Evidence map›Paper›PMID 27012190›Full record

ReviewThe American journal of pathology2016

The Dualistic Model of Ovarian Carcinogenesis: Revisited, Revised, and Expanded.

Robert J Kurman, Ie-Ming Shih

Registry-linked trialOpen access · bronzeAbstract readReview
In one paragraph

Review in The American journal of pathology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03171467 (Salpingectomy in Women Undergoing Elective Laparoscopic Cholecystectomy), which is not on this map. Cited by 543 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
543citing papers in PubMed, 2 pooled it
131.1field-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.

NCT03171467 nacompletednot on this map

Salpingectomy in Women Undergoing Elective Laparoscopic Cholecystectomy (SaLCHE): A Feasibility Study

TypeinterventionalSponsorMedical University of GrazRan2016 to 2018Enrolled100ConditionsProphylactic Salpingectomy, Opportunistic Salpingectomy, Laparoscopic CholecystectomyArmsSalpingectomy
3 · Its place in the literature

Who cites it

543 citing papers in PubMed, 2 syntheses or guidelines pooled it, 907 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Combination of transvaginal ultrasound with cervical cancer screening contributes to early detection of ovarian cancer: Clinical trial.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
    Trial
  4. Trial
  5. Article
  6. Differentiating high- and low-grade serous ovarian carcinoma using radiomics: a pilot study.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2026
    Observational
  7. Article
  8. Review
  9. A Multistate Survival Model to Identify Risk Factors for Lethal Ovarian Cancer.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026
    Article
  10. Review
  11. Article
  12. Article
  13. Dissecting and directing pathology foundation models.bioRxiv : the preprint server for biology · 2026
    Article
  14. Article
  15. Article
  16. Value of anQuantitative imaging in medicine and surgery · 2026
    Article
  17. Article
  18. Article
  19. Spatial Clustering of Recently Activated Cytotoxic Lymphocytes Improves Association with Overall Survival in Women with High-Grade Serous Ovarian Cancer.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026
    Article
  20. Article

483 more citing papers are in PubMed but not listed here.

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

2 authors at 1 institution in 1 country.

Robert J KurmanDepartments of Pathology, Gynecology and Obstetrics and Oncology, Johns Hopkins Medical Institutions, Baltimore, Maryland. Electronic address: rkurman@jhmi.edu.
Ie-Ming ShihDepartments of Pathology, Gynecology and Obstetrics and Oncology, Johns Hopkins Medical Institutions, Baltimore, Maryland.
Johns Hopkins University · US

Funding

Tumor Suppressor Role of ARID1AR21CA165807 · NCI · JOHNS HOPKINS UNIVERSITY · PI SHIH, IE-MING · 2012 to 2013
$375k
NCI NIH HHS CA165807NCI NIH HHS R21 CA165807
6 · The paper itself

Abstract

Since our proposal of a dualistic model of epithelial ovarian carcinogenesis more than a decade ago, a large number of molecular and histopathologic studies were published that have provided important insights into the origin and molecular pathogenesis of this disease. This has required that the original model be revised and expanded to incorporate these findings. The new model divides type I tumors into three groups: i) endometriosis-related tumors that include endometrioid, clear cell, and seromucinous carcinomas; ii) low-grade serous carcinomas; and iii) mucinous carcinomas and malignant Brenner tumors. As in the previous model, type II tumors are composed, for the most part, of high-grade serous carcinomas that can be further subdivided into morphologic and molecular subtypes. Type I tumors develop from benign extraovarian lesions that implant on the ovary and which can subsequently undergo malignant transformation, whereas many type II carcinomas develop from intraepithelial carcinomas in the fallopian tube and, as a result, disseminate as carcinomas that involve the ovary and extraovarian sites, which probably accounts for their clinically aggressive behavior. The new molecular genetic data, especially those derived from next-generation sequencing, further underline the heterogeneity of ovarian cancer and identify actionable mutations. The dualistic model highlights these differences between type I and type II tumors which, it can be argued, describe entirely different groups of diseases.

Indexed as

Adenocarcinoma, MucinousAnimalsCarcinogenesisCell Transformation, NeoplasticFallopian TubesFemaleHumansOvarian NeoplasmsOvary

Identifiers

PMID27012190
PMCPMC5808151
OpenAlexW2305551225

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.