Evidence map›Paper›PMID 30373905›Full record

ArticleThe oncologist2019

Genomic Profiling of Parathyroid Carcinoma Reveals Genomic Alterations Suggesting Benefit from Therapy.

Hyunseok Kang, Dean Pettinga, Adrian D Schubert, Paul W Ladenson, Douglas W Ball, Jon H Chung, Alexa B Schrock, Russell Madison, Garrett M Frampton, Phil J Stephens and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in The oncologist, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
2.4field-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

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.

  1. Pooled it
  2. Mutational patterns in a large cohort of parathyroid carcinomas.Journal of endocrinological investigation · 2026
    Article
  3. Article
  4. Article
  5. Review
  6. Parathyroid carcinoma: epidemiology and genetics.Endocrine oncology (Bristol, England) · 2026
    Review
  7. Article
  8. Avoiding overdiagnosis of parathyroid carcinoma.Virchows Archiv : an international journal of pathology · 2026
    Review
  9. Diagnosing the silent: the molecular landscape of non-functional parathyroid carcinoma.Virchows Archiv : an international journal of pathology · 2025
    Review
  10. Article
  11. Journal of the Endocrine Society · 2025
    Article
  12. Article
  13. Article
  14. Dicer-Mediated mTORC1 Signaling and Parathyroid Gland Integrity and Function.Journal of the American Society of Nephrology : JASN · 2024
    Article
  15. Article
  16. Article
  17. Review
  18. Article
  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

13 authors at 3 institutions in 1 country.

Hyunseok KangDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA hyunseok.kang@ucsf.edu.ORCID 0000-0001-5758-8202
Dean PettingaFoundation Medicine Inc., Cambridge, Massachusetts, USA.
Adrian D SchubertDepartment of Otolaryngology - Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Paul W LadensonDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Douglas W BallDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Jon H ChungFoundation Medicine Inc., Cambridge, Massachusetts, USA.
Alexa B SchrockFoundation Medicine Inc., Cambridge, Massachusetts, USA.
Russell MadisonFoundation Medicine Inc., Cambridge, Massachusetts, USA.
Garrett M FramptonFoundation Medicine Inc., Cambridge, Massachusetts, USA.
Phil J StephensFoundation Medicine Inc., Cambridge, Massachusetts, USA.
Jeffrey S RossFoundation Medicine Inc., Cambridge, Massachusetts, USA.
Vincent A MillerFoundation Medicine Inc., Cambridge, Massachusetts, USA.
Siraj M AliFoundation Medicine Inc., Cambridge, Massachusetts, USA.
Foundation Medicine (United States)Johns Hopkins Medicine · USJohns Hopkins University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundParathyroid carcinoma (PC) is a rare endocrine malignancy that can cause life-threatening hypercalcemia. We queried whether comprehensive genomic profiling (CGP) of PC might identify genomic alterations (GAs), which would suggest benefit from rationally matched therapeutics.

methodsWe performed hybrid-capture-based CGP to identify GAs and tumor mutational burden (TMB) in tumors from patients with this malignancy.

resultsThere were 85 total GAs in 16 cases (5.3 GAs per case), and the median TMB was 1.7 mutations per megabase (m/Mb), with three cases having >20 m/Mb (18.7%). The genes most frequently harboring GA were

conclusionCGP identified GAs in PC that suggest benefit from targeted therapy, as supported by an index case of response to a matched tyrosine kinase inhibitor. Moreover, the unexpectedly high frequency of high TMB (>20 m/Mb) suggests a subset of PC may benefit from immune checkpoint inhibitors. IMPLICATIONS FOR PRACTICE: Parathyroid carcinoma (PC) is a rare endocrine malignancy that can cause life-threatening hypercalcemia. However, its molecular characteristics remain unclear, with few systemic therapeutic options available for this tumor. Hybrid-capture-based comprehensive genomic profiling of 16 primary cancers demonstrated presence of potentially actionable genomic alterations, including

Indexed as

Gene Expression ProfilingAdultAgedAntineoplastic AgentsBiomarkers, TumorCohort StudiesFemaleGenomicsHigh-Throughput Nucleotide SequencingHumansMaleMiddle AgedMolecular Targeted TherapyMutation RateParathyroid NeoplasmsPatient SelectionAntineoplastic AgentsBiomarkers, TumorMutationParathyroid cancerProfilingSequencingTargeted therapy

Identifiers

PMID30373905
PMCPMC6656481
OpenAlexW2898834492

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.