Evidence map›Paper›PMID 30720533›Full record

ArticleThe American journal of surgical pathology2019

Expanding the Spectrum of Intraosseous Rhabdomyosarcoma: Correlation Between 2 Distinct Gene Fusions and Phenotype.

Narasimhan P Agaram, Lei Zhang, Yun-Shao Sung, Marcela S Cavalcanti, Dianne Torrence, Leonard Wexler, Glenn Francis, Scott Sommerville, David Swanson, Brendan C Dickson and 3 more

Open access · greenAbstract readComparative Study
In one paragraph

Article in The American journal of surgical pathology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 1 pooled it
11.7field-weighted citation impact, top 1% 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

48 citing papers in PubMed, 1 synthesis or guideline pooled it, 130 citations in OpenAlex.

  1. Pooled it
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  7. Unlikely Twist: RMS Emerging from Maxillary Alveolar Fibroma in a Young Adult- A Case Report.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2025
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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 5 institutions in 4 countries.

Narasimhan P AgaramDepartments of Pathology.
Lei ZhangDepartments of Pathology.
Yun-Shao SungDepartments of Pathology.
Marcela S CavalcantiNeopath Dx Diagnostic Pathology Laboratory, Curitiba, Paraná, Brazil.
Dianne TorrenceDepartment of Pathology, Immunology and Laboratory Medicine, University of Florida, Gainesville, FL.
Leonard WexlerPediatrics, Memorial Sloan Kettering Cancer Center, New York, NY.
Glenn FrancisGenomics for Life.
Scott SommervilleThe Wesley Hospital.
David SwansonDepartment of Pathology and Laboratory Medicine, Mount Sinai Hospital, Toronto, ON, Canada.
Brendan C DicksonDepartment of Pathology and Laboratory Medicine, Mount Sinai Hospital, Toronto, ON, Canada.
Albert J H SuurmeijerDepartment of Pathology, University Medical Center, University of Groningen, Groningen, The Netherlands.
Richard WilliamsonMedlab Pathology, Brisbane, Qld, Australia.
Cristina R AntonescuDepartments of Pathology.
Mount Sinai Hospital · CAMemorial Sloan Kettering Cancer Center · USUniversity of Florida · USUniversity of Groningen · NLWesley Hospital · AU

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Targeting Oncogenic Pathways in Genetically Complex SarcomasP50CA217694 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI Marc Ladanyi · 2018 to 2026
$21.5M
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 CA140146NCI NIH HHS P50 CA217694
6 · The paper itself

Abstract

Primary intraosseous rhabdomyosarcomas (RMSs) are extremely rare. Recently 2 studies reported 4 cases of primary intraosseous RMS with EWSR1/FUS-TFCP2 gene fusions, associated with somewhat conflicting histologic features, ranging from spindle to epithelioid. In this study we sought to further investigate the pathologic and molecular abnormalities of a larger group of intraosseous RMSs by a combined approach using targeted RNA sequencing analysis and fluorescence in situ hybridization (FISH). We identified 7 cases, 3 males and 4 females, all in young adults, age range 20 to 39 years (median, 27 y). Three cases involved the pelvis, 2 involved the femur and 1 each involved the maxilla and the skull. Molecular studies identified recurrent gene fusions in all 7 cases tested, including: a novel MEIS1-NCOA2 fusion in 2 cases, EWSR1-TFCP2 in 3 cases, and FUS-TFCP2 gene fusions in 1 case. One case showed a FUS gene rearrangement, without a TFCP2 gene abnormality by FISH. The MEIS1-NCOA2-positive cases were characterized by a more primitive and fascicular spindle cell appearance, while the EWSR1/FUS rearranged tumors had a hybrid spindle and epithelioid phenotype, with more abundant eosinophilic cytoplasm and mild nuclear pleomorphism. Immunohistochemically, all tumors were positive for desmin and myogenin (focal). In addition, 4 tumors with TFCP2-associated gene fusions also coexpressed ALK and cytokeratin. In conclusion, our results suggest a high incidence of gene fusions in primary RMSs of bone, with 2 molecular subsets emerging, defined by either MEIS1-NCOA2 or EWSR1/FUS-TFCP2 fusions, showing distinct morphology and immunophenotype. Additional studies with larger numbers of cases and longer follow-up data are required to definitively evaluate the biological behavior of these tumors and to establish their relationship to other spindle cell RMS genetic groups.

Indexed as

Gene FusionGene RearrangementAdultBiomarkers, TumorBone NeoplasmsDNA-Binding ProteinsFemaleGenetic Predisposition to DiseaseHumansIn Situ Hybridization, FluorescenceMaleMyeloid Ecotropic Viral Integration Site 1 ProteinNuclear Receptor Coactivator 2PhenotypeRhabdomyosarcomaRNA-Binding Protein EWSBiomarkers, TumorDNA-Binding ProteinsEWSR1 protein, humanFUS protein, humanMEIS1 protein, humanMyeloid Ecotropic Viral Integration Site 1 ProteinNCOA2 protein, humanNuclear Receptor Coactivator 2RNA-Binding Protein EWSRNA-Binding Protein FUSTFCP2 protein, humanTranscription Factors

Identifiers

PMID30720533
PMCPMC6613942
OpenAlexW2914230008

What OpenQuestion holds

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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.