Evidence map›Paper›PMID 32078043›Full record

ArticleVirchows Archiv : an international journal of pathology2020

Inflammatory leiomyosarcoma shows frequent co-expression of smooth and skeletal muscle markers supporting a primitive myogenic phenotype: a report of 9 cases with a proposal for reclassification as low-grade inflammatory myogenic tumor.

Michael Michal, Brian P Rubin, Dmitry V Kazakov, Květoslava Michalová, Petr Šteiner, Petr Grossmann, Veronika Hájková, Petr Martínek, Marian Švajdler, Abbas Agaimy and 5 more

Abstract read
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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 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
4.2field-weighted citation impact, top 4% 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

18 citing papers in PubMed, 40 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Rhabdomyosarcoma in children and young adults.Virchows Archiv : an international journal of pathology · 2025
    Review
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  6. Article
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  8. Article
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  10. Article
  11. [A case report of adult primary soft tissue sarcoma of the head and neck].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2023
    Article
  12. Article
  13. Article
  14. WHO Pathology: Highlights of the 2020 Sarcoma Update.Surgical oncology clinics of North America · 2022
    Review
  15. Article
  16. Article
  17. Review
  18. 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

15 authors at 6 institutions in 5 countries.

Michael MichalDepartment of Pathology, Charles University, Faculty of Medicine in Plzen, Plzen, Czech Republic. michael.michal@biopticka.cz.ORCID http://orcid.org/0000-0003-4403-7027
Brian P RubinDepartment of Pathology, Cleveland Clinic, Cleveland, OH, USA.
Dmitry V KazakovDepartment of Pathology, Charles University, Faculty of Medicine in Plzen, Plzen, Czech Republic.
Květoslava MichalováDepartment of Pathology, Charles University, Faculty of Medicine in Plzen, Plzen, Czech Republic.
Petr ŠteinerBioptical Laboratory, Ltd., Plzen, Czech Republic.
Petr GrossmannBioptical Laboratory, Ltd., Plzen, Czech Republic.
Veronika HájkováBioptical Laboratory, Ltd., Plzen, Czech Republic.
Petr MartínekBioptical Laboratory, Ltd., Plzen, Czech Republic.
Marian ŠvajdlerDepartment of Pathology, Charles University, Faculty of Medicine in Plzen, Plzen, Czech Republic.
Abbas AgaimyInstitute of Pathology, University Hospital, Friedrich-Alexander University Erlangen-Nürnberg, Erlangen, Germany.
Ladislav HadravskýDepartment of Pathology, First Faculty of Medicine, Charles University in Prague, Prague, Czech Republic.
Antonina V KalmykovaCSD Health Care, Ltd., Kyiv, Ukraine.
Eiichi KonishiDepartment of Pathology, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Filip HeidenreichDepartment of Radiology, Charles University, Faculty of Medicine in Plzen, Plzen, Czech Republic.
Michal MichalDepartment of Pathology, Charles University, Faculty of Medicine in Plzen, Plzen, Czech Republic.
Charles University · CZBiopticka Laborator (Czechia) · CZCleveland Clinic · USFriedrich-Alexander-Universität Erlangen-Nürnberg · DEKyiv City Clinical Oncology Center · UAKyoto Prefectural University of Medicine · JP

Funding

Ministerstvo Školství, Mládeže a Tělovýchovy LO1503Ministerstvo Školství, Mládeže a Tělovýchovy SVV-2019 No. 260 391
6 · The paper itself

Abstract

Inflammatory leiomyosarcoma (ILMS) is a very rare soft tissue tumor that usually follows an indolent clinical course, but long-term follow-up studies are lacking. Recent publications primarily focused on its genetic profile characterized by a near haploid genome. One study also showed these tumors to have upregulation of genes known to be crucial for skeletal muscle differentiation. Nevertheless, immunohistochemical expression of skeletal muscle markers, as well as markers that would help to distinguish ILMS from a long list of relevant differential diagnostic entities, has not been extensively studied. Nine cases of ILMS were collected and stained by a broad IHC panel which, besides others, contained MyoD1, myogenin, and PAX-7. A subset of cases was also analyzed by 2 different NGS assays and by MDM2 fluorescence in situ hybridization. Five male and 4 female patients ranged in age from 25 to 54 years (mean, 36 years). The tumors showed a predilection for intramuscular sites of the lower limbs (n = 4) and back (n = 2), whereas the remaining 3 cases affected an unspecified skeletal muscle, lung, and omentum. Follow-up with an average length of 10.6 years (range 0.5-22) was available for 8 patients. The omental tumor spread locally within the abdominal cavity, but the patient has been free of disease 7 years after treatment. None of the 5 patients with somatic soft tissue tumors (and follow-up longer than 1.5 years) had either recurrence or metastasis. Immunohistochemical studies revealed a substantial expression of skeletal muscle markers in almost all cases. This phenotype coupled with a highly characteristic genotype and significantly more indolent clinical behavior as compared with conventional leiomyosarcoma of deep soft tissue offers a strong rationale to change the current nomenclature. Based on the clinicopathological features and gene expression profile, we propose the name low-grade inflammatory myogenic tumor.

Indexed as

AdultBiomarkers, TumorDiagnosis, DifferentialFemaleHumansImmunoenzyme TechniquesInflammationLeiomyosarcomaMaleMiddle AgedMuscle, SkeletalNeoplasm Recurrence, LocalPhenotypeSoft Tissue NeoplasmsBiomarkers, TumorHistiocyte-rich rhabdomyoblastic tumorInflammatory leiomyosarcomaLow-grade inflammatory myogenic tumorMyoD1RhabdomyosarcomaSmooth muscle tumors

Identifiers

PMID32078043
OpenAlexW3007569313

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.