Evidence map›Paper›PMID 31595587›Full record

ArticleGenes, chromosomes & cancer2020

Novel SS18-NEDD4 gene fusion in a primary renal synovial sarcoma.

Pedram Argani, Lei Zhang, Yun-Shao Sung, Carlos Bacchi, David Swanson, Brendan C Dickson, Cristina R Antonescu

Open access · greenAbstract readCase Reports
In one paragraph

Article in Genes, chromosomes & cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 24% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Synovial Sarcoma: Molecular Biology, Pathology, and Therapeutic Strategies.International journal of molecular sciences · 2026
    Review
  3. Molecular Profiling ofJournal of personalized medicine · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Identification of novel SSX1 fusions in synovial sarcoma.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2022
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. 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

7 authors at 4 institutions in 3 countries.

Pedram ArganiDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland.ORCID 0000-0001-8797-9474
Lei ZhangDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, New York.
Yun-Shao SungDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, New York.
Carlos BacchiLab Bacchi, São Paulo, Brazil.
David SwansonDepartment of Pathology and Laboratory Medicine, Mount Sinai Hospital, Toronto, Ontario, Canada.
Brendan C DicksonDepartment of Pathology and Laboratory Medicine, Mount Sinai Hospital, Toronto, Ontario, Canada.ORCID 0000-0003-2269-6216
Cristina R AntonescuDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0002-9717-8205
Memorial Sloan Kettering Cancer Center · USMount Sinai Hospital · CAJohns Hopkins University · USLaboratório Bacchi · BR

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Targeting Oncogenic Pathways in Genetically Complex SarcomasP50CA217694 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI William D. Tap · 2018 to 2026
$21.5M
SPORE in Soft Tissue SarcomaP50CA140146 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI LADANYI, MARC · 2010 to 2014
$11.1M
NCI NIH HHS P30 CA008748NCI NIH HHS P50 CA140146NCI NIH HHS P50 CA 140146-01NCI NIH HHS P50 CA 217694NCI NIH HHS P50 CA217694
6 · The paper itself

Abstract

We report a primary renal synovial sarcoma with a novel gene fusion and unusual morphology. The patient was a 35-year-old female who was found to have a 5 cm hypocellular, myxoid spindle cell renal neoplasm that subtly permeated amongst native renal tubules. The tumor cells showed elongated hyperchromatic nuclei with ill-defined pale cytoplasm, lacking significant mitotic activity or necrosis. Based on its deceptively bland morphology, the differential diagnosis included mainly benign entities, such as metanephric stromal tumor, mixed epithelial stromal tumor (MEST), and myxoid peripheral nerve sheath tumors. A definitive diagnosis of synovial sarcoma was made only subsequently to RNA-sequencing, which revealed a novel SS18-NEDD4 gene fusion. These results were further confirmed by fluorescence in situ hybridization using custom design break-apart probes for both genes. This case illustrates the utility of targeted RNA-sequencing in the classification of challenging tumors with deceptive morphology and identification of novel gene fusion variants. Apart from the canonical SS18-SSX fusion, this is only the second alternative gene fusion variant described in synovial sarcoma to date, in addition to two cases harboring the SS18L1-SSX1 fusion.

Indexed as

Biomarkers, TumorAdultBiomarkersFemaleHumansImmunophenotypingIn Situ Hybridization, FluorescenceKidney NeoplasmsNedd4 Ubiquitin Protein LigasesOncogene Proteins, FusionProto-Oncogene ProteinsRepressor ProteinsSarcoma, SynovialSequence Analysis, RNABiomarkersBiomarkers, TumorNedd4 protein, humanNedd4 Ubiquitin Protein LigasesOncogene Proteins, FusionProto-Oncogene ProteinsRepressor ProteinsSS18 protein, humanrenalSS18, NEDD4, fusionsynovial sarcoma

Identifiers

PMID31595587
PMCPMC7086378
OpenAlexW2979457044

What OpenQuestion holds

Textmetadata
LicenceTDM
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.