Evidence map›Paper›PMID 30187175›Full record

ArticlePituitary2018

BRAF V600E mutant papillary craniopharyngiomas: a single-institutional case series.

Emanuele La Corte, Iyan Younus, Francesca Pivari, Adelina Selimi, Malte Ottenhausen, Jonathan A Forbes, David J Pisapia, Georgiana A Dobri, Vijay K Anand, Theodore H Schwartz

Abstract read
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In one paragraph

Article in Pituitary, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
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

12 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Glioneuronal and Neuronal Tumors of the Central Nervous System.Advances in experimental medicine and biology · 2023
    Article
  6. Article
  7. Review
  8. Review
  9. Update on management of craniopharyngiomas.Journal of neuro-oncology · 2022
    Review
  10. Medical Therapy for Craniopharyngiomas.TouchREVIEWS in endocrinology · 2021
    Review
  11. Targeted Therapy for BRAF Mutant Brain Tumors.Current treatment options in oncology · 2021
    Review
  12. 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

10 authors.

Emanuele La CorteDepartment of Neurosurgery, Weill Cornell Medical College, New York-Presbyterian Hospital, 525 East 68th St., Box #99, New York, NY, 10065, USA.ORCID http://orcid.org/0000-0003-3752-8629
Iyan YounusDepartment of Neurosurgery, Weill Cornell Medical College, New York-Presbyterian Hospital, 525 East 68th St., Box #99, New York, NY, 10065, USA.
Francesca PivariDepartment of Neurosurgery, Weill Cornell Medical College, New York-Presbyterian Hospital, 525 East 68th St., Box #99, New York, NY, 10065, USA.ORCID http://orcid.org/0000-0002-2277-6833
Adelina SelimiDepartment of Neurosurgery, Weill Cornell Medical College, New York-Presbyterian Hospital, 525 East 68th St., Box #99, New York, NY, 10065, USA.
Malte OttenhausenDepartment of Neurosurgery, Weill Cornell Medical College, New York-Presbyterian Hospital, 525 East 68th St., Box #99, New York, NY, 10065, USA.
Jonathan A ForbesDepartment of Neurosurgery, Weill Cornell Medical College, New York-Presbyterian Hospital, 525 East 68th St., Box #99, New York, NY, 10065, USA.
David J PisapiaDepartment of Pathology, Weill Cornell Medical College, New York-Presbyterian Hospital, New York, NY, USA.
Georgiana A DobriDepartment of Neurosurgery, Weill Cornell Medical College, New York-Presbyterian Hospital, 525 East 68th St., Box #99, New York, NY, 10065, USA.
Vijay K AnandDepartment of Otolaryngology, Weill Cornell Medical College, New York-Presbyterian Hospital, New York, NY, USA.
Theodore H SchwartzDepartment of Neurosurgery, Weill Cornell Medical College, New York-Presbyterian Hospital, 525 East 68th St., Box #99, New York, NY, 10065, USA. schwarh@med.cornell.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo describe the clinical, radiographic and surgical outcomes in a cohort of patients with BRAF V600E mutant papillary craniopharyngiomas.

methodsA retrospective review was performed to identify all patients with a histological diagnosis of CP operated upon at a single institution between 2005 and 2017. All cases with adequate material were sequenced to confirm the presence of BRAF V600E mutation.

resultsSixteen patients were included in the present study. Approach was endoscopic endonasal (EEA) in 14 and transcranial (TCA) in 2. All patients were adult with an average age of 50 years (24-88). Radiographic review demonstrated that the majority (93.7%) were suprasellar and twelve (75%) had third ventricular involvement. No tumor showed evidence of calcifications and 68.7% were mixed solid-cystic. All patients had some evidence of hypopituitarism and 62.5% had hypothalamic disturbances. GTR was achieved in 11/14 (78.6%) EEA and 0/2 (0%) TCA (p < 0.05). The mean length of stay was 17.5 days in the TCA group and 7.6 days in the EEA group (p < 0.05). There were no CSF leaks. Post-operatively, eleven (68.7%) developed new DI or new hypopituitarism. Nine increased their BMI with a mean increase of 12.3%, whereas six patients lost weight with a mean decrease of 5.3%.

conclusionsBRAF V600E mutant papillary tumors represent a clearly distinct clinical-pathological entity of craniopharyngiomas. These are generally non-calcified suprasellar tumors that occur in adults. These distinct characteristics may someday lead to upfront chemotherapy. When surgery is necessary, EEA may be preferred over TCA.

Indexed as

AdultAgedAged, 80 and overbeta CateninCraniopharyngiomaFemaleHigh-Throughput Nucleotide SequencingHumansHypopituitarismHypothalamic DiseasesMaleMiddle AgedProto-Oncogene Proteins B-rafRetrospective StudiesTreatment Outcomebeta CateninBRAF protein, humanCTNNB1 protein, humanProto-Oncogene Proteins B-rafBRAFCraniopharyngiomaCTNNB1PapillarySuprasellarThird ventricle

Identifiers

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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.