Evidence map›Paper›PMID 33850302›Full record

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

Novel BRAF gene fusions and activating point mutations in spindle cell sarcomas with histologic overlap with infantile fibrosarcoma.

Alyssa J Penning, Alyaa Al-Ibraheemi, Michael Michal, Brandon T Larsen, Soo-Jin Cho, Christina M Lockwood, Vera A Paulson, Yajuan J Liu, Lukáš Plank, Karen Fritchie and 5 more

Abstract readCase Reports
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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 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.8field-weighted citation impact, top 5% 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

21 citing papers in PubMed, 53 citations in OpenAlex.

  1. Article
  2. Article
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  4. Review
  5. Review
  6. Article
  7. Article
  8. NovelInternational journal of molecular sciences · 2025
    Review
  9. What is new in fibroblastic/myofibroblastic tumors in children.Virchows Archiv : an international journal of pathology · 2025
    Review
  10. Article
  11. Transdifferentiation of Multiple Myeloma into Histiocytic Sarcoma: Case Report of a Highly Unusual Phenomenon.Pathobiology : journal of immunopathology, molecular and cellular biology · 2025
    Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Frequent CD30 Expression in an Emerging Group of Mesenchymal Tumors With NTRK, BRAF, RAF1, or RET Fusions.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2023
    Article
  17. Article
  18. Spindle cell sarcoma withOncology letters · 2022
    Article
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 9 institutions in 3 countries.

Alyssa J PenningDepartment of Pathology, Oregon Health & Science University, Portland, OR, USA.
Alyaa Al-IbraheemiDepartment of Pathology, Boston Children's Hospital and Harvard Medical School, Boston, MA, USA.
Michael MichalDepartment of Pathology, Bioptical Laboratory, Ltd., Plzen, Czech Republic.ORCID 0000-0003-4403-7027
Brandon T LarsenDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Scottsdale, AZ, USA.
Soo-Jin ChoDepartment of Pathology, University of California San Francisco, San Francisco, CA, USA.
Christina M LockwoodDepartment of Laboratory Medicine and Pathology, School of Medicine, University of Washington, Seattle, WA, USA.
Vera A PaulsonDepartment of Laboratory Medicine and Pathology, School of Medicine, University of Washington, Seattle, WA, USA.
Yajuan J LiuDepartment of Laboratory Medicine and Pathology, School of Medicine, University of Washington, Seattle, WA, USA.
Lukáš PlankDepartment of Pathology, Faculty of Medicine, Comenius University Jessenius Medical Faculty, Bratislava, Czech Republic.ORCID 0000-0002-1153-1160
Karen FritchieDepartment of Pathology, Cleveland Clinic, Cleveland, OH, USA.
Carol BeadlingKnight Cancer Institute, Oregon Health & Science University, Portland, OR, USA.
Tanaya L NeffKnight Cancer Institute, Oregon Health & Science University, Portland, OR, USA.
Christopher L CorlessDepartment of Pathology, Oregon Health & Science University, Portland, OR, USA.
Erin R RudzinskiDepartment of Laboratories, Seattle Children's Hospital, Seattle, WA, USA.
Jessica L DavisDepartment of Pathology, Oregon Health & Science University, Portland, OR, USA. davisjes@ohsu.edu.
Oregon Health & Science University · USUniversity of Washington · USBoston Children's Hospital · USCharles University · CZCleveland Clinic · USComenius University Bratislava · SKMayo Clinic in Arizona · USSeattle Children's Hospital · USUniversity of California, San Francisco · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Infantile fibrosarcoma (IFS)/cellular congenital mesoblastic nephroma (cCMN) commonly harbors the classic ETV6-NTRK3 translocation. However, there are recent reports of mesenchymal tumors with IFS-like morphology harboring fusions of other receptor tyrosine kinases or downstream effectors, including NTRK1/2/3, MET, RET, and RAF1 fusions as well as one prior series with BRAF fusions. Discovery of these additional molecular drivers contributes to a more integrated diagnostic approach and presents important targets for therapy. Here we report the clinicopathologic and molecular features of 14 BRAF-altered tumors, of which 5 had BRAF point mutations and 10 harbored one or more BRAF fusions. Of the BRAF fusion-positive tumors, one harbored two BRAF fusions (FOXN3-BRAF, TRIP11-BRAF) and another harbored three unique alternative splice variants of EPB41L2-BRAF. Tumors occurred in ten males and four females, aged from birth to 32 years (median 6 months). Twelve were soft tissue based; two were visceral including one located in the kidney (cCMN). All neoplasms demonstrated ovoid to short spindle cells most frequently arranged haphazardly or in intersecting fascicles, often with collagenized stroma and a chronic inflammatory infiltrate. No specific immunophenotype was observed; expression of CD34, S100, and SMA was variable. To date, this is the largest cohort of BRAF-altered spindle cell neoplasms with IFS-like morphology, including not only seven novel BRAF fusion partners but also the first description of oncogenic BRAF point mutations in these tumors.

Indexed as

AdolescentAdultFemaleFetusHumansInfantInfant, NewbornMaleOncogene FusionPoint MutationProto-Oncogene Proteins B-rafSarcomaBRAF protein, humanProto-Oncogene Proteins B-raf

Identifiers

PMID33850302
OpenAlexW3155751143

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.