Evidence map›Paper›PMID 26484938›Full record

ArticleThe Laryngoscope2016

Natural history and management of Fanconi anemia patients with head and neck cancer: A 10-year follow-up.

David I Kutler, Krupa R Patel, Arleen D Auerbach, Jennifer Kennedy, Francis P Lach, Erica Sanborn, Marc A Cohen, William I Kuhel, Agata Smogorzewska

Abstract read
In one paragraph

Article in The Laryngoscope, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 1 pooled it
–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

60 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Treatment of Fanconi Anemia-Associated Head and Neck Cancer: Opportunities to Improve Outcomes.Clinical cancer research : an official journal of the American Association for Cancer Research · 2021
    Pooled it
  2. Micronucleus Frequency Test in Epithelial Cells Desquamated From the Oral Mucosa of Patients With Fanconi Anemia.Journal of oral pathology & medicine : official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

David I KutlerDepartment of Otolaryngology-Head and Neck Surgery, New York Presbyterian Hospital/Weill Cornell Medical College, New York, New York, U.S.A.
Krupa R PatelWeill Cornell Medical College, The Rockefeller University, New York, New York, U.S.A.
Arleen D AuerbachProgram in Human Genetics and Hematology, The Rockefeller University, New York, New York, U.S.A.
Jennifer KennedyLaboratory of Genome Maintenance, The Rockefeller University, New York, New York, U.S.A.
Francis P LachLaboratory of Genome Maintenance, The Rockefeller University, New York, New York, U.S.A.
Erica SanbornLaboratory of Genome Maintenance, The Rockefeller University, New York, New York, U.S.A.
Marc A CohenDepartment of Otolaryngology-Head and Neck Surgery, New York Presbyterian Hospital/Weill Cornell Medical College, New York, New York, U.S.A.
William I KuhelDepartment of Otolaryngology-Head and Neck Surgery, New York Presbyterian Hospital/Weill Cornell Medical College, New York, New York, U.S.A.
Agata SmogorzewskaLaboratory of Genome Maintenance, The Rockefeller University, New York, New York, U.S.A.

Funding

Transforming Translational Science and Education to Benefit Human HealthUL1TR000043 · NCATS · ROCKEFELLER UNIVERSITY · PI COLLER, BARRY · 2012 to 2015
$26.8M
The role of nucleases in interstrand crosslink repairR01HL120922 · NHLBI · ROCKEFELLER UNIVERSITY · PI SMOGORZEWSKA, AGATA · 2014 to 2018
$2.1M
NCATS NIH HHS UL1 TR000043NHLBI NIH HHS R01 HL120922
6 · The paper itself

Abstract

objectives/hypothesisTo describe the management and outcomes of Fanconi anemia (FA) patients with head and neck squamous cell carcinoma. STUDY

designCohort study.

methodsDemographic information, prognostic factors, therapeutic management, and survival outcomes for FA patients enrolled in the International Fanconi Anemia Registry who developed head and neck squamous cell carcinoma (HNSCC) were analyzed.

resultsThirty-five FA patients were diagnosed with HNSCC at a mean age of 32 years. The most common site of primary cancer was the oral cavity (26 of 35, 74%). Thirty patients underwent surgical resection of the cancer. Sixteen patients received radiation therapy with an average radiation dose of 5,050 cGy. The most common toxicities were high-grade mucositis (9 of 16, 56%), hematologic abnormalities (8 of 16, 50%), and dysphagia (8 of 16, 50%). Three patients received conventional chemotherapy and had significant complications, whereas three patients who received targeted chemotherapy with cetuximab had fewer toxicities. The 5-year overall survival rate was 39%, with a cause-specific survival rate of 47%.

conclusionsFanconi anemia patients have a high risk of developing aggressive HNSCC at an early age. Fanconi anemia patients can tolerate complex ablative and reconstructive surgeries, but careful postoperative care is required to reduce morbidity. The treatment of FA-associated HNSCC is difficult secondary to the poor tolerance of radiation and chemotherapy. However, radiation should be used for high-risk cancers due to the poor survival in these patients. LEVEL OF EVIDENCE: 4.

Indexed as

AdolescentAdultCarcinoma, Squamous CellFanconi AnemiaFemaleFollow-Up StudiesHead and Neck NeoplasmsHumansMaleMiddle AgedRisk FactorsSurvival RateTreatment OutcomeFanconi anemiahead and necksquamous cell carcinoma

Identifiers

PMID26484938
PMCPMC4803627

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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.