Evidence map›Paper›PMID 31732814›Full record

ArticleVirchows Archiv : an international journal of pathology2020

PAX8 expression in anaplastic thyroid carcinoma is less than those reported in early studies: a multi-institutional study of 182 cases using the monoclonal antibody MRQ-50.

Wei-An Lai, Jen-Fan Hang, Chih-Yi Liu, Yanhua Bai, Zhiyan Liu, Haiyan Gu, SoonWon Hong, Ju Yeon Pyo, Chan Kwon Jung, Kennichi Kakudo and 1 more

Open access · greenAbstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Virchows Archiv : an international journal of pathology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 3 pooled it
2.9field-weighted citation impact, top 8% 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

29 citing papers in PubMed, 3 syntheses or guidelines pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. 2021 American Thyroid Association Guidelines for Management of Patients with Anaplastic Thyroid Cancer.Thyroid : official journal of the American Thyroid Association · 2021
    Guideline
  4. Review
  5. Article
  6. Review
  7. Review
  8. Article
  9. Review
  10. Article
  11. Review
  12. Aggressive Types of Malignant Thyroid Neoplasms.Journal of clinical medicine · 2024
    Review
  13. Article
  14. Article
  15. The Asian Thyroid Working Group, from 2017 to 2023.Journal of pathology and translational medicine · 2023
    Review
  16. Article
  17. Review
  18. Article
  19. Review
  20. 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

11 authors at 10 institutions in 5 countries.

Wei-An LaiDepartment of Pathology and Laboratory Medicine, Taipei Veterans General Hospital, Room 5046, Medical Science & Technology Building 5F, No. 201, Sec. 2, Shipai Rd, Taipei, 11217, Taiwan.
Jen-Fan HangDepartment of Pathology and Laboratory Medicine, Taipei Veterans General Hospital, Room 5046, Medical Science & Technology Building 5F, No. 201, Sec. 2, Shipai Rd, Taipei, 11217, Taiwan. jfhang@vghtpe.gov.tw.ORCID http://orcid.org/0000-0003-4299-2784
Chih-Yi LiuDivision of Pathology, Sijhih Cathay General Hospital, New Taipei City, Taiwan.
Yanhua BaiKey Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Department of Pathology, Peking University Cancer Hospital & Institute, Beijing, China.
Zhiyan LiuDepartment of Pathology, School of Basic Medical Sciences, Shandong University, Jinan, Shandong, China.
Haiyan GuDepartment of Pathology, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, China.
SoonWon HongDepartment of Pathology, College of Medicine, Gangnam Severance Hospital, Yonsei University, Seoul, Korea.
Ju Yeon PyoDepartment of Pathology, College of Medicine, Gangnam Severance Hospital, Yonsei University, Seoul, Korea.
Chan Kwon JungDepartment of Hospital Pathology, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Kennichi KakudoDepartment of Pathology, Nara Hospital, Faculty of Medicine, Kindai University, Nara, Japan.
Andrey BychkovDepartment of Pathology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Yonsei University · KRCathay General Hospital · TWCatholic University of Korea · KRChulalongkorn University · THNara Medical University Hospital · JPNational Yang Ming Chiao Tung University · TWPeking University · CNQingdao University · CNShandong University · CNTaipei Veterans General Hospital · TW

Funding

Taipei Veterans General Hospital (TW) V108B-011
6 · The paper itself

Abstract

Anaplastic thyroid carcinoma (ATC) is an aggressive malignant tumor composed of undifferentiated thyroid follicular cells. Pathological diagnosis of ATC can be challenging as the tumor may show morphological overlap with other neoplasms with anaplastic morphology. Immunohistochemical demonstration of thyroid origin facilitates the diagnosis of ATC. Previous studies using the polyclonal anti-PAX8 antibody 10336-1-AP suggested that PAX8 was the most sensitive marker, expressed in up to 80% of ATC. According to a 2018 NordiQC report, the monoclonal anti-PAX8 antibody MRQ-50 has become the most commonly used anti-PAX8 antibody worldwide. However, validation of this antibody in ATC is lacking. In this study, we recruited 182 ATC cases from seven institutions. Pathology slides were subjected to histology review. PAX8 immunohistochemistry using the MRQ-50 antibody was performed in whole tissue slides (n = 147) or tissue microarray sections (n = 35). We found PAX8 expression in 54.4% of the cases, which was significantly lower than those reported in prior studies with the polyclonal antibody. PAX8 expression was positively correlated with the presence of an epithelial pattern (63.6% vs 37.5%, p = 0.0008) and a coexisting differentiated thyroid carcinoma component (71.6% vs 44.3%, p = 0.0004), but was not associated with age, gender, specimen type, or presence of giant cell and sarcomatoid patterns. In conclusion, we demonstrated PAX8 expression using the monoclonal antibody MRQ-50 in only half of the cases in a large ATC series. Pathologists should be aware that PAX8 expression in ATC is less than those reported in early studies to avoid misdiagnosis.

Indexed as

Antibodies, MonoclonalAdultAgedAged, 80 and overBiomarkers, TumorFemaleHumansImmunohistochemistryMaleMiddle AgedPAX8 Transcription FactorThyroid Carcinoma, AnaplasticThyroid NeoplasmsAntibodies, MonoclonalBiomarkers, TumorPAX8 protein, humanPAX8 Transcription FactorAnaplastic thyroid carcinoma (ATC)ImmunohistochemistryMRQ-50Paired box gene 8 (PAX8)Undifferentiated thyroid carcinoma

Identifiers

PMID31732814
OpenAlexW2983838924

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.