Evidence map›Paper›PMID 29368261›Full record

ArticleFamilial cancer2018

APC mosaicism in a young woman with desmoid type fibromatosis and familial adenomatous polyposis.

Astrid Tenden Stormorken, Thomas Berg, Ole-Jacob Norum, Toto Hølmebakk, Kristin Aaberg, Sonja E Steigen, Eli Marie Grindedal

Open access · hybridAbstract readCase Reports
In one paragraph

Article in Familial cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 28% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Mosaicism in Patients With Colorectal Cancer or Polyposis Syndromes: A Systematic Review.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2020
    Pooled it
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  5. Review
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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

7 authors at 3 institutions in 1 country.

Astrid Tenden StormorkenSection of Inherited Cancer, Department of Medical Genetics, Oslo University Hospital, Oslo, Norway. astridstormorken@hotmail.com.
Thomas BergClinical Pathology, University Hospital of North Norway, Tromsø, Norway.
Ole-Jacob NorumDivision of Orthopaedic Surgery, Department of Orthopaedic Oncology, Oslo University Hospital, Oslo, Norway.
Toto HølmebakkDepartment of Abdominal and Paediatric Surgery, The Norwegian Radium Hospital, Oslo University Hospital, Oslo, Norway.
Kristin AabergClinical Pathology, University Hospital of North Norway, Tromsø, Norway.
Sonja E SteigenClinical Pathology, University Hospital of North Norway, Tromsø, Norway.
Eli Marie GrindedalSection of Inherited Cancer, Department of Medical Genetics, Oslo University Hospital, Oslo, Norway.
Oslo University Hospital · NOUniversity Hospital of North Norway · NOUiT The Arctic University of Norway · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Familial adenomatous polyposis (FAP) is usually caused by germline mutations in the adenomatous polyposis coli (APC) gene. The classic form is characterized by hundreds to thousands of adenomas in the colorectum and early onset colorectal cancer (CRC) if left untreated. FAP is also associated with multiple extra-colonic manifestations such as gastroduodenal polyps, osteomas, epidermoid cysts, fibromas and desmoids. Most desmoid tumours in FAP patients occur intra-abdominally. Approximately 15-20% of the APC mutations are de novo mutations. Somatic mosaicism has been reported in some sporadic cases of polyposis but is probably an underestimated cause of the disease. This case report presents the detection of a mosaic APC mutation in a 26-year-old woman who as a child had been diagnosed with desmoid type fibromatosis. FAP was suggested when she presented with extensive extra abdominal fibromatosis. Our findings indicate that APC mutations may be suspected in patients presenting with a desmoid regardless of its location. If there is clinical evidence that the patient has FAP, adenomas and colonic mucosa in addition to leukocyte DNA should be included in the screening, preferably using methods that are more sensitive than Sanger sequencing.

Indexed as

MosaicismAdenomatous Polyposis ColiAdenomatous Polyposis Coli ProteinAdultDesmoid TumorsFemaleFibromatosis, AbdominalHumansMutationAdenomatous Polyposis Coli ProteinAPC protein, humanAPC geneDesmoidsDesmoid type fibromatosisFamilial adenomatous polyposisMosaicism

Identifiers

PMID29368261
PMCPMC6182574
OpenAlexW2784993257

What OpenQuestion holds

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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.