Evidence map›Paper›PMID 29388013›Full record

ArticleVirchows Archiv : an international journal of pathology2018

Most high-grade neuroendocrine tumours of the lung are likely to secondarily develop from pre-existing carcinoids: innovative findings skipping the current pathogenesis paradigm.

Giuseppe Pelosi, Fabrizio Bianchi, Elisa Dama, Michele Simbolo, Andrea Mafficini, Angelica Sonzogni, Sara Pilotto, Sergio Harari, Mauro Papotti, Marco Volante and 6 more

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In one paragraph

Article in Virchows Archiv : an international journal of pathology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
6.6field-weighted citation impact, top 3% 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

37 citing papers in PubMed, 77 citations in OpenAlex.

  1. Article
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  5. Article
  6. Management of typical and atypical metastatic lung carcinoids: present and future perspectives.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Review
  7. Article
  8. Article
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  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Role of surgery in high-grade neuroendocrine tumors of the lung.Turk gogus kalp damar cerrahisi dergisi · 2022
    Article
  16. Review
  17. Expanding Therapeutic Opportunities for Extrapulmonary Neuroendocrine Carcinoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2022
    Review
  18. Review
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 9 institutions in 1 country.

Giuseppe PelosiDepartment of Oncology and Hemato-Oncology, Università degli Studi di Milano, Milan, Italy. giuseppe.pelosi@unimi.it.ORCID http://orcid.org/0000-0003-4725-4692
Fabrizio BianchiISBREMIT, Regenerative Medicine and Innovative Therapies, IRCCS Casa Sollievo della Sofferenza, Institute for Stem-Cell Biology, San Giovanni Rotondo, FG, Italy.
Elisa DamaISBREMIT, Regenerative Medicine and Innovative Therapies, IRCCS Casa Sollievo della Sofferenza, Institute for Stem-Cell Biology, San Giovanni Rotondo, FG, Italy.
Michele SimboloARC-NET Research Centre and Section of Pathology of the Department of Diagnostics and Public Health, University and Hospital Trust of Verona, Verona, Italy.
Andrea MafficiniARC-NET Research Centre and Section of Pathology of the Department of Diagnostics and Public Health, University and Hospital Trust of Verona, Verona, Italy.
Angelica SonzogniDepartment of Pathology and Laboratory Medicine, Fondazione IRCCS Istituto Nazionale Tumori, Milan, Italy.
Sara PilottoDepartment of Medicine, Section of Medical Oncology, University and Hospital Trust of Verona, Verona, Italy.
Sergio HarariDepartment of Medical Sciences and Division of Pneumology, San Giuseppe Hospital, IRCCS MultiMedica, Milan, Italy.
Mauro PapottiDepartment of Oncology, City of Health and Science, University of Turin and Pathology Unit Molinette Hospital, Turin, Italy.
Marco VolanteDepartment of Oncology, University of Turin and Pathology Unit San Luigi Hospital, Orbassano, Turin, Italy.
Gabriella FontaniniDepartment of Surgical, Medical, Molecular Pathology and Critical Area, University of Pisa, Pisa, Italy.
Luca MastracciDepartment of Surgical and Diagnostic Sciences (DISC), University of Genova and IRCCS San Martino-IST University Hospital, Genoa, Italy.
Adriana AlbiniLaboratory of Vascular Biology and Angiogenesis, Science & Technology Park, IRCCS MultiMedica, Milan, Italy.
Emilio BriaDepartment of Medicine, Section of Medical Oncology, University and Hospital Trust of Verona, Verona, Italy.
Fiorella CalabreseDepartment of Cardiothoracic and Vascular Sciences, Pathological Anatomy Section, University of Padua Medical School, Padua, Italy.
Aldo ScarpaARC-NET Research Centre and Section of Pathology of the Department of Diagnostics and Public Health, University and Hospital Trust of Verona, Verona, Italy.
University of Verona · ITCasa Sollievo della Sofferenza · ITMultiMedica · ITUniversity of Turin · ITFondazione IRCCS Istituto Nazionale dei Tumori · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITUniversity of Milan · ITUniversity of Padua · ITUniversity of Pisa · IT

Funding

Associazione Angela Serra per la Ricerca sul Cancro MFAG14282Associazione Italiana per la Ricerca sul Cancro 5x1000 18182Associazione Italiana per la Ricerca sul Cancro IG19238Associazione Italiana per la Ricerca sul Cancro MFAG14282Associazione Italiana per la Ricerca sul Cancro MFAG17568International Association for the Study of Lung Cancer fellowship awardItalian Association for Cancer Research (AIRC) MFAG17568
6 · The paper itself

Abstract

Among lung neuroendocrine tumours (Lung-NETs), typical carcinoid (TC) and atypical carcinoid (AC) are considered separate entities as opposed to large cell neuroendocrine carcinoma (LCNEC) and small cell lung carcinoma (SCLC). By means of two-way clustering analysis of previously reported next-generation sequencing data on 148 surgically resected Lung-NETs, six histology-independent clusters (C1 → C6) accounting for 68% of tumours were identified. Low-grade Lung-NETs were likely to evolve into high-grade tumours following two smoke-related paths. Tumour composition of the first path (C5 → C1 → C6) was coherent with the hypothesis of an evolution of TC to LCNEC, even with a conversion of SCLC-featuring tumours to LCNEC. The second path (C4 → C2-C3) had a tumour composition supporting the evolution of AC to SCLC-featuring tumours. The relevant Ki-67 labelling index varied accordingly, with median values being 5%, 9% and 50% in the cluster sequence C5 → C1 → C6, 12% in cluster C4 and 50-60% in cluster C2-C3. This proof-of-concept study suggests an innovative view on the progression of pre-existing TC or AC to high-grade NE carcinomas in most Lung-NET instances.

Indexed as

AgedCarcinoid TumorCluster AnalysisDisease ProgressionFemaleHumansLung NeoplasmsMaleMiddle AgedNeuroendocrine TumorsCluster analysisLungNeuroendocrineTransitionTumours

Identifiers

PMID29388013
OpenAlexW2787524671

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.