Evidence map›Paper›PMID 32352245›Full record

ArticleThe journal of pathology. Clinical research2020

Endometrial stromal sarcomas with BCOR-rearrangement harbor MDM2 amplifications.

Felix Kf Kommoss, Kenneth Te Chang, Damian Stichel, Ana Banito, David Tw Jones, Christoph E Heilig, Stefan Fröhling, Felix Sahm, Albrecht Stenzinger, Wolfgang Hartmann and 6 more

Open access · goldAbstract read
In one paragraph

Article in The journal of pathology. Clinical research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.7field-weighted citation impact, top 5% 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

20 citing papers in PubMed, 46 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. BCOR abnormalities in endometrial stromal sarcoma.Gynecologic oncology reports · 2025
    Review
  6. Article
  7. Review
  8. Article
  9. Review
  10. Review
  11. High-grade endometrial stromal sarcoma withInternational journal of clinical and experimental pathology · 2024
    Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. MDM2 Amplified Sarcomas: A Literature Review.Diagnostics (Basel, Switzerland) · 2021
    Review
  17. Update on Endometrial Stromal Tumours of the Uterus.Diagnostics (Basel, Switzerland) · 2021
    Review
  18. Review
  19. Article
  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

16 authors at 3 institutions in 2 countries.

Felix Kf KommossDepartment of Pathology, Institute of Pathology, Heidelberg University Hospital, Heidelberg, Germany.ORCID 0000-0003-0876-9087
Kenneth Te ChangDepartment of Pathology and Laboratory Medicine, KK Women's and Children's Hospital, Singapore, Singapore.
Damian StichelDepartment of Neuropathology, Institute of Pathology, Heidelberg University Hospital, Heidelberg, Germany.
Ana BanitoHopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
David Tw JonesHopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
Christoph E HeiligGerman Cancer Consortium (DKTK), Heidelberg, Germany.
Stefan FröhlingGerman Cancer Consortium (DKTK), Heidelberg, Germany.
Felix SahmDepartment of Neuropathology, Institute of Pathology, Heidelberg University Hospital, Heidelberg, Germany.
Albrecht StenzingerDepartment of Pathology, Institute of Pathology, Heidelberg University Hospital, Heidelberg, Germany.
Wolfgang HartmannDivision of Translational Pathology, Gerhard Domagk Institute of Pathology, University Hospital Münster, Münster, Germany.ORCID 0000-0002-7609-5021
Gunhild MechtersheimerDepartment of Pathology, Institute of Pathology, Heidelberg University Hospital, Heidelberg, Germany.
Hans-Peter SinnDepartment of Pathology, Institute of Pathology, Heidelberg University Hospital, Heidelberg, Germany.
Dietmar SchmidtMVZ für Histologie, Zytologie und Molekulare Diagnostik Trier GmbH, Trier, Germany.
Friedrich KommossInstitute of Pathology, Medizin Campus Bodensee, Friedrichshafen, Germany.
Andreas von DeimlingDepartment of Neuropathology, Institute of Pathology, Heidelberg University Hospital, Heidelberg, Germany.
Christian KoelscheDepartment of Pathology, Institute of Pathology, Heidelberg University Hospital, Heidelberg, Germany.
German Cancer Research Center · DEHeidelberg University · DEMedizin Campus Bodensee · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recently a novel subtype of endometrial stromal sarcoma (ESS) defined by recurrent genomic alterations involving BCOR has been described (HGESS-BCOR). We identified a case of HGESS-BCOR with a ZC3H7B-BCOR gene fusion, which harbored an amplification of the MDM2 locus. This index case prompted us to investigate MDM2 amplification in four additional cases of HGESS-BCOR. Tumors were analyzed for MDM2 amplification by array-based profiling of copy number alterations (CNAs) and fluorescence in situ hybridization (FISH), as well as for MDM2 expression by immunohistochemistry (IHC). Additionally, a cohort of other mesenchymal uterine neoplasms, including 17 low-grade ESS, 6 classical high-grade ESS with YWHAE-rearrangement, 16 uterine tumors resembling ovarian sex cord tumors, 7 uterine leiomyomas and 8 uterine leiomyosarcomas, was analyzed for CNAs in MDM2. Copy number profiling identified amplification of the 12q15 region involving the MDM2 locus in all five HGESS-BCOR. Subsequent validation analyses of three tumors confirmed MDM2 amplification using MDM2 FISH. Accordingly, IHC showed MDM2 overexpression in all analyzed cases. None of the other uterine neoplasms in our series, including tumors that are in the histopathological differential diagnoses of HGESS-BCOR, showed copy number gains of MDM2. Together, our results indicate that HGESS-BCOR carries MDM2 amplifications, which has diagnostic implications and could potentially be used for targeted therapies in these clinically aggressive tumors.

Indexed as

Uterine NeoplasmsBiomarkers, TumorCohort StudiesEndometrial NeoplasmsFemaleGene FusionGene RearrangementHumansImmunohistochemistryIn Situ Hybridization, FluorescenceProto-Oncogene ProteinsProto-Oncogene Proteins c-mdm2Repressor ProteinsRNA-Binding ProteinsSarcoma, Endometrial StromalBCOR protein, humanBiomarkers, TumorMDM2 protein, humanProto-Oncogene ProteinsProto-Oncogene Proteins c-mdm2Repressor ProteinsRNA-Binding ProteinsZC3H7B protein, humanamplificationBCORendometrial stromal sarcomaMDM2neoplasmuterineYWHAE

Identifiers

PMID32352245
PMCPMC7339170
OpenAlexW3023461635

What OpenQuestion holds

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LicenceCC BY
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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.