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ArticleCancer medicine2023

Clinical characteristics and outcomes for children, adolescents and young adults with "CIC-fused" or "BCOR-rearranged" soft tissue sarcomas: A multi-institutional European retrospective analysis.

Monika Sparber-Sauer, Nadège Corradini, Maria Carmen Affinita, Giuseppe Maria Milano, Gaelle Pierron, Matthieu Carton, Franck Tirode, Daniel Pissaloux, Rita Alaggio, Christian Vokuhl and 4 more

Abstract readMulticenter Study
In one paragraph

Article in Cancer medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–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

14 citing papers in PubMed.

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  2. International journal of surgery case reports · 2026
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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

14 authors.

Monika Sparber-SauerKlinikum der Landeshauptstadt Stuttgart gKAöR, Olgahospital, Stuttgart Cancer Center, Zentrum für Kinder-, Jugend- und Frauenmedizin, Pädiatrie 5 (Pädiatrische Onkologie, Hämatologie, Immunologie), Stuttgart, Germany.ORCID 0000-0001-9551-2399
Nadège CorradiniDepartment of Pediatric Hematology and Oncology-IHOPe, Léon Bérard Center, Lyon, France.
Maria Carmen AffinitaPediatric Hematology, Oncology and Stem Cell Transplant Division, Department of Women's and Children's Health University Hospital of Padova, Padova, Italy.ORCID 0000-0003-1680-0240
Giuseppe Maria MilanoDepartment of Hematology and Oncology, Cell and Gene Therapy, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Gaelle PierronDepartment of Somatic Genetics, Institut Curie, Paris, France.
Matthieu CartonDepartment of Biometry, Institut Curie, DRCI, PSL Research University, Paris, France.ORCID 0000-0002-6793-3273
Franck TirodeDepartment of Biopathology, Centre Léon Bérard, Lyon, France.
Daniel PissalouxDepartment of Biopathology, Centre Léon Bérard, Lyon, France.
Rita AlaggioPathology Unit, Department of Laboratories, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Christian VokuhlSection of Pediatric Pathology, Department of Pathology, Bonn, Germany.
Gianni BisognoPediatric Hematology, Oncology and Stem Cell Transplant Division, Department of Women's and Children's Health University Hospital of Padova, Padova, Italy.
Pablo BerlangaDepartment of Pediatric and Adolescent Oncology, Gustave Roussy Cancer Campus, Université Paris-Saclay, Villejuif, France.
Andrea FerrariPediatric Oncology Unit, Fondazione IRCCS Istituto Nazionale Tumori, Milan, Italy.
Daniel OrbachSIREDO Oncology Center (Care, Innovation and Research for Children, Adolescents and Young Adults with Cancer), Institut Curie, PSL University, Paris, France.ORCID 0000-0002-2520-139X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn certain rare undifferentiated small round cell sarcomas new specific molecular CIC-DUX4/other partner, BCOR-CCNB3/other partner, YWHAE fusions, or BCOR-ITD (internal tandem duplication) were identified. These new "CIC fused" (CIC-fused/ATXN1::NUTM1) and "BCOR rearranged" (BCOR fused/ITD/ YWHAE) soft tissue sarcomas (STS) are not well described.

methodsMulti-institutional European retrospective analysis of young patients (0-24 years) with CIC-fused and BCOR rearranged STS.

resultsOverall, out of the 60 patients selected, the fusion status was CIC-fused (n = 29), ATXN1::NUTM1 (n = 2), BCOR::CCNB3 (n = 18), BCOR-ITD (n = 7), and YWHAE (n = 3), MAML::BCOR STS (n = 1). The main primaries were abdomen-pelvic (n = 23) and limbs (n = 18). Median age was 14 years (0.9-23.8) and 0.9 (0.1-19.1) for CIC-fused and BCOR-rearranged groups, respectively (n = 29; p < 0.001). IRS stages were I (n = 3), II (n = 7), III (n = 35), and IV (n = 15). Overall, 42 patients had large tumors (>5 cm) but only six had lymph node involvement. Patients received mainly chemotherapy (n = 57), local surgery (n = 50), and/or radiotherapy (n = 34). After a median follow-up of 47.1 months (range, 3.4-230), 33 (52%) patients had an event and 23 patients died. Three-year event-free survivals were 44.0% (95% CI 28.7-67.5) and 41.2% (95% CI 25.4-67.0) for CIC and BCOR groups (p = 0.97), respectively. Three-year overall survivals were 46.3% (95% CI 29.6-72.4) and 67.1% (95% CI 50.4-89.3; p = 0.24), respectively.

conclusionsPediatric patients often present with large tumors and metastatic disease, especially CIC sarcomas. Overall outcome is dismal. New treatment options are needed.

Indexed as

SarcomaSoft Tissue NeoplasmsAdolescentBiomarkers, TumorChildHumansOncogene Proteins, FusionProto-Oncogene ProteinsRepressor ProteinsRetrospective StudiesTranscription FactorsYoung AdultBCOR protein, humanBiomarkers, TumorOncogene Proteins, FusionProto-Oncogene ProteinsRepressor ProteinsTranscription FactorsBCOR rearrangementCIC-DUX fusion transcriptpediatric/adolescent oncologysoft tissue sarcomaYWHAE fusion transcript

Identifiers

PMID37212486
PMCPMC10358194

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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.