Evidence map›Paper›PMID 29505425›Full record

ArticleThe American journal of surgical pathology2018

Next-generation Sequencing Reveals Recurrent Somatic Mutations in Small Cell Neuroendocrine Carcinoma of the Uterine Cervix.

Deyin Xing, Gang Zheng, John Kenneth Schoolmeester, Zaibo Li, Aparna Pallavajjala, Lisa Haley, Michael G Conner, Russell Vang, Chien-Fu Hung, Tzyy-Choou Wu and 1 more

Abstract readMulticenter Study
In one paragraph

Article in The American journal of surgical pathology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 1 pooled it
6.0field-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

58 citing papers in PubMed, 1 synthesis or guideline pooled it, 96 citations in OpenAlex.

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  13. A Trichoadenoma/Trichoepithelioma/Trichoblastoma-like Lesion in the Uterine Cervix Focally Mimics an Adenoid Basal Tumor.International journal of gynecological pathology : official journal of the International Society of Gynecological Pathologists · 2025
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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

11 authors at 4 institutions in 1 country.

Deyin XingDepartment of Pathology, Johns Hopkins Medical Institutions, Baltimore, MD.
Gang ZhengDepartment of Pathology, Johns Hopkins Medical Institutions, Baltimore, MD.
John Kenneth SchoolmeesterDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN.
Zaibo LiDepartment of Pathology, The Ohio State University Wexner Medical Center, Columbus, OH.
Aparna PallavajjalaDepartment of Pathology, Johns Hopkins Medical Institutions, Baltimore, MD.
Lisa HaleyDepartment of Pathology, Johns Hopkins Medical Institutions, Baltimore, MD.
Michael G ConnerDepartment of Pathology, The University of Alabama at Birmingham, Birmingham, AL.
Russell VangDepartment of Pathology, Johns Hopkins Medical Institutions, Baltimore, MD.
Chien-Fu HungDepartment of Pathology, Johns Hopkins Medical Institutions, Baltimore, MD.
Tzyy-Choou WuDepartment of Pathology, Johns Hopkins Medical Institutions, Baltimore, MD.
Brigitte M RonnettDepartment of Pathology, Johns Hopkins Medical Institutions, Baltimore, MD.
Johns Hopkins University · USMayo Clinic in Arizona · USThe Ohio State University Wexner Medical Center · USUniversity of Alabama at Birmingham · US

Funding

Translational Therapeutics Research Program (TT)P30CA016058 · NCI · OHIO STATE UNIVERSITY · PI Jennifer A. Woyach · 1985 to 2026
$132.3M
Treatment of HIV- and HIV+ Patients with HPV16+ CIN2/3 Using pNGLV4a-hCRTE6E7L2 DNA vaccine administered intramuscularly via electroporationP50CA098252 · NCI · JOHNS HOPKINS UNIVERSITY · PI TZYY-CHOOU WU · 2003 to 2026
$53.5M
NCI NIH HHS P30 CA016058NCI NIH HHS P50 CA098252
6 · The paper itself

Abstract

Small cell neuroendocrine carcinoma (SCNEC) of the uterine cervix is a rare but extremely aggressive tumor. While high-risk human papillomavirus (HPV) is involved at an early stage of oncogenesis in many tumors, additional driving events have been postulated to facilitate the progression of SCNECs. Identification of oncogenic drivers could guide targeted therapy of this neoplasm. Clinicopathologic features of 10 cervical SCNECs are reported. Analyses included immunohistochemical evaluation of p16, p53, synaptophysin, and chromogranin expression; in situ hybridizations and polymerase chain reaction for high-risk HPV and/or HPV 18; and next-generation sequencing based on a 637-gene panel. The patients ranged in age from 28 to 68 years (mean, 45.6 y; median, 40.5 y). All tumors had diffuse p16 and synaptophysin expression. All but 1 tumor was positive for chromogranin (extent of staining ranged from focal to diffuse). HPV 18 was detected in 6 tumors and HPV 35 in 1 tumor. At least 1 driver mutation was detected in 8 tumors. Four cases harbored TP53 somatic mutations, 3 of which correlated with an aberrant p53 staining pattern. Four PIK3CA mutations (p.G106A, p.N345T, p.E545K, and p.E545D) were detected in 3 tumors, 2 of which also harbored TP53 mutations. Oncogenic driver mutations involving KRAS, Erbb2, c-Myc, NOTCH1, BCL6, or NCOA3 were detected in 4 tumors. Mutations in caretaker tumor suppressors PTEN, RB1, BRCA1, BRCA2, and ARID1B were also identified in 4 tumors that commonly coharbored activating oncogenic mutations. Targeted next-generation gene sequencing identified genetic alterations involving the MAPK, PI3K/AKT/mTOR, and TP53/BRCA pathways in SCNECs. The presence of genetic alterations that are amenable to targeted therapy in SCNECs offers the potential for individualized management strategies for treatment of this aggressive tumor.

Indexed as

High-Throughput Nucleotide SequencingMutationAdultAgedBiomarkers, TumorCarcinoma, NeuroendocrineCarcinoma, Small CellDNA Mutational AnalysisFemaleGenetic Predisposition to DiseaseHuman Papillomavirus DNA TestsHumansImmunohistochemistryMiddle AgedPhenotypePredictive Value of TestsBiomarkers, Tumor

Identifiers

PMID29505425
PMCPMC5943084
OpenAlexW2790201099

What OpenQuestion holds

Textmetadata
LicenceTDM
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.