Evidence map›Paper›PMID 32880620›Full record

ArticleAmerican journal of clinical pathology2020

Molecular and Immunohistochemical Analysis of Mucinous Cystic Neoplasm of the Liver.

Benjamin J Van Treeck, Mira Lotfalla, Thomas W Czeczok, Taofic Mounajjed, Roger K Moreira, Daniela S Allende, Michelle D Reid, Bita V Naini, Maria Westerhoff, N Volkan Adsay and 6 more

Open access · greenAbstract read
In one paragraph

Article in American journal of clinical pathology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.8field-weighted citation impact, top 6% 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

17 citing papers in PubMed, 31 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Hepatic mucinous cystic neoplasm in a male patient: A case report.Experimental and therapeutic medicine · 2025
    Article
  5. Review
  6. Article
  7. Review
  8. Mucinous cystic neoplasms of the pancreas demonstrateFrontiers in cell and developmental biology · 2025
    Article
  9. Review
  10. Review
  11. Review
  12. Review
  13. Article
  14. Mucinous cystic neoplasm of the liver: A case report.World journal of clinical cases · 2021
    Article
  15. Mucin-producing Cystic Hepatobiliary Neoplasms: Updated Nomenclature and Clinical, Pathologic, and Imaging Features.Radiographics : a review publication of the Radiological Society of North America, Inc · 2021
    Article
  16. Article
  17. Review
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 7 institutions in 2 countries.

Benjamin J Van TreeckDivision of Anatomic Pathology, Mayo Clinic, Rochester, MN.
Mira LotfallaDivision of Anatomic Pathology, Mayo Clinic, Rochester, MN.
Thomas W CzeczokDivision of Anatomic Pathology, Mayo Clinic, Rochester, MN.
Taofic MounajjedDivision of Anatomic Pathology, Mayo Clinic, Rochester, MN.
Roger K MoreiraDivision of Anatomic Pathology, Mayo Clinic, Rochester, MN.
Daniela S AllendeDepartment of Pathology, Cleveland Clinic, Cleveland, OH.
Michelle D ReidDepartment of Pathology, Emory University, Atlanta, GA.
Bita V NainiDepartment of Pathology, University of California, Los Angeles.
Maria WesterhoffDepartment of Pathology, University of Michigan, Ann Arbor.
N Volkan AdsayDepartment of Pathology, Koc University, Istanbul, Turkey.
Sarah E KerrHospital Pathology Associates, Minneapolis, MN.
Sumera I IlyasDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN.
Rory L SmootDepartment of Surgery, Mayo Clinic, Rochester, MN.
Yuanhang LiuDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN.
Jaime DavilaDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN.
Rondell P GrahamDivision of Anatomic Pathology, Mayo Clinic, Rochester, MN.
Mayo Clinic in Arizona · USMayo Clinic in Florida · USCleveland Clinic · USEmory University · USKoç University · TRUniversity of California, Los Angeles · USUniversity of Michigan–Ann Arbor · US

Funding

The Pro-Tumor Immunologic Niche of the LiverK08CA236874 · NCI · MAYO CLINIC ROCHESTER · PI ILYAS, SUMERA I. · 2019 to 2023
$1.2M
NCI NIH HHS K08 CA236874
6 · The paper itself

Abstract

objectivesMucinous cystic neoplasm of the liver is characterized by neoplastic mucinous and/or biliary epithelium surrounded by ovarian-type stroma. Immunohistochemical studies have shown that the ovarian-type stroma expresses estrogen receptor, suggesting potential hormonal responsiveness. The molecular biology of mucinous cystic neoplasm of the liver remains poorly studied.

methodsTranscriptome sequencing and immunohistochemistry were performed on a series of mucinous cystic neoplasms.

resultsMucinous cystic neoplasm of the liver exhibited significantly increased RNA expression of ovarian stromal markers WT1, PR, and ER2 and sex cord stromal markers SF-1, inhibin-α, and calretinin compared with nonneoplastic liver. Immunohistochemistry confirmed the RNA-level data. Evidence for sex hormone biosynthesis was identified by significant overexpression of multiple estrogen biosynthetic enzymes. Expression of 17β-hydroxysteroid dehydrogenase 1 was confirmed immunohistochemically. Pathway analysis also identified significant upregulation of the hedgehog and Wnt pathways and significant downregulation of T-helper 1 and T-helper 2 pathways.

conclusionsMucinous cystic neoplasm of the liver recapitulates ovarian stroma at the morphologic, DNA, RNA, and protein levels. These data support the concept that this tumor likely arises from ectopic primitive gonadal tissue and/or stromal cells with capacity to transdifferentiate to ovarian cortical cells.

Indexed as

Gene Expression ProfilingBiomarkers, TumorCystadenoma, MucinousDNA Mutational AnalysisEstrogensFemaleGene Expression Regulation, NeoplasticHedgehog ProteinsHigh-Throughput Nucleotide SequencingHumansImmunohistochemistryImmunophenotypingLiverLiver NeoplasmsOvarySequence Analysis, DNABiomarkers, TumorEstrogensHedgehog ProteinsBiliary neoplasiaHedgehog pathwayMucinous cystic neoplasmOvarian-like stroma

Identifiers

PMID32880620
PMCPMC8453235
OpenAlexW3083186631

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.