Evidence map›Paper›PMID 41263790›Full record

ReviewHistopathology2026

Adult granulosa cell tumours of the testis analogous to ovarian counterparts are exceptionally rare: analysis of a multicentric series and review of the literature.

Costantino Ricci, Dario de Biase, Thais Maloberti, Agnese Orsatti, Thomas M Ulbright, Muhammad T Idrees, Esther Oliva, Kristine Cornejo, João Lobo, Kvetoslava Michalova and 11 more

Abstract readReviewMulticenter Study
In one paragraph

Review in Histopathology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

21 authors.

Costantino RicciPathology Unit, DIAP-Dipartimento Interaziendale di Anatomia Patologica di Bologna, Maggiore Hospital-AUSL Bologna, Bologna, Italy.ORCID https://orcid.org/0000-0001-7254-4195
Dario de BiaseSolid Tumor Molecular Pathology Laboratory, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.ORCID https://orcid.org/0000-0002-0609-8817
Thais MalobertiSolid Tumor Molecular Pathology Laboratory, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.ORCID https://orcid.org/0000-0002-8306-4653
Agnese OrsattiPathology Unit, DIAP-Dipartimento Interaziendale di Anatomia Patologica di Bologna, Maggiore Hospital-AUSL Bologna, Bologna, Italy.ORCID https://orcid.org/0009-0005-8560-1925
Thomas M UlbrightDepartment of Pathology and Laboratory Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA.ORCID https://orcid.org/0000-0002-7828-2496
Muhammad T IdreesDepartment of Pathology and Laboratory Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA.ORCID https://orcid.org/0000-0001-6611-6389
Esther OlivaDepartment of Pathology, Massachusetts General Hospital, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0001-7355-4301
Kristine CornejoDepartment of Pathology and Laboratory Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA.ORCID https://orcid.org/0000-0002-9490-8583
João LoboDepartment of Pathology, Portuguese Oncology Institute of Porto (IPOP), Porto, Portugal.ORCID https://orcid.org/0000-0001-6829-1391
Kvetoslava MichalovaDepartment of Pathology, Charles University, Faculty of Medicine in Plzeň, Bioptical Laboratory, Ltd, Plzeň, Czech Republic.ORCID https://orcid.org/0000-0003-3231-6870
Maria Rosaria RaspolliniDepartment of Histopathology and Molecular Diagnostics, Careggi University Hospital, Florence, Italy.ORCID https://orcid.org/0000-0001-6630-4881
Sean R WilliamsonPathology and Laboratory Medicine Institute, The Cleveland Clinic, Cleveland, Ohio, USA.ORCID https://orcid.org/0000-0002-3898-1460
Geert Jlh van LeendersDepartment of Pathology, Erasmus Medical Center, Erasmus University, Rotterdam, Netherlands.ORCID https://orcid.org/0000-0003-2176-9102
Chia-Sui KaoPathology and Laboratory Medicine Institute, The Cleveland Clinic, Cleveland, Ohio, USA.ORCID https://orcid.org/0000-0001-6609-2567
Fiona MacleanDouglass Hanly Moir Pathology, Macquarie Park, New South Wales, Australia.ORCID https://orcid.org/0000-0002-6468-2368
Ankur R SangoiDepartment of Pathology, Stanford University, Stanford, California, USA.ORCID https://orcid.org/0000-0003-0874-8964
Adeboye O OsunkoyaDepartment of Pathology and Urology, Emory University School of Medicine, Atlanta, Georgia, USA.ORCID https://orcid.org/0000-0001-5712-8134
Michelangelo FiorentinoPathology Unit, DIAP-Dipartimento Interaziendale di Anatomia Patologica di Bologna, Maggiore Hospital-AUSL Bologna, Bologna, Italy.ORCID https://orcid.org/0000-0002-1749-150X
Antonio De LeoSolid Tumor Molecular Pathology Laboratory, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.ORCID https://orcid.org/0000-0002-3761-5135
Giovanni TalliniSolid Tumor Molecular Pathology Laboratory, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.ORCID https://orcid.org/0000-0003-0113-6682
Andres Martin AcostaDepartment of Pathology and Laboratory Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA.ORCID https://orcid.org/0000-0001-8817-6331

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTesticular adult granulosa cell tumours (AGCTs) are rare and show several clinical-pathological differences with their ovarian counterparts. In a limited number of prior studies, FOXL2 p.Cys134Trp, the hallmark molecular alteration of ovarian AGCT, appeared to be infrequent in testicular AGCTs. However, the number of cases analysed to date is relatively small. METHODS AND

resultsTwenty testicular AGCTs were analysed de novo using two different next-generation sequencing (NGS) panels that cover sex cord-stromal tumour (SCST)-relevant genes, including FOXL2, CTNNB1, FH and DICER1. Among 12 tumours (12/20; 60%) that were sequenced successfully, none harboured FOXL2 mutations. Eight tumours (8/12, 66.7%) showed a wild-type (WT) status for all genes assessed with the panels. Three tumours harboured pathogenic or likely pathogenic CTNNB1 alterations. One of these exhibited predominant spindle cell morphology, while the other two showed focal tubular architecture. Immunohistochemistry performed in one of these tumours with available material showed β-catenin expression in ~70% of tumor cell nuclei. The remaining AGCTs showed variants of uncertain significance (likely benign) in KIT and MED12. Considering the tumors asseseed in this study and those previously reported in the literature, only 2 of 29 neoplasms classified as testicular AGCTs have shown a FOXL2 p.Cys134Trp mutation to date.

conclusionsThe present study confirms that SCSTs classified as AGCTs differ from their ovarian counterparts in that they largely lack FOXL2 mutations.

Indexed as

Granulosa Cell TumorOvarian NeoplasmsTesticular NeoplasmsAdultAgedbeta CateninBiomarkers, TumorFemaleForkhead Box Protein L2High-Throughput Nucleotide SequencingHumansMaleMiddle AgedMutationSex Cord-Gonadal Stromal TumorsYoung Adultbeta CateninBiomarkers, TumorCTNNB1 protein, humanForkhead Box Protein L2FOXL2 protein, humanCTNNB1CTNNB1 mutationFOXL2FOXL2 mutationNGSsex cord‐stromal tumourstesticular adult granulosa cell tumour

Identifiers

PMID41263790
PMCPMC12891927

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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.