Evidence map›Paper›PMID 34076846›Full record

ReviewHead and neck pathology2022

Carcinoma Cuniculatum of the Oral Cavity: A Series of 6 Cases and Review of Literature.

Subhash Yadav, Munita Bal, Swapnil Rane, Neha Mittal, Amit Janu, Asawari Patil

Open access · greenAbstract readReview
In one paragraph

Review in Head and neck pathology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.2field-weighted citation impact, top 8% 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

16 citing papers in PubMed, 33 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. A rare intersection: Oral carcinoma cuniculatum in the context of Down syndrome.Journal of oral and maxillofacial pathology : JOMFP · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Esophageal Carcinoma Cuniculatum.Annals of thoracic surgery short reports · 2024
    Article
  10. Gingival Carcinoma Cuniculatum: A Case Series of Seven Cases with Emphasis on Immunohistochemical and Histochemical Features.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2024
    Article
  11. Oral Carcinoma Cuniculatum: A Variant of Squamous cell Carcinoma with Unique Histological Characteristics and a Diagnostic Challenge.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2023
    Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. 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

6 authors at 1 institution in 1 country.

Subhash YadavDepartment of Pathology, Tata Memorial Centre, Homi Bhabha National Institute, Mumbai, 400012, India.
Munita BalDepartment of Pathology, Tata Memorial Centre, Homi Bhabha National Institute, Mumbai, 400012, India. munitamenon@gmail.com.ORCID http://orcid.org/0000-0002-0345-5620
Swapnil RaneDepartment of Pathology, Tata Memorial Centre, Homi Bhabha National Institute, Mumbai, 400012, India.
Neha MittalDepartment of Pathology, Tata Memorial Centre, Homi Bhabha National Institute, Mumbai, 400012, India.
Amit JanuDepartment of Radiodiagnosis, Tata Memorial Centre, Homi Bhabha National Institute, Mumbai, 400012, India.
Asawari PatilDepartment of Pathology, Tata Memorial Centre, Homi Bhabha National Institute, Mumbai, 400012, India.
Homi Bhabha National Institute · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Carcinoma cuniculatum (CC) is a rare variant of squamous cell carcinoma (SCC) that is characterized by minimal cytologic atypia and a unique deeply infiltrative growth pattern resembling rabbit burrows (cuniculi). With less than 75 cases reported in the head and neck, the clinical and pathologic spectrum of this entity remains poorly understood. A retrospective review of the clinical and pathologic features of archival cases of oral CC was performed. A total of six cases of oral CC were identified. Age ranged from 25-77 years; the male-to-female ratio was 5:1. All patients had a long-standing history of tobacco and betel-quid consumption. The tumors were distributed in the gingivobuccal sulcus (n = 2), the tongue (n = 2), buccal mucosa (n = 1), and the palate (n = 1). Histology in all cases typically revealed a tumor composed of well-differentiated squamous epithelium, devoid of atypia, lining deeply infiltrative, large-sized, branching, keratin-filled cavities, resembling rabbit-burrows. Dense lymphocytic infiltrates and discharging micro-abscesses were regular features. Underlying bone invasion and lymph node metastasis were observed in 1 patient. One patient with a tongue tumor developed locoregional recurrence at 10 months while none developed distant metastasis. Oral CC is a rare and under-recognized variant of SCC with locally aggressive behavior. Lack of familiarity with this variant exacerbated by the absence of cytologic anaplasia makes CC susceptible to multiple negative biopsies and erroneous diagnoses. Awareness of this clinicopathologic entity is essential to allow its accurate diagnosis and optimal management.

Indexed as

Bone NeoplasmsCarcinoma, Squamous CellCarcinoma, VerrucousMouth NeoplasmsTongue NeoplasmsAnimalsFemaleHumansMaleNeoplasm Recurrence, LocalRabbitsCarcinoma cuniculatumClinicopathologicOralRareSquamousVerrucous

Identifiers

PMID34076846
PMCPMC9018931
OpenAlexW3165724707

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.