Evidence map›Paper›PMID 36790039›Full record

ArticleJournal of medical radiation sciences2023

Metastatic cutaneous squamous cell carcinoma to the parotid: Adjuvant radiotherapy and treatment outcomes.

Marcus Hu, Anna N H Kim, Theophilus I Emeto, Michael Collins, Andrea Chopping, Charles Lin

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of medical radiation sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07337161 (Stereotactic Post-operative Radiotherapy for Intraparotid Metastatic Cutaneous Squamous Cell Carcinoma), which is not on this map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 30% 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.

NCT07337161 narecruitingnot on this mapstarted 2025, after this paper: background citation

Stereotactic Post-operative Radiotherapy for Intraparotid Metastatic Cutaneous Squamous Cell Carcinoma

TypeinterventionalSponsorDavid PalmaRan2025 to 2035Enrolled90ConditionsCutaneous, Head and Neck Cancer Squamous Cell CarcinomaArmsSBRT, Standard Radiation
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Margins in major salivary gland surgery: clinical and pathological criteria for defining margins and their implications on the choice of multimodal therapies. A systematic review.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2025
    Pooled it
  2. Article
  3. 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
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 3 institutions in 1 country.

Marcus HuTownsville Cancer Centre, Townsville Hospital and Health Service, Townsville, Queensland, Australia.ORCID https://orcid.org/0000-0002-6399-7122
Anna N H KimFaculty of Medicine, University of Queensland, Brisbane, Queensland, Australia.
Theophilus I EmetoPublic Health & Tropical Medicine, College of Public Health, Medical & Veterinary Sciences, James Cook University, Townsville, Queensland, Australia.ORCID https://orcid.org/0000-0002-3282-1861
Michael CollinsTownsville Cancer Centre, Townsville Hospital and Health Service, Townsville, Queensland, Australia.
Andrea ChoppingTownsville Cancer Centre, Townsville Hospital and Health Service, Townsville, Queensland, Australia.
Charles LinFaculty of Medicine, University of Queensland, Brisbane, Queensland, Australia.
The University of Queensland · AUTownsville Hospital · AUAustralian Institute of Tropical Health and Medicine · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAdjuvant radiotherapy is an established component in the management of metastatic cutaneous squamous cell carcinoma (SCC) involving the parotid gland. Radiotherapy technique, dose and volumes are seldom described sufficiently to allow close examination. We report our treatment outcomes and focus on treatment-related factors that affect outcomes in this cohort.

methodsWe performed a retrospective review of patients with metastatic cutaneous SCCs who underwent parotidectomy with or without ipsilateral neck dissection. All patients received adjuvant radiotherapy. Demographics, clinical data and treatment details were collected from an intuitional electronic database. Individual patient-level radiotherapy technique, volumes and doses were reviewed.

resultsBetween July 2008 and July 2018, 60 patients met our inclusion criteria. Median follow-up duration was 32.7 months. The mean age was 66.4 years. The majority of patients (49 patients) received full neck irradiation. The 2-year and 5-year loco-regional failure-free survival was 87% (95% confidence interval (CI): 0.74-0.93) and 71% (95% CI: 0.52, 0.83), respectively. The 2-year and 5-year overall survival was 76% (95% CI: 0.62, 0.85) and 60% (95% CI: 0.45, 0.72), respectively. There were 15 cases of loco-regional failures, with 6 cases with dermal involvement. Lymphovascular invasion (LVI) was associated with higher loco-regional failure (hazard ratio: 8.43, 95% CI: 1.85-38.39, P = 0.005) and cancer-specific mortality (hazard ratio: 5.40, 95% CI: 1.40-20.87, P = 0.015). Treatment technique, intensity-modulated radiation therapy (IMRT) vs 3D conformal radiotherapy (3D CRT), bolus use, perineural invasion (PNI) and surgical margins were not significantly associated with loco-regional failure.

conclusionWe demonstrated high loco-regional control rates with routine use of comprehensive adjuvant radiotherapy. The presence of LVI was identified as a strong predictor for recurrence. Further analysis will help to define optimal radiation dose and techniques.

Indexed as

Carcinoma, Squamous CellRadiotherapy, ConformalRadiotherapy, Intensity-ModulatedSkin NeoplasmsAgedHumansParotid GlandRadiotherapy, AdjuvantRetrospective StudiesTreatment Outcomeadjuvant skin neoplasms retrospective studies carcinomaradiotherapysquamous cell parotid neoplasms

Identifiers

PMID36790039
PMCPMC10258644
OpenAlexW4320855887

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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.