Evidence map›Paper›PMID 27631520›Full record

ArticleThe American journal of surgical pathology2017

Novel High-grade Endometrial Stromal Sarcoma: A Morphologic Mimicker of Myxoid Leiomyosarcoma.

Lien N Hoang, Amandeep Aneja, Niamh Conlon, Deborah F Delair, Sumit Middha, Ryma Benayed, Martee L Hensley, Kay J Park, Travis J Hollmann, Meera R Hameed and 3 more

Open access · greenAbstract readCase Reports
In one paragraph

Article in The American journal of surgical pathology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
12.6field-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

47 citing papers in PubMed, 128 citations in OpenAlex.

  1. Article
  2. BCOR abnormalities in endometrial stromal sarcoma.Gynecologic oncology reports · 2025
    Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. High-grade endometrial stromal sarcoma withGynecologic oncology reports · 2023
    Article
  8. Article
  9. Article
  10. Small round cell sarcomas.Nature reviews. Disease primers · 2022
    Review
  11. Pleomorphic high grade endometrial stromal sarcoma withInternational journal of clinical and experimental pathology · 2022
    Article
  12. Article
  13. Clinicopathological and genomic characterization of BCORL1-driven high-grade endometrial stromal sarcomas.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2021
    Article
  14. Review
  15. Targeted RNA expression profiling identifies high-grade endometrial stromal sarcoma as a clinically relevant molecular subtype of uterine sarcoma.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2021
    Article
  16. Update on Endometrial Stromal Tumours of the Uterus.Diagnostics (Basel, Switzerland) · 2021
    Review
  17. Review
  18. Specific and Sensitive Diagnosis ofFrontiers in oncology · 2021
    Article
  19. TMP3-NTRK1 rearranged uterine sarcoma: A case report.Case reports in women's health · 2020
    Article
  20. Review
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 2 institutions in 2 countries.

Lien N Hoang*Department of Pathology, Memorial Sloan Kettering Cancer Center ‡Gynecologic Medical Oncology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, Weill Cornell Medical College, New York, NY †Department of Pathology, Cork University Hospital, Wilton, Cork, Ireland.
Amandeep Aneja
Niamh Conlon
Deborah F Delair
Sumit Middha
Ryma Benayed
Martee L Hensley
Kay J Park
Travis J Hollmann
Meera R Hameed
Cristina R Antonescu
Robert A Soslow
Sarah Chiang
Memorial Sloan Kettering Cancer Center · USCork University Hospital · IE

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Endometrial stromal sarcomas (ESS) are often underpinned by recurrent chromosomal translocations resulting in the fusion of genes involved in epigenetic regulation. To date, only YWHAE-NUTM2 rearrangements are associated with distinctive high-grade morphology and aggressive clinical behavior. We identified 3 ESS morphologically mimicking myxoid leiomyosarcoma of the uterus and sought to describe their unique histopathologic features and identify genetic alterations using next-generation sequencing. All cases displayed predominantly spindled cells associated with abundant myxoid stroma and brisk mitotic activity. Tumors involved the endometrium and demonstrated tongue-like myometrial infiltration. All 3 were associated with an aggressive clinical course, including multisite bony metastases in 1 patient, progressive peritoneal disease after chemotherapy in another, and metastases to the lung and skin in the last patient. All 3 ESS were found to harbor ZC3H7B-BCOR gene fusions by targeted sequencing and fluorescence in situ hybridization. On the basis of the review of these cases, we find that ESS with ZC3H7B-BCOR fusion constitutes a novel type of high-grade ESS and shares significant morphologic overlap with myxoid leiomyosarcoma.

Indexed as

Diagnosis, DifferentialAdultBiomarkers, TumorEndometrial NeoplasmsFemaleHigh-Throughput Nucleotide SequencingHumansImmunohistochemistryIn Situ Hybridization, FluorescenceLeiomyosarcomaMiddle AgedNeoplasm GradingOncogene FusionOncogene Proteins, FusionProto-Oncogene ProteinsRepressor ProteinsBCOR protein, humanBiomarkers, TumorOncogene Proteins, FusionProto-Oncogene ProteinsRepressor ProteinsRNA-Binding ProteinsZC3H7B protein, human

Identifiers

PMID27631520
PMCPMC5630222
OpenAlexW2520017490

What OpenQuestion holds

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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.