Evidence map›Paper›PMID 33835633›Full record

ArticleHead & neck2021

Circulating hybrid cells predict presence of occult nodal metastases in oral cavity carcinoma.

Tara E Henn, Ashley N Anderson, Yvette R Hollett, Thomas L Sutton, Brett S Walker, John R Swain, David A Sauer, Daniel R Clayburgh, Melissa H Wong

Open access · greenAbstract read
In one paragraph

Article in Head & neck, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.3field-weighted citation impact, top 17% 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

17 citing papers in PubMed, 23 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. The double-positive cells in the tumor microenvironment.Journal of translational internal medicine · 2026
    Article
  5. Review
  6. A Brief Introduction into the Biological Phenomenon of Cell-Cell Fusion.Advances in experimental medicine and biology · 2026
    Review
  7. Implications of Heterotypic Cell Fusion in Cancer.Advances in experimental medicine and biology · 2026
    Review
  8. Review
  9. Article
  10. Article
  11. Quantitative image analysis pipeline for detecting circulating hybrid cells in immunofluorescence images with human-level accuracy.Cytometry. Part A : the journal of the International Society for Analytical Cytology · 2024
    Article
  12. Article
  13. Review
  14. Article
  15. Article
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  17. Review
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

9 authors at 1 institution in 1 country.

Tara E HennDepartment of Otolaryngology, Oregon Health & Science University, Portland, Oregon, USA.
Ashley N AndersonDepartment of Cell, Developmental and Cancer Biology, Oregon Health & Science University, Portland, Oregon, USA.
Yvette R HollettDepartment of Otolaryngology, Oregon Health & Science University, Portland, Oregon, USA.
Thomas L SuttonDepartment of Surgery, Oregon Health & Science University, Portland, Oregon, USA.
Brett S WalkerDepartment of Surgery, Oregon Health & Science University, Portland, Oregon, USA.
John R SwainDepartment of Cell, Developmental and Cancer Biology, Oregon Health & Science University, Portland, Oregon, USA.
David A SauerDepartment of Otolaryngology, Oregon Health & Science University, Portland, Oregon, USA.
Daniel R ClayburghDepartment of Otolaryngology, Oregon Health & Science University, Portland, Oregon, USA.ORCID 0000-0002-3296-4926
Melissa H WongDepartment of Cell, Developmental and Cancer Biology, Oregon Health & Science University, Portland, Oregon, USA.ORCID 0000-0002-5127-279X
Oregon Health & Science University · US

Funding

Understanding the origins of rapid recurrence of pancreatic cancer after resectionP30CA069533 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI Luiz Eduardo Bertassoni · 1997 to 2026
$60.5M
Systems-Based Predictions of Responses to Cancer TherapyU54CA112970 · NCI · UNIVERSITY OF CALIF-LAWRENC BERKELEY LAB · PI MILLS, GORDON B. · 2004 to 2014
$27.1M
Deltavision RT Image Restoration System for Established Research Core FacilityS10RR023432 · NCRR · OREGON HEALTH & SCIENCE UNIVERSITY · PI KELLER, THOMAS J · 2007 to 2007
$365k
CSR NIH HHS P30 CA069533CSR NIH HHS U54CA112970NCI NIH HHS P30 CA069533NCI NIH HHS U54 CA112970NCRR NIH HHS S10 RR023432NCRR NIH HHS S10-RR023432
6 · The paper itself

Abstract

backgroundLevels of circulating hybrid cells (CHCs), a newly identified circulating tumor cell (CTC), correlate with disease stage and progression in cancer. We investigated their utility to risk-stratify patients with clinically N0 (cN0) oral cavity squamous cell carcinoma (OCSCC), and to identify patients with occult cervical lymph node metastases (pN+).

methodsWe analyzed peripheral blood samples for CHCs with co-expression of cytokeratin (tumor) and CD45 (leukocyte) from 22 patients with cN0 OCSCC using immunofluorescence microscopy, then correlated levels with pathologic lymph node status.

resultsCHC levels exceeded CTCs and correlated with the presence of both clinically overt (p = 0.002) and occult nodal metastases (p = 0.006).

conclusionsFor evaluated cN0 OCSCC patients, those with cN0 → pN+ status harbored elevated CHC levels compared to patients without occult disease. Our findings highlight a promising blood-based biologic assay with potential utility to determine the necessity of surgical neck dissection for staging and treatment.

Indexed as

Carcinoma, Squamous CellHead and Neck NeoplasmsHumansHybrid CellsLymph NodesMouthNeck DissectionNeoplasm StagingRetrospective Studiesblood-based analytehead and neck canceroccult metastasesoral pharyngeal squamous cell carcinomaprognostic analyte

Identifiers

PMID33835633
PMCPMC9094139
OpenAlexW3140891718

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.