Evidence map›Paper›PMID 35624380›Full record

ArticleDiscover oncology2022

Pembrolizumab as a first line therapy in a patient with extensive mucoepidermoid salivary gland carcinoma. A complete clinical, radiological and pathological response. A very specific case.

Raed Farhat, Noam Asna, Yaniv Avraham, Ashraf Khater, Majd Asakla, Alaa Safia, Sergio Szvalb, Nidal Elkhatib, Shlomo Merchavy

Open access · goldAbstract read
In one paragraph

Article in Discover oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.3field-weighted citation impact, top 21% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Contemporary Management of Malignancies of the Parotid Gland: A State-of-the-Art Review.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026
    Review
  2. Article
  3. Article
  4. PD-1 and PD-L1 expression in rare lung tumors.Pathology oncology research : POR · 2023
    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

9 authors at 1 institution in 1 country.

Raed FarhatOtolaryngology, Head & Neck Surgery Unit, Ziv Medical Center, Golan Heights, 1028, Safed, Israel. raed.frhat88@gmail.com.
Noam AsnaOncology Institute, Ziv Medical Center, Zefat, Israel.
Yaniv AvrahamOtolaryngology, Head & Neck Surgery Unit, Ziv Medical Center, Golan Heights, 1028, Safed, Israel.ORCID https://orcid.org/0000-0002-4367-9776
Ashraf KhaterOtolaryngology, Head & Neck Surgery Unit, Ziv Medical Center, Golan Heights, 1028, Safed, Israel.
Majd AsaklaOtolaryngology, Head & Neck Surgery Unit, Ziv Medical Center, Golan Heights, 1028, Safed, Israel.
Alaa SafiaOtolaryngology, Head & Neck Surgery Unit, Ziv Medical Center, Golan Heights, 1028, Safed, Israel.
Sergio SzvalbPathology Institute, Ziv Medical Center, Zefat, Israel.
Nidal ElkhatibOtolaryngology, Head & Neck Surgery Unit, Ziv Medical Center, Golan Heights, 1028, Safed, Israel.
Shlomo MerchavyOtolaryngology, Head & Neck Surgery Unit, Ziv Medical Center, Golan Heights, 1028, Safed, Israel.ORCID https://orcid.org/0000-0002-0442-835X
Rebecca Sieff Hospital · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with advanced salivary gland malignancies (SGCs) have few therapy options. Although results from newly published trials suggest that checkpoint inhibition may be useful in a subgroup of patients, there are no clear criteria for PD-L1 score in SGCs. Chemotherapy benefits were observed to be limited, with a dismal prognosis in unresectable and high-grade SGC. Immunotherapies have demonstrated extraordinary efficacy in a variety of cancers, including non-small cell lung cancer and malignant melanoma. Anti-PD-1 antibody pembrolizumab has been shown to have potent anti-tumor action in a number of clinical trials. CASE PRESENTATION: We report a unique case of advanced high grade mucoepidermoid carcinoma of the parotid salivary gland after Pembrolizumab treatment as a first line therapy. The tumor was downstaged as a result of the pembrolizumab treatment, allowing for a successful surgical excision with no facial nerve sacrifice and no major neoadjuvant treatment adverse effects, and the final specimen pathology was tumor-free. In these types of malignancies, a similar technique resulted in a complete response (CR) radiologically and pathologically has never been discussed before.

conclusionsIn pretreated patients with high-grade salivary gland mucoepidermoid carcinoma, pembrolizumab showed good anticancer activity and provided a clinically, radiologically, and pathological response with a viable treatment choice. More research is needed to bring Pembrolizumab to the front-line of treatment. The time and duration of medication should be compared to the time required for surgery in these investigations.

Indexed as

Complete response (CR)PembrolizumabSalivary gland cancers (SGCs): immunotherapy

Identifiers

PMID35624380
PMCPMC9142722
OpenAlexW4281635130

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.