Evidence map›Paper›PMID 40739067›Full record

ArticleAnnals of surgical oncology2025

Clinicopathologic Characteristics and Clinical Outcomes of Patients with Testicular Mesothelioma.

Prashasti Agrawal, Fady Baky, Judy Sarungbam, Joel Sheinfeld, Victor E Reuter, Andrea Cercek, Garrett M Nash, Jennifer L Sauter, William D Travis, Charles B Simone and 4 more

Abstract read
In one paragraph

Article in Annals of surgical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Prashasti Agrawal *Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, 10065, USA.
Fady Baky *Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, USA.
Judy SarungbamDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, USA.
Joel SheinfeldDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, USA.
Victor E ReuterDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, USA.
Andrea CercekDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, 10065, USA.
Garrett M NashDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, USA.
Jennifer L SauterDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, USA.
William D TravisDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, USA.
Charles B SimoneDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center and New York Proton Center, New York, USA.
George J BoslDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, 10065, USA.
Marjorie G ZaudererDepartment of Hematology and Medical Oncology, Westchester Medical Center, New York, USA.
Richard S Matulewicz *Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, USA.
Michael Offin *Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, 10065, USA. offinm@mskcc.org.ORCID http://orcid.org/0000-0002-7959-3018

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundMesothelioma of the tunica vaginalis testes (testicular mesothelioma [TM]) is a rare tumor, comprising less than 5% of mesotheliomas. Surgical intervention is the current standard of care, whereas the role of systemic therapies remains undefined.

methodsWe retrospectively reviewed 36 patients with pathologically confirmed TM treated at Memorial Sloan Kettering Cancer Center (MSK) between January 1996 to May 2023. Clinicopathologic data, treatments received, and clinical outcomes were reported. Surgical pathology samples, when available, underwent next-generation sequencing (NGS) using MSK-IMPACT. Overall survival (OS) was calculated by using the Kaplan-Meier method.

resultsMedian age at diagnosis was 64 years (range 24-93). Histologically, 22 (61%) tumors were epithelioid, ten (28%) were biphasic, three (8%) were sarcomatoid, and one (3%) was unable to be further classified. Ten patients (28%) had metastatic disease at initial diagnosis, and 13 more (36%) eventually developed metastatic disease. Orchiectomy was performed in 34 (94%) patients and retroperitoneal lymph node dissection (RPLND) in 12 (33%); 15 (42%) received systemic therapy and five (14%) radiation therapy. Ten samples underwent somatic NGS: five (50%) had CDKN2A/B, four (40%) had NF2, and two (20%) had BAP1 alterations. At a median follow up of 3.5 years, median OS was 4.5 years.

conclusionsThis is the largest single-institution series and genomic dataset for TM. We report unique clinicopathologic and genomic features that distinguish TM from other mesotheliomas, including a lower frequency of BAP1 alterations. Owing to the rarity of this disease, further refinement of the sequence and necessity of surgical and systemic treatment is necessary.

Indexed as

MesotheliomaTesticular NeoplasmsAdultAgedAged, 80 and overBiomarkers, TumorFollow-Up StudiesHumansMaleMiddle AgedOrchiectomyPrognosisRetrospective StudiesSurvival RateYoung AdultBiomarkers, TumorEpithelioidNon-epithelioidOrchiectomyRare tumorTesticular mesothelioma

Identifiers

PMID40739067
PMCPMC12589385

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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.