Evidence map›Paper›PMID 34449926›Full record

ArticleHistopathology2022

Primary high-grade non-anaplastic thyroid carcinoma: a retrospective study of 364 cases.

Bin Xu, Julia David, Snjezana Dogan, Iñigo Landa, Nora Katabi, Maelle Saliba, Anjanie Khimraj, Eric J Sherman, Robert Michael Tuttle, Giovanni Tallini and 3 more

Abstract read
In one paragraph

Article in Histopathology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

54 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Poorly differentiated thyroid carcinomas: conceptual controversy and clinical impact.Virchows Archiv : an international journal of pathology · 2024
    Pooled it
  4. Review
  5. Article
  6. Article
  7. Article
  8. PRECISE: A Prognostic Thyrocyte-Derived Gene Signature for Papillary Thyroid Carcinoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Article
  9. Aggressive follicular cell derived thyroid carcinoma: what do you need from the pathologist.Virchows Archiv : an international journal of pathology · 2026
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Thyroid cytology: practical tricks and pitfalls.Virchows Archiv : an international journal of pathology · 2026
    Review
  16. Article
  17. Review
  18. Article
  19. Article
  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.

Bin XuDepartment of Pathology, Memorial Sloan Kettering Cancer Center, USA.ORCID https://orcid.org/0000-0003-4638-9835
Julia DavidDivision of Subspecialty Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Snjezana DoganDepartment of Pathology, Memorial Sloan Kettering Cancer Center, USA.ORCID https://orcid.org/0000-0002-4905-8946
Iñigo LandaDivision of Endocrinology, Diabetes and Hypertension, Department of Medicine, Brigham and Women's Hospital, Boston, MD, USA.
Nora KatabiDepartment of Pathology, Memorial Sloan Kettering Cancer Center, USA.
Maelle SalibaDepartment of Pathology, Memorial Sloan Kettering Cancer Center, USA.
Anjanie KhimrajDepartment of Pathology, Memorial Sloan Kettering Cancer Center, USA.ORCID https://orcid.org/0000-0001-8782-5176
Eric J ShermanDepartment of Medical Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Robert Michael TuttleDivision of Subspecialty Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Giovanni TalliniPathology Unit, University of Bologna Medical Centre, Bologna, Italy.
Ian GanlyDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
James A FaginDivision of Subspecialty Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Ronald A GhosseinDepartment of Pathology, Memorial Sloan Kettering Cancer Center, USA.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
MOLECULAR PATHOPHYSIOLOGY OF THYROID CELL GROWTHR01CA050706 · NCI · UNIVERSITY OF CINCINNATI · PI FAGIN, JAMES A · 1995 to 2023
$7.5M
ONCOGENIC EVENTS IN THYROID NEOPLASIAR01CA072597 · NCI · UNIVERSITY OF CINCINNATI · PI FAGIN, JAMES A · 1997 to 2020
$6.7M
NCI NIH HHS P30 CA008748NCI NIH HHS P30CA008748NCI NIH HHS R01 CA050706NCI NIH HHS R01 CA072597NCI NIH HHS RO1-CA50706NCI NIH HHS RO1-CA72597
6 · The paper itself

Abstract

aimsWe aimed to study the clinicopathological and molecular features of high-grade non-anaplastic thyroid carcinomas (HGTCs), a carcinoma with a prognosis intermediate between those of well-differentiated carcinoma and anaplastic carcinoma. METHODS AND

resultsThis study included 364 HGTC patients: 200 patients (54.9%) were diagnosed with poorly differentiated thyroid carcinoma (PDTC), based on the Turin consensus (HGTC-PDTC), and 164 were diagnosed with high-grade features that did not meet the Turin criteria (HGTC-nonPDTC). HGTCs are aggressive: the 3-year, 5-year, 10-year and 20-year disease-specific survival (DSS) rates were 89%, 76%, 60%, and 35%, respectively. Although DSS was similar between HGTC-PDTC and HGTC-nonPDTC patients, HGTC-PDTC was associated with higher rate of radioactive iodine avidity, a higher frequency of RAS mutations, a lower frequency of BRAF V600E mutations and a higher propensity for distant metastasis (DM) than HGTC-nonPDTC. Independent clinicopathological markers of worse outcome were: older age, male sex, extensive necrosis and lack of encapsulation for DSS; older age, male sex and vascular invasion for DM-free survival; and older age, necrosis, positive margins and lymph node metastasis for locoregional recurrence-free survival. The frequencies of BRAF, RAS, TERT, TP53 and PTEN alterations were 28%, 40%, 55%, 11%, and 10%, respectively. TP53, PTEN and TERT were independent molecular markers associated with an unfavourable outcome, independently of clinicopathological parameters. The coexistence of BRAF V600E and TERT promoter mutation increased the risk of DM.

conclusionsThe above data support the classification of HGTC as a single group with two distinct subtypes based on tumour differentiation: HGTC-PDTC and HGTC-nonPDTC.

Indexed as

AdolescentAdultAgedAged, 80 and overBiomarkers, TumorChildChild, PreschoolFemaleHumansMaleMiddle AgedPrognosisRetrospective StudiesSurvival RateThyroid Carcinoma, AnaplasticThyroid NeoplasmsBiomarkers, TumorBRAFhigh-grade thyroid carcinomapoorly differentiated thyroid carcinomaprognosisRAS

Identifiers

PMID34449926
PMCPMC9425734

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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.