Evidence map›Paper›PMID 31684113›Full record

ArticleCancers2019

Immunohistochemical and Molecular Features of Melanomas Exhibiting Intratumor and Intertumor Histomorphologic Heterogeneity.

Haider A Mejbel, Sri Krishna C Arudra, Dinesh Pradhan, Carlos A Torres-Cabala, Priyadharsini Nagarajan, Michael T Tetzlaff, Jonathan L Curry, Doina Ivan, Dzifa Y Duose, Raja Luthra and 3 more

Abstract read
In one paragraph

Article in Cancers, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Cancers · 2021
    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

13 authors.

Haider A MejbelDepartment of Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA. mejbel@mail.etsu.edu.ORCID 0000-0003-3695-8192
Sri Krishna C ArudraDepartment of Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA. drarudra@gmail.com.
Dinesh PradhanDepartment of Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA. drdineshpradhan@gmail.com.ORCID 0000-0001-8591-1601
Carlos A Torres-CabalaDepartment of Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA. ctcabala@mdanderson.org.
Priyadharsini NagarajanDepartment of Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA. pnagarajan@mdanderson.org.
Michael T TetzlaffDepartment of Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA. mtetzlaff@mdanderson.org.
Jonathan L CurryDepartment of Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA. jlcurry@mdanderson.org.
Doina IvanDepartment of Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA. dsivan@mdanderson.org.
Dzifa Y DuoseDepartment of Translational Molecular Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA. dyduose@mdanderson.org.
Raja LuthraDepartment of Translational Molecular Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA. rluthra@mdanderson.org.
Victor G PrietoDepartment of Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA. vprieto@mdanderson.org.
Leomar Y BallesterDepartment of Pathology and Laboratory Medicine, The University of Texas Health Science Center at Houston, Houston, TX 77030, USA. leomar.y.ballester@uth.tmc.edu.ORCID 0000-0002-3398-0573
Phyu P AungDepartment of Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA. paung@mdanderson.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Melanoma is a heterogeneous neoplasm at the histomorphologic, immunophenotypic, and molecular levels. Melanoma with extreme histomorphologic heterogeneity can pose a diagnostic challenge in which the diagnosis may predominantly rely on its immunophenotypic profile. However, tumor survival and response to therapy are linked to tumor genetic heterogeneity rather than tumor morphology. Therefore, understating the molecular characteristics of such melanomas become indispensable. In this study, DNA was extracted from 11 morphologically distinct regions in eight formalin-fixed, paraffin-embedded melanomas. In each region, mutations in 50 cancer-related genes were tested using next-generation sequencing (NGS). A tumor was considered genetically heterogeneous if at least one non-overlapping mutation was identified either between the histologically distinct regions of the same tumor (intratumor heterogeneity) or among the histologically distinct regions of the paired primary and metastatic tumors within the same patient (intertumor heterogeneity). Our results revealed that genetic heterogeneity existed in all tumors as non-overlapping mutations were detected in every tested tumor (

Indexed as

driver mutationshistophenotypic heterogeneitymelanomanext-generation sequencingtumor heterogeneity

Identifiers

PMID31684113
PMCPMC6896082

What OpenQuestion holds

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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.