Evidence map›Paper›PMID 26713674›Full record

ReviewHead & neck2016

Cervical lymph node metastases from remote primary tumor sites.

Fernando López, Juan P Rodrigo, Carl E Silver, Missak Haigentz, Justin A Bishop, Primož Strojan, Dana M Hartl, Patrick J Bradley, William M Mendenhall, Carlos Suárez and 7 more

Open access · greenAbstract readReview
In one paragraph

Review in Head & neck, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 12% 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

63 citing papers in PubMed, 2 syntheses or guidelines pooled it, 131 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. When neck lymph nodes metastases do not origin from a head and neck unknown primary.Current opinion in otolaryngology & head and neck surgery · 2025
    Review
  13. Article
  14. Cervical Lymph Node Metastasis of Unknown Origin and Remote Primary at a Tertiary Cancer Centre in North India: Case Series with Review of Literature.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2025
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

3 more citing papers are in PubMed but not listed here.

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

17 authors at 13 institutions in 8 countries.

Fernando LópezDepartment of Otolaryngology, Hospital Universitario Central de Asturias, Oviedo, Spain.
Juan P RodrigoDepartment of Otolaryngology, Hospital Universitario Central de Asturias, Oviedo, Spain.
Carl E SilverDepartments of Surgery and Otolaryngology, Head and Neck Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York.
Missak HaigentzDepartments of Medicine (Oncology) and Otorhinolaryngology-Head & Neck Surgery, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, New York.
Justin A BishopDepartments of Pathology, The Johns Hopkins University, Baltimore, Maryland.
Primož StrojanDepartment of Radiation Oncology, Institute of Oncology, Ljubljana, Slovenia.
Dana M HartlDepartment of Otolaryngology-Head and Neck Surgery, Institut Gustave Roussy, Villejuif Cedex, France.
Patrick J BradleyDepartment of Otolaryngology-Head and Neck Surgery, Nottingham University Hospitals, Queens Medical Centre Campus, Nottingham, United Kingdom.
William M MendenhallDepartment of Radiation Oncology, University of Florida, Gainesville, Florida.
Carlos SuárezUniversity of Oviedo, Instituto Universitario de Oncología del Principado de Asturias, Oviedo, Spain.
Robert P TakesDepartment of Otolaryngology-Head and Neck Surgery, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands.
Marc HamoirDepartment of Head and Neck Surgery, Head and Neck Oncology Program, St Luc University Hospital and Cancer Center, Brussels, Belgium.
K Thomas RobbinsDivision of Otolaryngology-Head and Neck Surgery, Southern Illinois University School of Medicine, Springfield, Illinois.
Ashok R ShahaHead and Neck Service, Memorial Sloan-Kettering Cancer Center, New York, New York.
Jochen A WernerDepartment of Otolaryngology, Head and Neck Surgery, Marburg, Germany.
Alessandra RinaldoUniversity of Udine School of Medicine, Udine, Italy.
Alfio FerlitoCoordinator of the International Head and Neck Scientific Group.
Albert Einstein College of Medicine · USHospital Universitario Central de Asturias · ESInstitute of Oncology Ljubljana · SIInstitut Gustave Roussy · FRInstituto de Investigación Sanitaria del Principado de Asturias · ESJohns Hopkins University · USMemorial Sloan Kettering Cancer Center · USNottingham University Hospitals NHS Trust · GBPhilipps University of Marburg · DERadboud University Nijmegen · NLSouthern Illinois University School of Medicine · USUniversity of Florida · USUniversity of Udine · IT

Funding

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

Abstract

Although most malignant lymphadenopathy in the neck represent lymphomas or metastases from head and neck primary tumors, occasionally, metastatic disease from remote, usually infraclavicular, sites presents as cervical lymphadenopathy with or without an obvious primary tumor. In general, these tumors metastasize to supraclavicular lymph nodes, but occasionally may present at an isolated higher neck level. A search for the primary tumor includes information gained by histology, immunohistochemistry, and evaluation of molecular markers that may be unique to the primary tumor site. In addition, 18F-fluoro-2-deoxyglocose positron emission tomography combined with CT (FDG-PET/CT) has greatly improved the ability to detect the location of an unknown primary tumor, particularly when in a remote location. Although cervical metastatic disease from a remote primary site is often incurable, there are situations in which meaningful survival can be achieved with appropriate local treatment. Management is quite complex and requires a truly multidisciplinary approach. © 2015 Wiley Periodicals, Inc. Head Neck 38: E2374-E2385, 2016.

Indexed as

Fluorodeoxyglucose F18Head and Neck NeoplasmsHumansLymphatic MetastasisLymph NodesPositron Emission Tomography Computed TomographyRadiopharmaceuticalsFluorodeoxyglucose F18Radiopharmaceuticalscervical lymph nodediagnosisneck dissectionnon-head and neck cancerunknown primary

Identifiers

PMID26713674
PMCPMC4991634
OpenAlexW2274026423

What OpenQuestion 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 OpenQuestion graph.