Evidence map›Paper›PMID 31027501›Full record

ArticleDiagnostic pathology2019

Leiomyoma with KAT6B-KANSL1 fusion: case report of a rapidly enlarging uterine mass in a postmenopausal woman.

Alessandra J Ainsworth, Nooshin K Dashti, Taofic Mounajjed, Karen J Fritchie, Jaime Davila, Rohini Mopuri, Rory A Jackson, Kevin C Halling, Jamie N Bakkum-Gamez, J Kenneth Schoolmeester

Open access · goldAbstract readCase Reports
In one paragraph

Article in Diagnostic pathology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.4field-weighted citation impact, top 18% 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

11 citing papers in PubMed, 22 citations in OpenAlex.

  1. Gynecologic oncology reports · 2026
    Article
  2. Uterine sarcoma with KAT6B/A::KANSL1 fusion: an evolving entity.Virchows Archiv : an international journal of pathology · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Uterine leiomyoma with RAD51B::NUDT3 fusion: a report of 2 cases.Virchows Archiv : an international journal of pathology · 2024
    Article
  7. Review
  8. Article
  9. Integrated mutational landscape analysis of uterine leiomyosarcomas.Proceedings of the National Academy of Sciences of the United States of America · 2021
    Article
  10. Article
  11. Molecular and clinicopathologic characterization of intravenous leiomyomatosis.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2020
    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 at 2 institutions in 1 country.

Alessandra J AinsworthDepartment of Obstetrics and Gynecology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA. ainsworth.alessandra@mayo.edu.ORCID http://orcid.org/0000-0001-7203-5155
Nooshin K DashtiDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
Taofic MounajjedDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
Karen J FritchieDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
Jaime DavilaDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
Rohini MopuriDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
Rory A JacksonDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
Kevin C HallingDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
Jamie N Bakkum-GamezDepartment of Obstetrics and Gynecology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
J Kenneth SchoolmeesterDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
Mayo Clinic in Arizona · USMayo Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUterine leiomyomas, in contrast to sarcomas, tend to cease growth following menopause. In the setting of a rapidly enlarging uterine mass in a postmenopausal patient, clinical distinction of uterine leiomyoma from sarcoma is difficult and requires pathologic examination. CASE PRESENTATION: A 74-year-old woman presented with postmenopausal bleeding and acute blood loss requiring transfusion. She was found to have a rapidly enlarging uterine mass clinically suspicious for sarcoma. An abdominal hysterectomy and bilateral salpingo-oophorectomy were performed. A 15.5 cm partially necrotic intramural mass was identified in the uterine corpus. The tumor was classified as a cellular leiomyoma. RNA sequencing identified a KAT6B-KANSL1 fusion that was confirmed by RT-PCR and Sanger sequencing. After 6 months of follow-up, the patient remains asymptomatic without evidence of disease.

conclusionPrior studies of uterine leiomyomas have identified KAT6B (previously MORF) rearrangements in uterine leiomyomas, but this case is the first to identify a KAT6B-KANSL1 gene fusion in a uterine leiomyoma. While alterations of MED12 and HMGA2 are most common in uterine leiomyomas, a range of other genetic pathways have been described. Our case contributes to the evolving molecular landscape of uterine leiomyomas.

Indexed as

AgedFemaleGene FusionHistone AcetyltransferasesHumansLeiomyomaNuclear ProteinsUterine NeoplasmsHistone AcetyltransferasesKAT6B protein, humanNSL1 protein, humanNuclear ProteinsKAT6B-KANSL1LeiomyomaUterus

Identifiers

PMID31027501
PMCPMC6485116
OpenAlexW2947527936

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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.