Evidence map›Paper›PMID 34528398›Full record

ArticleMolecular oncology2021

Circulating tumour DNA is a promising biomarker for risk stratification of central chondrosarcoma with IDH1/2 and GNAS mutations.

Iben Lyskjaer, Christopher Davies, Anna-Christina Strobl, Joanna Hindley, Steven James, Radhesh K Lalam, William Cross, Geoff Hide, Kenneth S Rankin, Lee Jeys and 6 more

Open access · goldAbstract read
In one paragraph

Article in Molecular oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 21% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Advances in liquid biopsy for bone and soft-tissue sarcomas.International journal of clinical oncology · 2025
    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

16 authors at 6 institutions in 2 countries.

Iben LyskjaerResearch Department of Pathology, University College London, UCL Cancer Institute, London, UK.ORCID 0000-0003-3446-1182
Christopher DaviesResearch Department of Pathology, University College London, UCL Cancer Institute, London, UK.
Anna-Christina StroblResearch Department of Pathology, University College London, UCL Cancer Institute, London, UK.
Joanna HindleyDepartment of Histopathology, Royal National Orthopaedic Hospital, Stanmore, UK.
Steven JamesDepartment of Musculoskeletal Imaging, Royal Orthopaedic Hospital, Birmingham, UK.
Radhesh K LalamDepartment of Radiology, Royal National Orthopaedic Hospital, Stanmore, UK.
William CrossResearch Department of Pathology, University College London, UCL Cancer Institute, London, UK.
Geoff HideNorth of England Bone and Soft Tissue Tumour Service, Freeman Hospital, Newcastle, UK.
Kenneth S RankinNorth of England Bone and Soft Tissue Tumour Service, Freeman Hospital, Newcastle, UK.
Lee JeysOrthopaedic Department, Royal Orthopaedic Hospital NHS Foundation Trust, Birmingham, UK.
Roberto TiraboscoDepartment of Histopathology, Royal National Orthopaedic Hospital, Stanmore, UK.
Jonathan StevensonDepartment of Orthopaedic Oncology and Arthroplasty, Royal Orthopaedic Hospital NHS Foundation Trust, Birmingham, UK.
Genomics England Research ConsortiumGenomics England Research Consortium, William Harvey Research Institute, Queen Mary University of London, UK.
Paul O'DonnellResearch Department of Pathology, University College London, UCL Cancer Institute, London, UK.
Paul CoolRobert Jones & Agnes Hunt Orthopaedic Hospital NHS Foundation Trust, Oswestry, UK.
Adrienne M FlanaganResearch Department of Pathology, University College London, UCL Cancer Institute, London, UK.
Royal National Orthopaedic Hospital · GBRoyal Orthopaedic Hospital · GBFreeman Hospital · GBCancer Research UK · GBCRUK Lung Cancer Centre of Excellence · GBRobert Jones and Agnes Hunt Orthopaedic Hospital · GB

Funding

Department of Health
6 · The paper itself

Abstract

Chondrosarcoma (CS) is a rare tumour type and the most common primary malignant bone cancer in adults. The prognosis, currently based on tumour grade, imaging and anatomical location, is not reliable, and more objective biomarkers are required. We aimed to determine whether the level of circulating tumour DNA (ctDNA) in the blood of CS patients could be used to predict outcome. In this multi-institutional study, we recruited 145 patients with cartilaginous tumours, of which 41 were excluded. ctDNA levels were assessed in 83 of the remaining 104 patients, whose tumours harboured a hotspot mutation in IDH1/2 or GNAS. ctDNA was detected pre-operatively in 31/83 (37%) and in 12/31 (39%) patients postoperatively. We found that detection of ctDNA was more accurate than pathology for identification of high-grade tumours and was associated with a poor prognosis; ctDNA was never associated with CS grade 1/atypical cartilaginous tumours (ACT) in the long bones, in neoplasms sited in the small bones of the hands and feet or in tumours measuring less than 80 mm. Although the results are promising, they are based on a small number of patients, and therefore, introduction of this blood test into clinical practice as a complementary assay to current standard-of-care protocols would allow the assay to be assessed more stringently and developed for a more personalised approach for the treatment of patients with CS.

Indexed as

ChondrosarcomaCirculating Tumor DNAAdultBiomarkers, TumorChromograninsGTP-Binding Protein alpha Subunits, GsHumansIsocitrate DehydrogenaseMutationRisk AssessmentBiomarkers, TumorChromograninsCirculating Tumor DNAGNAS protein, humanGTP-Binding Protein alpha Subunits, GsIDH1 protein, humanIsocitrate Dehydrogenasechondrosarcomacirculating tumour DNAGNASIDH1IDH2prognosis

Identifiers

PMID34528398
PMCPMC8637565
OpenAlexW3200307827

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.