMalePhenotypeRetrospective Studies

Identifiers

PMID26649796
PMCPMC4985048
OpenAlexW2228865670

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.