Evidence map›Paper›PMID 30006736›Full record

Trial reportHuman genetics2018

Phenotypic and genotypic overlap between mosaic NF2 and schwannomatosis in patients with multiple non-intradermal schwannomas.

Hildegard Kehrer-Sawatzki, Lan Kluwe, Reinhard E Friedrich, Anna Summerer, Eleonora Schäfer, Ute Wahlländer, Cordula Matthies, Isabel Gugel, Said Farschtschi, Christian Hagel and 2 more

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Human genetics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 11% 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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Comprehensive Genetic Analysis ofLaryngoscope investigative otolaryngology · 2025
    Article
  6. Hybrid granular cell tumor/perineurioma: a report of two rare cases with PIK3CA mutations.Virchows Archiv : an international journal of pathology · 2025
    Article
  7. Review
  8. Update on Cancer and Central Nervous System Tumor Surveillance in Pediatric NF2-, SMARCB1-, and LZTR1-Related Schwannomatosis.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Article
  9. Article
  10. Role ofCancers · 2024
    Review
  11. Article
  12. Review
  13. Article
  14. Review
  15. Review
  16. Review
  17. Article
  18. Review
  19. Article
  20. Review
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 5 institutions in 2 countries.

Hildegard Kehrer-SawatzkiInstitute of Human Genetics, University of Ulm, 89081, Ulm, Germany. hildegard.kehrer-sawatzki@uni-ulm.de.ORCID http://orcid.org/0000-0002-3398-5913
Lan KluweDepartment of Neurology, University Hospital Hamburg Eppendorf, 20246, Hamburg, Germany.
Reinhard E FriedrichDepartment of Oral and Maxillofacial Surgery, University Hospital Hamburg Eppendorf, 20246, Hamburg, Germany.
Anna SummererInstitute of Human Genetics, University of Ulm, 89081, Ulm, Germany.
Eleonora SchäferInstitute of Human Genetics, University of Ulm, 89081, Ulm, Germany.
Ute WahlländerKBO- Children Clinical Center Munich, 81377, Munich, Germany.
Cordula MatthiesDepartment of Neurosurgery, University of Würzburg, 97080, Würzburg, Germany.
Isabel GugelDepartment of Neurosurgery, University Hospital Tübingen, 72076, Tübingen, Germany.
Said FarschtschiDepartment of Neurology, University Hospital Hamburg Eppendorf, 20246, Hamburg, Germany.
Christian HagelDepartment of Neuropathology, University Hospital Hamburg Eppendorf, 20246, Hamburg, Germany.
David N CooperInstitute of Medical Genetics, School of Medicine, Cardiff University, Cardiff, CF14 4XN, UK.
Victor-Felix MautnerDepartment of Neurology, University Hospital Hamburg Eppendorf, 20246, Hamburg, Germany.
Universität Hamburg · DEUniversität Ulm · DECardiff University · GBUniversity Children's Hospital Tübingen · DEUniversity of Würzburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Schwannomatosis and neurofibromatosis type 2 (NF2) are both characterized by the development of multiple schwannomas but represent different genetic entities. Whereas NF2 is caused by mutations of the NF2 gene, schwannomatosis is associated with germline mutations of SMARCB1 or LZTR1. Here, we studied 15 sporadic patients with multiple non-intradermal schwannomas, but lacking vestibular schwannomas and ophthalmological abnormalities, who fulfilled the clinical diagnostic criteria for schwannomatosis. None of them harboured germline NF2 or SMARCB1 mutations as determined by the analysis of blood samples but seven had germline LZTR1 variants predicted to be pathogenic. At least two independent schwannomas from each patient were subjected to NF2 mutation testing. In five of the 15 patients, identical somatic NF2 mutations were identified (33%). If only those patients without germline LZTR1 variants are considered (n = 8), three of them (37.5%) had mosaic NF2 as concluded from identical NF2 mutations identified in independent schwannomas from the same patient. These findings imply that a sizeable proportion of patients who fulfil the diagnostic criteria for schwannomatosis, are actually examples of mosaic NF2. Hence, the molecular characterization of tumours in patients with a clinical diagnosis of schwannomatosis is very important. Remarkably, two of the patients with germline LZTR1 variants also had identical NF2 mutations in independent schwannomas from each patient which renders differential diagnosis of LZTR1-associated schwannomatosis versus mosaic NF2 in these patients very difficult.

Indexed as

GenotypeGerm-Line MutationAdolescentAdultFemaleHumansMaleMiddle AgedNeurilemmomaNeurofibromatosesNeurofibromatosis 2NeurofibrosarcomaSkin NeoplasmsSMARCB1 ProteinTranscription FactorsLZTR1 protein, humanSMARCB1 ProteinSMARCB1 protein, humanTranscription Factors

Identifiers

PMID30006736
OpenAlexW2883110812

What OpenQuestion holds

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Read underepoch 390

Registered trials

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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.