Evidence map›Paper›PMID 30287926›Full record

ArticleModern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc2019

Histiocyte-rich rhabdomyoblastic tumor: rhabdomyosarcoma, rhabdomyoma, or rhabdomyoblastic tumor of uncertain malignant potential? A histologically distinctive rhabdomyoblastic tumor in search of a place in the classification of skeletal muscle neoplasms.

Anthony P Martinez, Karen J Fritchie, Sharon W Weiss, Abbas Agaimy, Florian Haller, Hsuan-Ying Huang, Seungjae Lee, Armita Bahrami, Andrew L Folpe

Abstract read
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In one paragraph

Article in Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

18 citing papers in PubMed, 40 citations in OpenAlex.

  1. Article
  2. Article
  3. Rhabdomyosarcoma in children and young adults.Virchows Archiv : an international journal of pathology · 2025
    Review
  4. Article
  5. Fetal rhabdomyoma in a Thoroughbred filly.Veterinary medicine and science · 2024
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Toward a unifying entity that encompasses most, but perhaps not all, inflammatory leiomyosarcomas and histiocyte-rich rhabdomyoblastic tumors.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2021
    Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. The current landscape of rhabdomyosarcomas: an update.Virchows Archiv : an international journal of pathology · 2020
    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

9 authors at 5 institutions in 3 countries.

Anthony P MartinezDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA, 55902.ORCID http://orcid.org/0000-0002-0815-3103
Karen J FritchieDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA, 55902.
Sharon W WeissDepartment of Pathology and Laboratory Medicine, Emory University, Atlanta, GA, USA, 30322.
Abbas AgaimyInstitute of Pathology, Friedrich-Alexander University Erlangen-Nürnberg, University Hospital of Erlangen, 91054, Erlangen, Germany.
Florian HallerInstitute of Pathology, Friedrich-Alexander University Erlangen-Nürnberg, University Hospital of Erlangen, 91054, Erlangen, Germany.
Hsuan-Ying HuangDepartment of Pathology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, 123, Ta-Pei Road, Niao-Sung District, Kaohsiung City, Taiwan.
Seungjae LeeDepartment of Pathology, St. Jude Children's Research Hospital, Memphis, TN, 38105, USA.
Armita BahramiDepartment of Pathology, St. Jude Children's Research Hospital, Memphis, TN, 38105, USA.
Andrew L FolpeDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA, 55902. folpe.andrew@mayo.edu.
Mayo Clinic · USFriedrich-Alexander-Universität Erlangen-Nürnberg · DESt. Jude Children's Research Hospital · USChang Gung University · TWEmory University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Skeletal muscle tumors are traditionally classified as rhabdomyoma or rhabdomyosarcoma. We have identified an unusual adult rhabdomyoblastic tumor not clearly corresponding to a previously described variant of rhabdomyoma or rhabdomyosarcoma, characterized by a very striking proliferation of non-neoplastic histiocytes, obscuring the underlying tumor. Ten cases were identified in nine males and one female with a median age of 43 years (range 23-69 years). Tumors involved the deep soft tissues of the trunk (N = 4), lower limbs (N = 4), and neck (N = 2). Tumors were well-circumscribed, nodular masses, frequently surrounded by a fibrous capsule containing lymphoid aggregates and sometimes calcifications. Numerous foamy macrophages, multinucleated Touton-type giant cells, and sheets/fascicles of smaller, often spindled macrophages largely obscured the underlying desmin, MyoD1, and myogenin-positive rhabdomyoblastic tumor. Cases were wild type for MYOD1 and no other mutations or rearrangements characteristic of a known subtype of rhabdomyoma or rhabdomyosarcoma were identified. Two of four cases successfully analyzed using a next-generation sequencing panel of 170 common cancer-related genes harbored inactivating NF1 mutations. Next-generation sequencing showed no gene fusions. Clinical follow (nine patients; median 9 months; mean 23 months; range 3-124 months) showed all patients received wide excision; four patients also received adjuvant radiotherapy and none received chemotherapy. At the time of last follow-up, all patients were alive and without disease; no local recurrences or distant metastases occurred. We hypothesize that these unusual tumors represent rhabdomyoblastic tumors of uncertain malignant potential. Possibly over time they should be relegated to a new category of skeletal muscle tumors of intermediate (borderline) malignancy.

Indexed as

AdultAgedFemaleHumansMaleMiddle AgedMuscle NeoplasmsMuscle, SkeletalRhabdomyomaRhabdomyosarcomaYoung Adult

Identifiers

PMID30287926
OpenAlexW2895251553

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.