Evidence map›Paper›PMID 33300192›Full record

ArticleGenes, chromosomes & cancer2021

Pediatric fibromyxoid soft tissue tumor with PLAG1 fusion: A novel entity?

Catherine T Chung, Cristina R Antonescu, Brendan C Dickson, Rose Chami, Paula Marrano, Rong Fan, Mary Shago, Meera Hameed, Paul S Thorner

Open access · greenAbstract readCase Reports
In one paragraph

Article in Genes, chromosomes & cancer, 2021. 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
1.6field-weighted citation impact, top 13% 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

14 citing papers in PubMed, 28 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. What is new in fibroblastic/myofibroblastic tumors in children.Virchows Archiv : an international journal of pathology · 2025
    Review
  6. Article
  7. Pediatric fibromyxoid brachial plexus tumor with YWHAZ::PLAG1 gene fusion: a case report.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Expanding the spectrum of PLAG1-rearranged lipoblastomas arising in patients over 45, with identification of novel fusion partners.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2022
    Article
  13. Article
  14. Recurrent 8q11-13 Aberrations Leading toCancer genomics & proteomics
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 2 countries.

Catherine T ChungDivision of Pathology, The Hospital for Sick Children, Toronto, Canada.ORCID 0000-0001-7430-761X
Cristina R AntonescuDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, New York, US.ORCID 0000-0002-9717-8205
Brendan C DicksonDepartment of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Canada.ORCID 0000-0003-2269-6216
Rose ChamiDivision of Pathology, The Hospital for Sick Children, Toronto, Canada.
Paula MarranoDivision of Pathology, The Hospital for Sick Children, Toronto, Canada.
Rong FanDivision of Pediatric Pathology, Riley Hospital for Children at Indiana University Health, Indianapolis, Indiana.
Mary ShagoDepartment of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Canada.
Meera HameedDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, New York, US.
Paul S ThornerDepartment of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Canada.ORCID 0000-0001-6571-5566
University of Toronto · CAMemorial Sloan Kettering Cancer Center · USHospital for Sick Children · CAIndiana University Health · USMount Sinai Hospital · CA

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

The classification of undifferentiated soft tissue tumors continues to evolve with the expanded application of molecular analysis in clinical practice. We report three cases of a unique soft tissue tumor in young children (5 months to 2 years old) displaying a purely fibromyxoid histology, with positive staining for desmin and CD34. In two cases, RNA sequencing detected a YWHAZ-PLAG1 gene fusion, while in the third case, a previously unreported EEF1A1-PLAG1 fusion was identified. PLAG1 fusions have been reported in several pathologic entities including pleomorphic adenoma, myoepithelial tumors of skin and soft tissue, and lipoblastoma, the latter occurring preferentially in young children. In these tumors, expression of a full length PLAG1 protein comes under the control of the constitutively active promoter of the partner gene in the fusion, and the current cases conform to that model. Overexpression of PLAG1 was confirmed by diffusely positive immunostaining for PLAG1 in all three cases. Our findings raise the possibility of a novel fibromyxoid neoplasm in childhood associated with these rare PLAG1 fusion variants. The only other report of a PLAG1-YWHAZ fusion occurred in a pediatric tumor diagnosed as a "fibroblastic lipoblastoma." This finding raises the possibility of a relationship with our three cases, even though our cases lacked any fat component. Further studies with regard to a shared pathogenesis are required.

Indexed as

Oncogene Fusion14-3-3 ProteinsChild, PreschoolDNA-Binding ProteinsFemaleFibromaFoot DiseasesHead and Neck NeoplasmsHumansInfantMalePeptide Elongation Factor 1RNA-SeqScalpSkin Neoplasms14-3-3 ProteinsDNA-Binding ProteinsEEF1A1 protein, humanPeptide Elongation Factor 1PLAG1 protein, humanYWHAZ protein, humanEEF1A1lipoblastomaPLAG1soft tissuetranslocationtumorYWHAZ

Identifiers

PMID33300192
PMCPMC8358975
OpenAlexW3112249291

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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 Socratic graph.