Evidence map›Paper›PMID 32954838›Full record

SynthesisAmerican journal of rhinology & allergy2021

Treatment of Sinonasal Teratocarcinosarcoma: A Systematic Review and Survival Analysis.

Nikita Chapurin, Douglas J Totten, Justin C Morse, Mohammad S Khurram, Peter C Louis, Robert J Sinard, Naweed I Chowdhury

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in American journal of rhinology & allergy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.3field-weighted citation impact, top 7% 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

20 citing papers in PubMed, 34 citations in OpenAlex.

  1. Article
  2. Article
  3. Teratocarcinosarcoma of the nasal cavity: challenges in the clinico-pathologic perspectives.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
    Review
  4. Sinonasal teratocarcinosarcoma: a case report of a 41-year-old female.American journal of translational research · 2025
    Article
  5. Article
  6. Article
  7. Precision radiation oncology · 2024
    Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

7 authors at 2 institutions in 1 country.

Nikita ChapurinDepartment of Otolaryngology, Vanderbilt University Medical Center, Nashville, Tennessee.
Douglas J TottenVanderbilt University School of Medicine, Nashville, Tennessee.ORCID https://orcid.org/0000-0002-0665-9653
Justin C MorseDepartment of Otolaryngology, Vanderbilt University Medical Center, Nashville, Tennessee.
Mohammad S KhurramDepartment of Pathology, Vanderbilt University Medical Center, Nashville, Tennessee.
Peter C LouisDepartment of Pathology, Vanderbilt University Medical Center, Nashville, Tennessee.
Robert J SinardDepartment of Otolaryngology, Vanderbilt University Medical Center, Nashville, Tennessee.
Naweed I ChowdhuryDepartment of Otolaryngology, Vanderbilt University Medical Center, Nashville, Tennessee.
Vanderbilt University Medical Center · USVanderbilt University · US

Funding

VGM: Vanderbilt Genomic Medicine Training ProgramT32HG008341 · NHGRI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Nancy J Cox, Joseph F. Peterson · 2016 to 2026
$2.8M
NHGRI NIH HHS T32 HG008341
6 · The paper itself

Abstract

backgroundSinonasal teratocarcinosarcoma (SNTCS) is a rare malignancy of the anterior skull base with only 127 cases described in the English literature. Given the rarity of this tumor, new cases and analysis of published reports may assist in future management of SNTCS.

objectives1) Describe findings from a systematic review of all available literature for malignant SNTCS including the clinical presentation, treatment modalities and outcomes. 2) Present two new cases of this rare anterior skull base tumor. 3) Compare treatment outcomes with respect to recurrence and mortality.

methodsA systematic review of all English literature available in 2 comprehensive databases was conducted by two independent reviewers using PRISMA guidelines. 85 publications were identified. Each case was reviewed for demographics, treatment and survival, and aggregate treatment outcomes were compared using Kaplan-Meier analysis.

resultsA total of 64 articles meeting inclusion criteria were reported in the literature between 1977-2018. This represented a total of 127 patients, with a strong male predominance (83%) and mean age of 50 years (range 10-82). Mean follow-up was 21 months. Recurrence rate was 38%, with mean survival at 2 years of 55%. Almost all patients underwent surgery as a primary treatment modality (90%). The majority of cases were treated with multimodal therapy, with 55% receiving surgery and radiation and 20% receiving surgery with adjuvant chemoradiation. Kaplan-Meier analysis demonstrated a significant survival advantage for patients treated with combined therapy compared to surgery alone (p < 0.001) but did not show differences in recurrence (p = 0.085).

conclusionTwo-year survival rates for SNTCS are 55%. Multimodality treatment outcomes appear to be superior to surgery alone based on the published data of this rare skull base tumor, although heterogeneity of treatment methods and reporting bias limits the generalizability of these findings.

Indexed as

CarcinosarcomaNose NeoplasmsAdolescentAdultAgedAged, 80 and overChildHumansMaleMiddle AgedNeoplasm Recurrence, LocalSurvival AnalysisTeratomaYoung Adultanterior skull basesarcomasinonasal teratocarcino sinus malignancysystematic reviewteratomasarcoma

Identifiers

PMID32954838
PMCPMC8258305
OpenAlexW3087415633

What OpenQuestion holds

Textmetadata
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.