Evidence map›Paper›PMID 32918711›Full record

ArticleHead and neck pathology2021

NUT Carcinoma in a Patient with Unusually Long Survival and False Negative FISH Results.

Anne C McLean-Holden, Samantha A Moore, Jeffrey Gagan, Christopher A French, David Sher, John M Truelson, Justin A Bishop

Open access · greenAbstract readCase Reports
In one paragraph

Article in Head and neck pathology, 2021. 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
0.7field-weighted citation impact, top 32% 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, 18 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Review
  8. Review
  9. Article
  10. A Rare Case of P63-Negative Sinonasal Nut Midline Carcinoma in the Elderly.European journal of case reports in internal medicine · 2024
    Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
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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

7 authors at 3 institutions in 1 country.

Anne C McLean-Holden *Department of Pathology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Samantha A Moore *Department of Pathology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Jeffrey GaganDepartment of Pathology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Christopher A FrenchDepartment of Pathology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
David SherDepartment of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
John M TruelsonDepartment of Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Justin A BishopDepartment of Pathology, University of Texas Southwestern Medical Center, Dallas, TX, USA. Justin.Bishop@UTSouthwestern.edu.ORCID http://orcid.org/0000-0002-9743-4360
The University of Texas Southwestern Medical Center · USBrigham and Women's Hospital · USSouthwestern Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nuclear protein in testis (NUT) carcinoma is a rare and highly aggressive epithelial malignancy defined by rearrangement of the NUTM1 gene on chromosome 15q14. Histologically, NUT carcinoma is an undifferentiated carcinoma formed by sheets and nests of primitive and monotonous "round blue cells" with foci of abrupt keratinization in a subset. NUT carcinoma runs a fulminant clinical course and is almost always quickly lethal, with a median overall survival of only 6.7 months. There is no consensus regarding treatment for this disease, and most patients respond poorly to conventional chemotherapy and radiation. We report a case of NUT carcinoma in an African-American man who initially presented in 2009 with a tracheal mass at age 28. Although fluorescence in situ hybridization (FISH) assays for NUTM1 and BRD4 rearrangements were negative, he was diagnosed based on diffusely positive NUT immunostaining and BRD4-NUTM1 on RNA sequencing. Since his initial presentation, he has undergone multiple surgical procedures and radiation therapy. His tumor has recurred twice, but he has survived for 129 months and is currently alive without disease. Long-term survival of patients with NUT carcinoma is incredibly unusual, especially in patients with tumors that exhibit a BRD4 rearrangement. False negative FISH is a pitfall in diagnosing NUT carcinoma; NUT immunostaining and RNA sequencing are more sensitive diagnostic methods.

Indexed as

AdultCarcinomaFalse Negative ReactionsHumansIn Situ Hybridization, FluorescenceMaleNuclear ProteinsOncogene Proteins, FusionTracheal NeoplasmsBRD4-NUT fusion oncogene protein, humanNuclear ProteinsOncogene Proteins, FusionBRD4-NUTM1Fluorescence in situ hybridizationLong-term survivalNUT carcinomaNUT midline carcinoma

Identifiers

PMID32918711
PMCPMC8134642
OpenAlexW3085293314

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.