Evidence map›Paper›PMID 29912715›Full record

ArticleThe American journal of surgical pathology2018

Ectomesenchymal Chondromyxoid Tumor: A Neoplasm Characterized by Recurrent RREB1-MKL2 Fusions.

Brendan C Dickson, Cristina R Antonescu, Prokopios P Argyris, Elizabeth A Bilodeau, Martin J Bullock, Paul D Freedman, Douglas R Gnepp, Richard C Jordan, Ioannis G Koutlas, Cheng-Han Lee and 9 more

Open access · greenAbstract read
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 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
7.7field-weighted citation impact, top 2% 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

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 75 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. An epithelioid hemangioendothelioma with a novel RREB1::TFE3 gene fusion.Virchows Archiv : an international journal of pathology · 2026
    Article
  5. Article
  6. Beyond Hybrid Morphology: A Large Series of Fusion-Driven Benign Peripheral Nerve Sheath Tumors Including 5 Tumors With Novel Fusions.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Molecular pathology in diagnosis and prognostication of head and neck tumors.Virchows Archiv : an international journal of pathology · 2024
    Review
  14. Review
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Detection of sarcoma fusions by a next-generation sequencing based-ligation-dependent multiplex RT-PCR assay.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2022
    Article
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

19 authors at 14 institutions in 3 countries.

Brendan C DicksonDepartment of Pathology & Laboratory Medicine, Mount, Sinai Hospital.
Cristina R AntonescuDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York.
Prokopios P ArgyrisDivision of Oral and Maxillofacial Pathology, School of Dentistry.
Elizabeth A BilodeauDepartment of Diagnostic Sciences, University of Pittsburgh School of Dental Medicine, Pittsburgh, PA.
Martin J BullockDepartment of Pathology, Dalhousie University, Halifax, NS.
Paul D FreedmanSection of Oral Pathology, New York Presbyterian/Queens, Flushing.
Douglas R GneppDepartment of Pathology, Warren Alpert School of Medicine at Brown University (retired), Providence, RI.
Richard C JordanDepartment of Orofacial Sciences, Pathology and Radiation Oncology, University of California San Francisco, San Francisco.
Ioannis G KoutlasDivision of Oral and Maxillofacial Pathology, School of Dentistry.
Cheng-Han LeeBC Cancer Agency, Vancouver, BC, Canada.
Iona LeongDepartment of Pathology & Laboratory Medicine, Mount, Sinai Hospital.
Mihai MerzianuRoswell Park Cancer Institute, Buffalo, NY.
Bibianna M PurginaDepartment of Pathology and Laboratory Medicine, Ottawa Hospital, University of Ottawa, Ottawa.
Lester D R ThompsonSouthern California Permanente Medical Group, Woodland Hills, CA.
Bret WehrliDepartment of Pathology and Laboratory Medicine, London Health Sciences Centre, Western University, London, ON.
John M WrightTexas A&M College of Dentistry.
David SwansonDepartment of Pathology & Laboratory Medicine, Mount, Sinai Hospital.
Lei ZhangDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York.
Justin A BishopDepartment of Pathology, UT Southwestern Medical Center, Dallas, TX.
Mount Sinai Hospital · USMemorial Sloan Kettering Cancer Center · USUniversity of Pittsburgh · USBC Cancer Agency · CABrown University · USDalhousie University · CALondon Health Sciences Centre · CANational Medical Research Center of Dentistry and Maxillofacial Surgery · RUSouthwestern Medical CenterTexas A&M University · USUniversity of California, San Francisco · USUniversity of Minnesota · USUniversity of Ottawa · CAUniversity of Toronto · CA

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
SPORE in Soft Tissue SarcomaP50CA140146 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI SPRIGGS, DAVID R · 2010 to 2014
$11.1M
NCI NIH HHS P30 CA008748NCI NIH HHS P50 CA140146
6 · The paper itself

Abstract

Ectomesenchymal chondromyxoid tumor is a rare and benign neoplasm with a predilection for the anterior dorsal tongue. Despite morphologic heterogeneity, most cases are characterized by a proliferation of bland spindle cells with a distinctive reticular growth pattern and myxoid stroma. The immunophenotype of these neoplasms is likewise variable; most cases express glial fibrillary acid protein and S100 protein, with inconsistent reports of keratin and myoid marker expression. The molecular pathogenesis is poorly understood; however, a subset of cases has been reported to harbor EWSR1 gene rearrangement. Following identification of an RREB1-MKL2 fusion gene by RNA Sequencing in an index patient, a retrospective review of additional cases of ectomesenchymal chondromyxoid tumors was performed to better characterize the clinical, immunohistochemical, and molecular attributes of this neoplasm. A total of 21 cases were included in this series. A marked predisposition for the dorsal tongue was confirmed. Most cases conformed to prior morphologic descriptions; however, hypercellularity, hyalinized stroma, and necrosis were rare attributes not previously emphasized. The neoplastic cells frequently coexpressed glial fibrillary acid protein, S100 protein, keratin, smooth muscle actin, and/or desmin; a single case was found to contain significant myogenin expression. An RREB1-MKL2 fusion product was identified in 19 tumors (90%), a single tumor (5%) had an EWSR1-CREM fusion product, and the remaining case lacked any known fusion gene by RNA Sequencing. The latter 2 cases subtly differed morphologically from many in the cohort. This series illustrates that recurrent RREB1-MKL2 fusions occur in most, perhaps all, cases of ectomesenchymal chondromyxoid tumor.

Indexed as

Gene FusionActinsAdolescentAdultBiomarkers, TumorDesminDNA-Binding ProteinsFemaleGenetic Predisposition to DiseaseGlial Fibrillary Acidic ProteinHumansImmunohistochemistryIn Situ Hybridization, FluorescenceKeratinsMaleMiddle AgedActinsBiomarkers, TumorDesminDNA-Binding ProteinsGFAP protein, humanGlial Fibrillary Acidic ProteinKeratinsMRTFB protein, humanRREB1 protein, humanS100 ProteinsTranscription Factors

Identifiers

PMID29912715
PMCPMC6133728
OpenAlexW2808342135

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.