Evidence map›Paper›PMID 35923999›Full record

ArticlePlastic and reconstructive surgery. Global open2022

Radiation-induced Sarcoma in the Head and Neck: Clinical, Imaging, Histopathological, and Therapeutic Characterization.

Wilber Edison Bernaola-Paredes, Eloah Pascuotte Filippetti, Monica Lucia Rodrigues, Henrique Perez Carvalho, Marcelo Carvalho Coutinho, Arthur Ferrari Arruda, Pedro Jorge Joffily Pinto, Felipe D'Almeida Costa, Miriã Andrade Celestino, Antonio Cassio Assis Pellizzon

Open access · goldAbstract readCase Reports
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 86% 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

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

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

10 authors at 1 institution in 1 country.

Wilber Edison Bernaola-ParedesDepartment of Radiation Oncology, A.C. Camargo Cancer Center, São Paulo, Brazil.
Eloah Pascuotte FilippettiDepartment of Radiation Oncology, A.C. Camargo Cancer Center, São Paulo, Brazil.
Monica Lucia RodriguesDepartment of Head and Neck Surgery & Otorhinolaryngology, A.C. Camargo Cancer Center, São Paulo, Brazil.
Henrique Perez CarvalhoDepartment of Head and Neck Surgery & Otorhinolaryngology, A.C. Camargo Cancer Center, São Paulo, Brazil.
Marcelo Carvalho CoutinhoDepartment of Head and Neck Surgery & Otorhinolaryngology, A.C. Camargo Cancer Center, São Paulo, Brazil.
Arthur Ferrari ArrudaDepartment of Anatomic Pathology, A.C. Camargo Cancer Center, São Paulo, Brazil.
Pedro Jorge Joffily PintoDepartment of Radiation Oncology, A.C. Camargo Cancer Center, São Paulo, Brazil.
Felipe D'Almeida CostaDepartment of Anatomic Pathology, A.C. Camargo Cancer Center, São Paulo, Brazil.
Miriã Andrade CelestinoDepartment of Stomatology, School of Dentistry, University Center "UNIFAMINAS," Muriaé, Minas Gerais, Brazil.
Antonio Cassio Assis PellizzonDepartment of Radiation Oncology, A.C. Camargo Cancer Center, São Paulo, Brazil.
AC Camargo Hospital · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Radiation-induced head and neck sarcoma (RIHNS) is a rare and serious long-term complication of radiotherapy (RT), with poor prognosis and high morbidity and mortality. Diagnosis is based on immunohistochemistry and molecular biomarker analysis, and therapy is usually surgical. Other adjuvant therapies might be considered. This case report aimed to describe the clinical, imaging, histopathological, and therapeutic characteristics of a rare case of RIHNS in the mandible after 21 years of RT. A 68-year-old male patient underwent a partial left parotidectomy in 1995, was diagnosed with pleomorphic adenoma, and after recurrence of the lesion in 2000, underwent an ipsilateral total parotidectomy with adjuvant RT. In May 2021, he complained of an ulcerated nodular lesion on the tongue that extended toward the lower gingiva, associated with oral bleeding and difficulties with swallowing. After biopsy in the gingival margin and histopathological analysis, the diagnosis of high-grade spindle-cell sarcoma was established. Complete surgical resection with microsurgical reconstruction using a fibular osteomusculocutaneous free flap was performed. RIHNS could appear after a period of almost 20 years after RT. Surgical resection with reconstructive surgery was a reliable and feasible therapeutic option that showed favorable clinical results after an appropriate follow-up.

Identifiers

PMID35923999
PMCPMC9287269
OpenAlexW4285602546

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.