Evidence map›Paper›PMID 33809329›Full record

ArticleCancers2021

Managing Difficulties of Microsatellite Instability Testing in Endometrial Cancer-Limitations and Advantages of Four Different PCR-Based Approaches.

Janna Siemanowski, Birgid Schömig-Markiefka, Theresa Buhl, Anja Haak, Udo Siebolts, Wolfgang Dietmaier, Norbert Arens, Nina Pauly, Beyhan Ataseven, Reinhard Büttner and 1 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
7.4field-weighted citation impact, top 2% 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

29 citing papers in PubMed, 55 citations in OpenAlex.

  1. Article
  2. Article
  3. Low microsatellite instability revisited: a review.Virchows Archiv : an international journal of pathology · 2026
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  19. Integrative Genomic Tests in Clinical Oncology.International journal of molecular sciences · 2022
    Review
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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

11 authors at 6 institutions in 1 country.

Janna SiemanowskiInstitute of Pathology, University Hospital Cologne, D-50924 Cologne, Germany.
Birgid Schömig-MarkiefkaInstitute of Pathology, University Hospital Cologne, D-50924 Cologne, Germany.ORCID 0000-0003-1893-8796
Theresa BuhlInstitute of Pathology, University Hospital Cologne, D-50924 Cologne, Germany.
Anja HaakInstitute of Pathology, University Hospital Halle (Saale), D-06112 Halle, Germany.
Udo SieboltsInstitute of Pathology, University Hospital Halle (Saale), D-06112 Halle, Germany.ORCID 0000-0002-7463-9195
Wolfgang DietmaierInstitute of Pathology, University Regensburg, D-93053 Regensburg, Germany.
Norbert ArensCenter for Histology, Cytology and Molecular Diagnostics Trier, D-54296 Trier, Germany.
Nina PaulyDepartment of Gynecology and Gynecologic Oncology, Evang. Kliniken Essen-Mitte, D-45136 Essen, Germany.
Beyhan AtasevenDepartment of Gynecology and Gynecologic Oncology, Evang. Kliniken Essen-Mitte, D-45136 Essen, Germany.ORCID 0000-0002-2823-7590
Reinhard BüttnerInstitute of Pathology, University Hospital Cologne, D-50924 Cologne, Germany.
Sabine Merkelbach-BruseInstitute of Pathology, University Hospital Cologne, D-50924 Cologne, Germany.
University Hospital Cologne · DEUniversity Hospital in Halle · DEKliniken Essen-Mitte · DELMU Klinikum · DEUniversität Trier · DEUniversity of Regensburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Microsatellite instability (MSI), a common alteration in endometrial cancers (EC) is known as a biomarker for immune checkpoint therapy response alongside screening for Lynch Syndrome (LS). However, former studies described challenging MSI profiles in EC hindering analysis by using MSI testing methods intensively validated for colorectal cancer (CRC) only. In order to reduce false negatives, this study examined four different PCR-based approaches for MSI testing using 25 EC samples already tested for mismatch repair deficiency (dMMR). In a follow up validation set of 75 EC samples previously tested both for MMR and MSI, the efficiency of a seven-marker system corresponding to the Idylla system was further analyzed. Both Bethesda and Promega marker panels require trained operators to overcome interpretation complexities caused by either hardly visible additional peaks of one and two nucleotides, or small shifts in microsatellite repeat length. Using parallel sequencing adjustment of bioinformatics is needed. Applying the Idylla MSI assay, an evaluation of input material is more crucial for reliable results and is indispensable. Following MMR deficiency testing as a first-line screening procedure, additional testing with a PCR-based method is necessary if inconclusive staining of immunohistochemistry (IHC) must be clarified.

Indexed as

endometrial cancerimmunohistochemistrymicrosatellite instabilitymismatch repair deficiencypolymerase chain reaction

Identifiers

PMID33809329
PMCPMC8000432
OpenAlexW3138079649

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.