Evidence map›Paper›PMID 36812376›Full record

ArticleAmerican journal of clinical pathology2023

Molecular Landscape and Association With Crohn Disease of Poorly Cohesive Carcinomas of the Nonampullary Small Bowel.

Gianluca Tedaldi, Camilla Guerini, Davide Angeli, Daniela Furlan, Laura Libera, Marco Vincenzo Lenti, Federica Grillo, Matteo Fassan, Enrico Solcia, Fausto Sessa and 4 more

Open access · hybridAbstract read
In one paragraph

Article in American journal of clinical pathology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.1field-weighted citation impact, top 24% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Review
  3. 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

14 authors at 5 institutions in 1 country.

Gianluca TedaldiBiosciences Laboratory, IRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori," Meldola, Italy.
Camilla GueriniDepartment of Molecular Medicine, Unit of Anatomic Pathology, University of Pavia, Pavia, Italy.
Davide AngeliUnit of Biostatistics and Clinical Trials, IRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori," Meldola, Italy.
Daniela FurlanPathology Unit, Department of Medicine and Surgery, University of Insubria, Varese, Italy.
Laura LiberaPathology Unit, Department of Medicine and Surgery, University of Insubria, Varese, Italy.
Marco Vincenzo LentiDepartment of Internal Medicine, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Fondazione Policlinico San Matteo, University of Pavia, Pavia, Italy.
Federica GrilloDepartment of Laboratory Services, IRCCS Ospedale Policlinico San Martino, Genova, Italy.
Matteo FassanSurgical Pathology and Cytopathology Unit, Department of Medicine-DIMED, University of Padova, Padua, Italy.
Enrico SolciaDepartment of Molecular Medicine, Unit of Anatomic Pathology, University of Pavia, Pavia, Italy.
Fausto SessaPathology Unit, Department of Medicine and Surgery, University of Insubria, Varese, Italy.
Marco PaulliDepartment of Molecular Medicine, Unit of Anatomic Pathology, University of Pavia, Pavia, Italy.
Antonio Di SabatinoDepartment of Internal Medicine, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Fondazione Policlinico San Matteo, University of Pavia, Pavia, Italy.ORCID 0000-0002-0302-8645
Paola UliviBiosciences Laboratory, IRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori," Meldola, Italy.
Alessandro VanoliDepartment of Molecular Medicine, Unit of Anatomic Pathology, University of Pavia, Pavia, Italy.
University of Pavia · ITIstituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori · ITUniversity of Insubria · ITOspedale Policlinico San Martino · ITUniversity of Padua · IT

Funding

Department of Molecular Medicine, University of PaviaIstituto di Ricovero e Cura a Carattere ScientificoItalian Ministry of Education, University and ResearchItalian Ministry of Health
6 · The paper itself

Abstract

objectivesPoorly cohesive carcinomas (PCCs) are neoplasms defined by a predominantly dyshesive growth pattern with single cell or cord-like stromal infiltration. The -distinctive clinicopathologic and prognostic features of small bowel PCCs (SB-PCCs) in comparison with conventional-type small intestinal adenocarcinomas have only recently been characterized. However, as SB-PCCs' genetic profile is still unknown, we aimed to analyze the molecular landscape of SB-PCCs.

methodsA next-generation sequencing analysis through Trusight Oncology 500 on a series of 15 nonampullary SB-PCCs was performed.

resultsThe most frequently found gene alterations were TP53 (53%) and RHOA (13%) mutations and KRAS amplification (13%), whereas KRAS, BRAF, and PIK3CA mutations were not identified. Most SB-PCCs (80%) were associated with Crohn disease, including both RHOA-mutated SB-PCCs, which featured a non-SRC-type histology, and showed a peculiar appendiceal-type, low-grade goblet cell adenocarcinoma (GCA)-like component. Rarely, SB-PCCs showed high microsatellite instability, mutations in IDH1 and ERBB2 genes, or FGFR2 amplification (one case each), which are established or promising therapeutic targets in such aggressive cancers.

conclusionsSB-PCCs may harbor RHOA mutations, which are reminiscent of the diffuse subtype of gastric cancers or appendiceal GCAs, while KRAS and PIK3CA mutations, commonly involved in colorectal and small bowel adenocarcinomas, are not typical of such cancers.

Indexed as

AdenocarcinomaCrohn DiseaseClass I Phosphatidylinositol 3-KinasesHumansMutationPrognosisProto-Oncogene Proteins p21(ras)Class I Phosphatidylinositol 3-KinasesProto-Oncogene Proteins p21(ras)Crohn diseaseGoblet cell adenocarcinomaImmune-mediated disordersRHOASignet ring cell carcinoma

Identifiers

PMID36812376
PMCPMC10071142
OpenAlexW4321487658

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.