Evidence map›Paper›PMID 27363490›Full record

ArticleModern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc2016

Exploring chromosomal abnormalities and genetic changes in uterine smooth muscle tumors.

Bernadette Liegl-Atzwanger, Ellen Heitzer, Karin Flicker, Stephanie Müller, Peter Ulz, Ozlen Saglam, Fattaneh Tavassoli, Mojgan Devouassoux-Shisheboran, Jochen Geigl, Farid Moinfar

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In one paragraph

Article in Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 5% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Molecular-Based Immunohistochemical Algorithm for Uterine Leiomyosarcoma Diagnosis.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2023
    Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Leiomyoma with Bizarre Nuclei: A Current Update.International journal of women's health · 2022
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Understanding Obesity as a Risk Factor for Uterine Tumors Using Drosophila.Advances in experimental medicine and biology · 2019
    Review
  20. Fumarate Hydratase Mutations and Alterations in Leiomyoma With Bizarre Nuclei.International journal of gynecological pathology : official journal of the International Society of Gynecological Pathologists · 2018
    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 3 institutions in 3 countries.

Bernadette Liegl-AtzwangerInstitute of Pathology, Medical University of Graz, Graz, Austria.
Ellen HeitzerDepartment of Human Genetics, Medical University of Graz, Graz, Austria.
Karin FlickerDepartment of Human Genetics, Medical University of Graz, Graz, Austria.
Stephanie MüllerDepartment of Human Genetics, Medical University of Graz, Graz, Austria.
Peter UlzDepartment of Human Genetics, Medical University of Graz, Graz, Austria.ORCID 0000-0001-5941-1160
Ozlen SaglamDepartment of Pathology, Yale University School of Medicine, New Haven, CT, USA.
Fattaneh TavassoliDepartment of Pathology, Yale University School of Medicine, New Haven, CT, USA.
Mojgan Devouassoux-ShisheboranDepartment of Pathology, Hospices Civilis de Lyon, Lyon, France.
Jochen GeiglDepartment of Human Genetics, Medical University of Graz, Graz, Austria.
Farid MoinfarDepartment of Pathology, Hospital of the Sisters of Charity, Linz, Austria.
Medical University of Graz · ATYale University · USHospices Civils de Lyon · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Smooth muscle tumors of the uterus are a diagnostically challenging group of tumors. Molecular surrogate markers reliably distinguishing between benign and malignant tumors are not available. Therefore, the diagnosis is based on morphologic criteria. The aim was to investigate a well-characterized group of challenging uterine smooth muscle tumors consisting of 20 leiomyomas, 13 leiomyomas with bizarre nuclei, and 14 leiomyosarcomas for copy number alterations, MED12 mutations and FH deletions to search for potential diagnostically useful surrogate markers. MED12 mutations were detected in 47, 15, and 25% of leiomyomas, leiomyomas with bizarre nuclei and leiomyosarcomas, respectively. MED12 mutations in leiomyomas with bizarre nuclei were detected outside the hotspot region. FH-deletions were seen in 27, 30.8, and 25% of leiomyomas, leiomyomas with bizarre nuclei and leiomyosarcomas, respectively. By using copy number alteration profiling a clear separation of leiomyomas, leiomyomas with bizarre nuclei and leiomyosarcomas could not be observed. Copy number alterations revealed clear genetic similarities between leiomyomas with bizarre nuclei and leiomyosarcomas. Leiomyosarcomas showed a similar pattern of gains and losses as leiomyomas with bizarre nuclei, with additional copy number alterations and more homozygous losses and high-level amplifications compared to leiomyomas with bizarre nuclei. In conclusion, this study demonstrates that known FH-deletions, a recurrent molecular change in leiomyomas, occur in morphologically challenging variants of leiomyomas, leiomyomas with bizarre nuclei and leiomyosarcomas. Although MED12 mutations are common in leiomyomas, they infrequently occur in leiomyomas with bizarre nuclei and leiomyosarcomas. The genetic similarities between leiomyomas with bizarre nuclei and leiomyosarcomas raise the intriguing possibility that uterine leiomyomas with bizarre nuclei and leiomyosarcomas are closely related and challenge the traditional concept that leiomyoma with bizarre nuclei is a tumor with just marked 'degenerative' cellular changes. These findings support the hypothesis that tumor progression within uterine smooth muscle tumors might occur.

Indexed as

AdultAgedCell NucleusChromosome AberrationsFemaleHumansLeiomyomaLeiomyosarcomaMiddle AgedUterine Neoplasms

Identifiers

PMID27363490
OpenAlexW2462996768

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.