Evidence map›Paper›PMID 32291398›Full record

ArticleModern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc2020

Papillary thyroid carcinoma with prominent myofibroblastic stromal component: clinicopathologic, immunohistochemical and next-generation sequencing study of seven cases.

David Suster, Michael Michal, Michiya Nishino, Simonetta Piana, Massimo Bongiovanni, Olga Blatnik, Veronika Hájková, Nikola Ptáková, Michal Michal, Saul Suster

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In one paragraph

Article in Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
3.0field-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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Spindle lesions in the thyroid: a cytological and histological review.Virchows Archiv : an international journal of pathology · 2025
    Review
  5. Review
  6. Article
  7. Article
  8. Review
  9. Molecular Landscape of Pediatric Thyroid Cancer: A Review.Diagnostics (Basel, Switzerland) · 2022
    Review
  10. Article
  11. Cell Component and Function of Tumor Microenvironment in Thyroid Cancer.International journal of molecular sciences · 2022
    Review
  12. CTNNB1 mutations in papillary thyroid carcinoma with prominent myofibroblastic stromal component.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2021
    Article
  13. Response and correction to correspondence on "CTNBB1 mutations in papillary thyroid carcinoma with prominent myofibroblastic stromal component".Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2021
    Article
  14. Review
  15. Article
  16. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 7 institutions in 5 countries.

David SusterDepartment of Pathology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0002-7986-4340
Michael MichalDepartment of Pathology, Charles University, Faculty of Medicine in Plzen, Plzen, Czech Republic.
Michiya NishinoDepartment of Pathology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, USA.
Simonetta PianaPathology Unit, IRCCS - Arcispedale Santa Maria Nuova, Reggio Emilia, Italy.
Massimo BongiovanniInstitute of Pathology, Lausanne University Hospital, Lausanne, Switzerland.ORCID http://orcid.org/0000-0001-9846-6682
Olga BlatnikDepartment of Pathology, Institute of Oncology Ljubljana, Ljubljana, Slovenia.
Veronika HájkováBioptical Laboratory, Ltd., Plzen, Czech Republic.
Nikola PtákováBioptical Laboratory, Ltd., Plzen, Czech Republic.ORCID http://orcid.org/0000-0002-2561-4717
Michal MichalDepartment of Pathology, Charles University, Faculty of Medicine in Plzen, Plzen, Czech Republic.
Saul SusterDepartment of Pathology, The Medical College of Wisconsin, Milwaukee, WI, USA. ssuster@mcw.edu.
Beth Israel Deaconess Medical Center · USBiopticka Laborator (Czechia) · CZCharles University · CZInstitute of Oncology Ljubljana · SIMedical College of Wisconsin · USOspedale Santa Maria · ITUniversity of Lausanne · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Papillary thyroid carcinoma with desmoid-type fibromatosis or nodular fasciitis-like stroma is an extremely unusual and poorly understood subtype of papillary thyroid cancer. Although prior studies have demonstrated alterations in the Wnt/β-catenin signaling pathway in some of these tumors, controversy still exists regarding the nature of the stromal spindle component. We have studied seven cases of papillary thyroid carcinoma with prominent myofibroblastic stroma, including six men and one woman aged 20-65 years (mean age = 44). All cases displayed areas consistent with conventional papillary thyroid carcinoma embedded in abundant myofibroblastic-like stroma. The myofibroblastic stroma in six cases resembled desmoid-type fibromatosis and in one case it more closely resembled nodular fasciitis. By immunohistochemical staining, the stromal spindle component showed positivity for SMA and low MIB1 proliferation index in all cases, and there was at least patchy strong nuclear positivity for beta-catenin in six/seven cases. Stains for cytokeratin AE1/AE3 and PAX8 were positive in the epithelial elements but negative in the stromal component. Next-generation sequencing was performed on six of seven cases. CTNNB1 gene mutations were identified in six/seven cases. The epithelial component showed BRAF mutations in two cases and an NRAS mutation in one case. The case with fasciitis-like stroma was negative for beta-catenin by sequencing and immunostaining as well as negative for USP6 gene rearrangement. Our findings indicate that papillary thyroid carcinoma with prominent myofibroblastic stroma may represent more than one category of lesions.

Indexed as

AdultAgedbeta CateninBiomarkers, TumorFemaleHigh-Throughput Nucleotide SequencingHumansImmunohistochemistryMaleMiddle AgedMutationMyofibroblastsPAX8 Transcription FactorProto-Oncogene Proteins B-rafStromal CellsThyroid Cancer, Papillarybeta CateninBiomarkers, TumorBRAF protein, humanCTNNB1 protein, humanPAX8 protein, humanPAX8 Transcription FactorProto-Oncogene Proteins B-raf

Identifiers

PMID32291398
OpenAlexW3015595792

What OpenQuestion holds

Textmetadata
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.