Evidence map›Paper›PMID 33649458›Full record

ArticleModern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc2021

Hybrid schwannoma-perineurioma frequently harbors VGLL3 rearrangement.

Brendan C Dickson, Cristina R Antonescu, Elizabeth G Demicco, Dr Iona Leong, Nathaniel D Anderson, David Swanson, Lei Zhang, Christopher D M Fletcher, Jason L Hornick

Open access · greenAbstract read
In one paragraph

Article in Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
2.8field-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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Beyond Hybrid Morphology: A Large Series of Fusion-Driven Benign Peripheral Nerve Sheath Tumors Including 5 Tumors With Novel Fusions.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2025
    Article
  8. Hybrid granular cell tumor/perineurioma: a report of two rare cases with PIK3CA mutations.Virchows Archiv : an international journal of pathology · 2025
    Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Review
  16. What is new in intraneural perineurioma?Acta neurochirurgica · 2023
    Review
  17. Article
  18. Article
  19. Article
  20. 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

9 authors at 4 institutions in 3 countries.

Brendan C DicksonDepartment of Pathology & Laboratory Medicine, Mount Sinai Hospital, Toronto, ON, Canada. Brendan.Dickson@sinaihealthsystem.ca.ORCID http://orcid.org/0000-0003-2269-6216
Cristina R AntonescuDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0000-0002-9717-8205
Elizabeth G DemiccoDepartment of Pathology & Laboratory Medicine, Mount Sinai Hospital, Toronto, ON, Canada.
Dr Iona LeongDepartment of Pathology & Laboratory Medicine, Mount Sinai Hospital, Toronto, ON, Canada.
Nathaniel D AndersonCellular Genetics Programme, Wellcome Sanger Institute, Hinxton, UK.
David SwansonDepartment of Pathology & Laboratory Medicine, Mount Sinai Hospital, Toronto, ON, Canada.
Lei ZhangDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Christopher D M FletcherDepartment of Pathology, Brigham and Women's Hospital, Boston, MA, USA.
Jason L HornickDepartment of Pathology, Brigham and Women's Hospital, Boston, MA, USA. jhornick@bwh.harvard.edu.ORCID http://orcid.org/0000-0001-6475-8345
Mount Sinai Hospital · CABrigham and Women's Hospital · USMemorial Sloan Kettering Cancer Center · USWellcome Sanger Institute · GB

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Targeting Oncogenic Pathways in Genetically Complex SarcomasP50CA217694 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI Marc Ladanyi · 2018 to 2026
$21.5M
SPORE in Soft Tissue SarcomaP50CA140146 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI SPRIGGS, DAVID R · 2010 to 2014
$11.1M
NCI NIH HHS P30 CA008748NCI NIH HHS P50 CA140146NCI NIH HHS P50 CA217694
6 · The paper itself

Abstract

Benign peripheral nerve tumors include schwannoma, neurofibroma, and perineurioma, as well as a recently recognized group of tumors with dual patterns of differentiation. The molecular pathogenesis of these so-called "hybrid" tumors remains poorly understood. Following identification of a novel CHD7-VGLL3 fusion gene in a hybrid schwannoma-perineurioma, we evaluated an expanded cohort of this tumor-type-as well as tumors with VGLL3 rearrangement identified from a curated molecular database-to characterize the prevalence of fusion genes among these tumors. Eighteen tumors met the inclusion criteria for this study. RNA sequencing identified VGLL3 rearrangement in 14 of these cases; the partner genes included CHD7 (ten cases), CHD9 (two cases), and MAMLD1 (two cases). Two cases possessed altogether unrelated fusions, including: DST-BRAF and SQSTM1-CDX1 fusion genes. Finally, two cases lacked identifiable fusion products. These findings highlight the molecular diversity of these neoplasms, with frequent rearrangement of VGLL3. More importantly, despite their dual pattern of differentiation, our results reveal the pathogenesis of hybrid schwannoma-perineurioma is unrelated to conventional schwannoma and perineurioma, thereby implying this tumor represents an altogether pathologically distinct entity.

Indexed as

AdolescentAdultChildFemaleGene RearrangementHumansMaleMiddle AgedNerve Sheath NeoplasmsNeurilemmomaTranscription FactorsYoung AdultTranscription FactorsVGLL3 protein, human

Identifiers

PMID33649458
PMCPMC8154639
OpenAlexW3134638716

What OpenQuestion holds

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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.