Evidence map›Paper›PMID 27781381›Full record

ArticlePediatric blood & cancer2017

Characteristics and outcomes in children with undifferentiated embryonal sarcoma of the liver: A report from the National Cancer Database.

Yan Shi, Yesenia Rojas, Wei Zhang, Elizabeth A Beierle, John J Doski, Melanie Goldfarb, Adam B Goldin, Kenneth W Gow, Monica Langer, Rebecka L Meyers and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Pediatric blood & cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed
1.2field-weighted citation impact, top 19% 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

49 citing papers in PubMed, 90 citations in OpenAlex.

  1. Article
  2. Non-hepatoblastoma pediatric liver tumors: Unravelling of a lesser-known entity.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026
    Article
  3. Primary non-hepatoblastoma liver tumors in children-Defining the profile of a very rare subset of childhood tumors.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. "Update on pediatric primary liver tumors".Virchows Archiv : an international journal of pathology · 2025
    Review
  10. Article
  11. Article
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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

12 authors at 9 institutions in 1 country.

Yan ShiDivisions of Pediatric Surgery and Surgical Research, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas.
Yesenia RojasDivisions of Pediatric Surgery and Surgical Research, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas.
Wei ZhangOutcomes & Impact Service, Department of Surgery, Texas Children's Hospital, Houston, Texas.
Elizabeth A BeierleDivison of Pediatric Surgery, Department of Surgery, University of Alabama, Birmingham, Alabama.
John J DoskiDepartment of Surgery, Methodist Children's Hospital of South Texas, University of Texas Health Science Center - San Antonio, San Antonio, Texas.
Melanie GoldfarbDepartment of Surgery, John Wayne Cancer Institute at Providence St. Johns Health Center, Santa Monica, California.
Adam B GoldinDivision of Pediatric General and Thoracic Surgery, Seattle Children's Hospital, Department of Surgery, University of Washington, Seattle, Washington.
Kenneth W GowDivision of Pediatric General and Thoracic Surgery, Seattle Children's Hospital, Department of Surgery, University of Washington, Seattle, Washington.
Monica LangerDepartment of Surgery, Maine Children's Cancer Program, Tufts University, Portland, Maine.
Rebecka L MeyersDivision of Pediatric Surgery, Primary Children's Hospital, University of Utah, Salt Lake City, Utah.
Jed G NuchternDivisions of Pediatric Surgery and Surgical Research, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas.
Sanjeev A VasudevanDivisions of Pediatric Surgery and Surgical Research, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas.
Baylor College of Medicine · USChildren's Cancer Center · USSeattle Children's Hospital · USMaine Medical Center · USSaint John's Health Center · USTexas Children's Hospital · USThe University of Texas Health Science Center at San Antonio · USUniversity of Alabama at Birmingham · USUniversity of Utah · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine patient characteristics and outcomes in children with undifferentiated embryonal sarcoma of the liver (UESL) using a multi-institutional database. SUMMARY BACKGROUND DATA: UESL is a rare disease (incidence is one per million). Therefore, the current literature is mostly limited to small case series.

methodsThe National Cancer Database was queried for primary UESL diagnosed between 1998 and 2012.

resultsA total of 103 patients (<18 years) were identified. The 5-year overall survival of the entire group was 86%. The best outcomes were seen in children who had tumors smaller than 15 cm and were able to undergo surgical resection with or without chemotherapy. Margin status did not appear to significantly affect survival. The most common type of resection was hemihepatectomy (37%), followed by sectionectomy (10%) and trisectionectomy (10%). Orthotopic liver transplant was performed in 10 children, all of whom survived to 5 years.

conclusionSurgical resection with or without chemotherapy should be the mainstay of treatment in children with UESL, and is associated with very favorable outcomes. Negative surgical margins were not associated with improved survival. Orthotopic liver transplantation may be a viable method of attaining local control in tumors, which would otherwise be unresectable.

Indexed as

Databases, FactualAdolescentChildChild, PreschoolCombined Modality TherapyFemaleFollow-Up StudiesHumansInfantInfant, NewbornLiver NeoplasmsMaleNeoplasms, Germ Cell and EmbryonalNeoplasm StagingPrognosisSarcomaembryonal sarcomahepatic sarcomaliver cancerliver sarcomaNational Cancer Databaseundifferentiated embryonal sarcoma

Identifiers

PMID27781381
PMCPMC5333454
OpenAlexW2544081474

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.