Evidence map›Paper›PMID 35295613›Full record

SynthesisPathology oncology research : POR2022

NTRK Fusions Detection in Paediatric Sarcomas to Expand the Morphological Spectrum and Clinical Relevance of Selected Entities.

Filippo Nozzoli, Alexander J Lazar, Francesca Castiglione, Domenico Andrea Campanacci, Giovanni Beltrami, Francesco De Logu, Chiara Caporalini, Daniela Massi, Giandomenico Roviello

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Pathology oncology research : POR, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 23% 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, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Future oncology (London, England) · 2025
    Pooled it
  2. Emerging round cell sarcomas in children.Virchows Archiv : an international journal of pathology · 2025
    Review
  3. Article
  4. Pathology oncology research : POR · 2022
    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

9 authors at 4 institutions in 2 countries.

Filippo NozzoliSection of Anatomic Pathology, Department of Health Sciences, University of Florence, Florence, Italy.
Alexander J LazarDepartments of Pathology and Genomic Medicine, The University of Texas M.D. Anderson Cancer Center, Houston, TX, United States.
Francesca CastiglioneSection of Anatomic Pathology, Department of Health Sciences, University of Florence, Florence, Italy.
Domenico Andrea CampanacciDepartment of Orthopaedic Oncology and Reconstructive Surgery, Careggi University Hospital, Florence, Italy.
Giovanni BeltramiDepartment of Paediatric Orthopaedic Oncology, Meyer Children's Hospital, Florence, Italy.
Francesco De LoguClinical Pharmacology and Oncology Unit, Department of Health Sciences, University of Florence, Florence, Italy.
Chiara CaporaliniPathology Unit, Meyer Children's Hospital, University of Florence, Florence, Italy.
Daniela MassiSection of Anatomic Pathology, Department of Health Sciences, University of Florence, Florence, Italy.
Giandomenico RovielloMedical Oncology, Department of Health Sciences, University of Florence, Florence, Italy.
University of Florence · ITAzienda Ospedaliero-Universitaria Careggi · ITGenomic Health (United States) · USMeyer Children's Hospital · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Undifferentiated round cell sarcomas (URCS) of soft tissue and bone and tumours of uncertain differentiation (TUD) are commonly ascribed to a subset of neoplasms with low frequency of NTRK gene fusions. However, more recently NTRK-rearranged round and spindle cell tumours have been noted in case reports and in limited or heterogeneous cohorts. The aim of our study was to investigate the presence of NTRK gene fusions in a large retrospective cohort of paediatric URCS and TUD after a systematic review of the diagnosis, according to the recently updated WHO classification scheme. One-hundred and five patients with diagnosis of URCS or TUD, involving the bone or soft tissue, were retrospectively evaluated. After the case selection and the histopathological review of the case cohort, pan-Trk immunohistochemistry (IHC) testing was performed on formalin-fixed paraffin-embedded (FFPE) tissues. Tumour RNA was extracted from FFPE tissue and subjected to next-generation sequencing (NGS) library preparation, using a 10-gene NGS fusion panel, sequenced on an Illumina MiSeq. The NGS-positive cases were further confirmed by real-time PCR. On immunohistochemical screening, 12/105 (11.4%) cases were positive using the pan-Trk antibody, showing three different staining patterns with the cytoplasmic distribution being most common. Molecular analysis using NGS and confirmed by the real-rime PCR detected two positive cases for the ETV6-NTRK3 fusion. The histological pattern of the two positive cases, together with the demonstration of the NTRK rearrangement, leaded to re-classify these previously not otherwise specified sarcomas with uncertain differentiation into the emerging category of NTRK-rearranged neoplasms. In addition, we found the two NTRK fused neoplasms showing a clinical indolent course, in contrast with literature.

Indexed as

Receptor, trkASarcomaChildGene FusionHumansImmunohistochemistryRetrospective StudiesReceptor, trkAETV6-NTRK3NTRKNTRK-rearranged tumorspaediatric sarcomasPan-Trk

Identifiers

PMID35295613
PMCPMC8919346
OpenAlexW4214774848

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.