Evidence map›Paper›PMID 33550433›Full record

ReviewJournal of cancer research and clinical oncology2021

Diagnostic and management challenges for MDM2-, CDK4-negative fatty tumors of the retroperitoneum.

Max L Silverstein, Alexandra N Kalof, Kathryn C Kurchena, Seth P Harlow, Diego F Lemos, Jessica A Cintolo-Gonzalez

Open access · greenAbstract readReview
In one paragraph

Review in Journal of cancer research and clinical oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 43% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. 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

6 authors at 1 institution in 1 country.

Max L SilversteinLarner College of Medicine, University of Vermont, Burlington, VT, USA.
Alexandra N KalofLarner College of Medicine, University of Vermont, Burlington, VT, USA.
Kathryn C KurchenaLarner College of Medicine, University of Vermont, Burlington, VT, USA.
Seth P HarlowLarner College of Medicine, University of Vermont, Burlington, VT, USA.
Diego F LemosLarner College of Medicine, University of Vermont, Burlington, VT, USA.
Jessica A Cintolo-GonzalezLarner College of Medicine, University of Vermont, Burlington, VT, USA. jessica.cintolo-gonzalez@uvmhealth.org.ORCID http://orcid.org/0000-0003-0572-5265
University of Vermont · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeoplasms of the retroperitoneum that contain a major fat component may represent either benign entities, such as lipomas or angiomyolipomas, or malignancy such as liposarcoma. Distinguishing these diagnoses has important implications for management. While liposarcomas often stain positively for MDM2 and CDK4 proteins, absence of these markers can lead to diagnostic and management challenges.

methodsWe examined three cases in our institution of fat-containing masses of the retroperitoneum that lacked MDM2 and CDK4 markers to highlight the challenges in diagnosing and managing these cases. A thorough review of the literature examining radiologic and histologic features that can be used to determine that diagnosis was conducted and summarized.

resultsThe three cases we present represent the three main diagnostic entities that can be found in among fatty tumors of the retroperitoneum: lipoma, angiomyolipoma, and liposarcoma. While radiologic features and analysis of histology helped to inform management, these cases in conjunction with the literature also illustrate the limitations of the diagnostic work up and importance also factoring the biologic behavior of the tumor in its management.

conclusionFat-containing tumors of the retroperitoneum that do not stain for MDM2 or CDK4 can pose a diagnostic challenge. Assessing radiologic and pathologic features in conjunction with the biologic behavior of these tumors should inform their management.

Indexed as

AnimalsCyclin-Dependent Kinase 4Disease ManagementHumansLipomaProto-Oncogene Proteins c-mdm2Retroperitoneal NeoplasmsCDK4 protein, humanCyclin-Dependent Kinase 4MDM2 protein, humanProto-Oncogene Proteins c-mdm2AngiomyolipomaCDK4MDM2Retroperitoneal fatty tumorWell-differentiated liposarcoma

Identifiers

PMID33550433
PMCPMC11802130
OpenAlexW3127968682

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.