Evidence map›Paper›PMID 34313881›Full record

ArticleBrain tumor pathology2021

Spinal cord astroblastoma with EWSR1-BEND2 fusion classified as HGNET-MN1 by methylation classification: a case report.

Takeyoshi Tsutsui, Yoshiki Arakawa, Yasuhide Makino, Hiroharu Kataoka, Yohei Mineharu, Kentaro Naito, Sachiko Minamiguchi, Takanori Hirose, Sumihito Nobusawa, Yoshiko Nakano and 3 more

Abstract readCase Reports
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In one paragraph

Article in Brain tumor pathology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.6field-weighted citation impact, top 9% 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

22 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
  2. Article
  3. Astroblastoma-like tumor with an EWSR1::BEND2 fusion in the fourth ventricle: a case report and narrative review.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
    Review
  4. Article
  5. Article
  6. Review
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  10. Review
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  12. Article
  13. Identification of Novel/RareInternational journal of molecular sciences · 2024
    Article
  14. Article
  15. Article
  16. MN1 altered astroblastoma with APC and LRP1B gene mutations: a unique variant in the cervical spine of a pediatric patient.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2023
    Article
  17. Article
  18. The spectrum of morphological findings in pediatric central nervous system MN1-fusion-positive neuroepithelial tumors.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2023
    Article
  19. Review
  20. 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

13 authors at 4 institutions in 1 country.

Takeyoshi TsutsuiDepartment of Neurosurgery, Kyoto University Graduate School of Medicine, 54 Kawahara-cho Shogoin Sakyo-ku, Kyoto, 606-8507, Japan.
Yoshiki ArakawaDepartment of Neurosurgery, Kyoto University Graduate School of Medicine, 54 Kawahara-cho Shogoin Sakyo-ku, Kyoto, 606-8507, Japan. yarakawa@kuhp.kyoto-u.ac.jp.ORCID http://orcid.org/0000-0003-4626-4645
Yasuhide MakinoDepartment of Neurosurgery, Kyoto University Graduate School of Medicine, 54 Kawahara-cho Shogoin Sakyo-ku, Kyoto, 606-8507, Japan.
Hiroharu KataokaDepartment of Neurosurgery, Kyoto University Graduate School of Medicine, 54 Kawahara-cho Shogoin Sakyo-ku, Kyoto, 606-8507, Japan.
Yohei MineharuDepartment of Neurosurgery, Kyoto University Graduate School of Medicine, 54 Kawahara-cho Shogoin Sakyo-ku, Kyoto, 606-8507, Japan.
Kentaro NaitoDepartment of Neurosurgery, Osaka City University Graduate School of Medicine, Osaka, 545-8585, Japan.
Sachiko MinamiguchiDepartment of Diagnostic Pathology, Kyoto University Graduate School of Medicine, Kyoto, 606-8507, Japan.
Takanori HiroseDepartment of Diagnostic Pathology, Hyogo Cancer Center, Akashi, Hyogo, 673-8558, Japan.
Sumihito NobusawaDepartment of Human Pathology, Gunma University Graduate School of Medicine, Gunma, 371-8514, Japan.
Yoshiko NakanoDivision of Brain Tumor Translational Research, National Cancer Center Research Institute, Tokyo, 104-0045, Japan.
Koichi IchimuraDivision of Brain Tumor Translational Research, National Cancer Center Research Institute, Tokyo, 104-0045, Japan.
Hironori HagaDepartment of Diagnostic Pathology, Kyoto University Graduate School of Medicine, Kyoto, 606-8507, Japan.
Susumu MiyamotoDepartment of Neurosurgery, Kyoto University Graduate School of Medicine, 54 Kawahara-cho Shogoin Sakyo-ku, Kyoto, 606-8507, Japan.
Kyoto University · JPGunma University · JPHyogo Prefectural Cancer Center · JPOsaka City University · JP

Funding

the Ministry of Education, Culture, Sports, Science, and Technology, Japan 19K09505 and 19K22685
6 · The paper itself

Abstract

The most recurrent fusion of central nervous system high-grade neuroepithelial tumor with MN1 alteration (HGNET-MN1) is MN1 rearrangement. Here, we report the case of a 36-year-old man with spinal cord astroblastoma showing Ewing Sarcoma breakpoint region 1/EWS RNA-binding protein 1 (EWSR1)-BEN domain-containing 2 (BEND2) fusion. The patient presented with back pain, gait disturbance and dysesthesia in the lower extremities and trunk. Magnetic resonance imaging showed an intramedullary tumor at the T3-5 level, displaying homogeneous gadolinium enhancement. Partial tumor removal was performed with laminectomy. Histological examinations demonstrated solid growth of epithelioid tumor cells showing high cellularity, a pseudopapillary structure, intervening hyalinized fibrous stroma, and some mitoses. Astroblastoma was diagnosed, classified as HGNET-MN1 by the German Cancer Research Center methylation classifier. MN1 alteration was not detected by fluorescence in situ hybridization (FISH), but EWSR1-BEND2 fusion was detected by FISH and RNA sequencing. Previously, a child with EWSR1-BEND2 fusion-positive spinal astroblastoma classified as HGNET-MN1 was reported. In conjunction with that, the present case provides evidence that EWSR1-BEND2 fusion is identified in the entity of HGNET-MN1. Taken together, the BEND2 alteration rather than MN1 may determine the biology of a subset of the central nervous system HGNET-MN1 subclass.

Indexed as

Contrast MediaNeoplasms, NeuroepithelialAdultGadoliniumHumansIn Situ Hybridization, FluorescenceMaleMethylationRNA-Binding Protein EWSSpinal CordTrans-ActivatorsTumor Suppressor ProteinsContrast MediaEWSR1 protein, humanGadoliniumMN1 protein, humanRNA-Binding Protein EWSTrans-ActivatorsTumor Suppressor ProteinsAstroblastomaBEN domain-containing 2 (BEND2)CNS high-grade neuroepithelial tumor with MN1 alteration (HGNET-MN1)Ewing Sarcoma breakpoint region 1/EWS RNA-binding protein 1 (EWSR1)EWSR1-BEND2 fusion

Identifiers

PMID34313881
OpenAlexW3184607897

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.