Evidence map›Paper›PMID 34398431›Full record

SynthesisJournal of neuro-oncology2021

A case of primary CNS embryonal rhabdomyosarcoma with PAX3-NCOA2 fusion and systematic meta-review.

Ryuma Tanaka, Kyohei Inoue, Yuji Yamada, Masanori Yoshida, Haruko Shima, Jumpei Ito, Hajime Okita, Tomoru Miwa, Motohiro Kato, Hiroyuki Shimada

Abstract readCase ReportsSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Journal of neuro-oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 25% 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

4 citing papers in PubMed, 9 citations in OpenAlex.

  1. Review
  2. Exploring the molecular mechanism of Xiao Ji (Asian biomedicine : research, reviews and news · 2025
    Article
  3. Review
  4. 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

10 authors at 2 institutions in 2 countries.

Ryuma TanakaDivision of Hem/Onc/BMT, Department of Pediatrics, Medical College of Wisconsin, 8701 Watertown Plank Road, MFRC3018, Milwaukee, WI, 53226, USA. rtanaka@mcw.edu.ORCID http://orcid.org/0000-0002-0132-052X
Kyohei InoueDepartment of Pediatrics, Keio University School of Medicine, Tokyo, Japan.
Yuji YamadaDepartment of Pediatrics, Keio University School of Medicine, Tokyo, Japan.
Masanori YoshidaDepartment of Pediatric Hematology and Oncology Research, National Center for Child Health and Development, Tokyo, Japan.
Haruko ShimaDepartment of Pediatrics, Keio University School of Medicine, Tokyo, Japan.
Jumpei ItoDepartment of Pediatrics, Keio University School of Medicine, Tokyo, Japan.
Hajime OkitaDivision of Diagnostic Pathology, Keio University School of Medicine, Tokyo, Japan.
Tomoru MiwaDepartment of Neurosurgery, Keio University School of Medicine, Tokyo, Japan.
Motohiro KatoDepartment of Pediatric Hematology and Oncology Research, National Center for Child Health and Development, Tokyo, Japan.
Hiroyuki ShimadaDepartment of Pediatrics, Keio University School of Medicine, Tokyo, Japan.
Keio University · JPNational Center For Child Health and Development · JP

Funding

japan agency for medical research and development JP21cm0106509
6 · The paper itself

Abstract

purposePrimary central nervous system (CNS) rhabdomyosarcoma is a rare mesenchymal tumor predominantly seen in children and associated with a poor outcome. We report a case of primary CNS rhabdomyosarcoma with PAX3-NCOA2 fusion and present a systematic meta-review of primary CNS rhabdomyosarcoma to characterize this rare tumor.

methodsWe present the case of a 6-year-old boy with primary CNS rhabdomyosarcoma in the posterior fossa. In a systematic meta-review, we compare the demographic data of primary CNS rhabdomyosarcoma with data of rhabdomyosarcoma at all sites from the SEER database and analyze clinical factors associated with survival outcome.

resultsOur patient underwent gross total resection and received vincristine, actinomycin-D, cyclophosphamide with early introduction of concurrent focal radiation and remained alive with no evidence of disease for 2 years after the end of therapy. Histopathological review revealed embryonal-type rhabdomyosarcoma, and whole-transcriptome analysis revealed PAX3 (EX6)-NCOA2 (EX12) fusion. In all, 77 cases of primary CNS rhabdomyosarcoma were identified through the meta-review. The demographic data of primary CNS rhabdomyosarcoma were similar to data of rhabdomyosarcoma at all sites. Overall and event-free survival outcomes were available for 64 and 56 patients, respectively, with a 3-year OS of 29.0% and a 3-year EFS of 25.7%. The group that received trimodal treatment exhibited better survival outcomes, with a 3-year OS of 57.4% and a 3-year EFS of 46.3%.

conclusionsPrimary CNS rhabdomyosarcoma shares common histological, molecular, and demographic features with non-CNS rhabdomyosarcoma. A trimodal treatment approach with early introduction of radiation therapy may result in favorable survival outcomes.

Indexed as

Central Nervous System NeoplasmsRhabdomyosarcomaRhabdomyosarcoma, EmbryonalChildGene Expression ProfilingHumansMaleNuclear Receptor Coactivator 2PAX3 Transcription FactorVincristineNCOA2 protein, humanNuclear Receptor Coactivator 2PAX3 protein, humanPAX3 Transcription FactorVincristinePAX3-NCOA2Primary CNS rhabdomyosarcoma

Identifiers

PMID34398431
OpenAlexW3195821522

What OpenQuestion holds

Textmetadata
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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.