Evidence map›Paper›PMID 40190266›Full record

ArticleHead & neck2025

HPV-Positive Squamous Cell Carcinoma Metastasis Without Clinical Evidence of Primary: The Posterior Oropharyngeal Wall May Be an Overlooked Location.

Sannia Sjöstedt, Martin Garset-Zamani, Kirsten Korsholm, Tina Klitmøller Agander, Tobias Todsen, Irene Wessel

Abstract readCase Reports
In one paragraph

Article in Head & neck, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. 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.

Sannia SjöstedtDepartment of Clinical Physiology and Nuclear Medicine, Copenhagen University Hospital, Copenhagen, Denmark.
Martin Garset-ZamaniDepartment of Otorhinolaryngology, Head and Neck Surgery and Audiology, Centre of Head and Orthopaedics, Copenhagen University Hospital-Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0003-3857-8003
Kirsten KorsholmDepartment of Clinical Physiology and Nuclear Medicine, Copenhagen University Hospital, Copenhagen, Denmark.
Tina Klitmøller AganderDepartment of Pathology, Copenhagen University Hospital, Copenhagen, Denmark.
Tobias TodsenDepartment of Otorhinolaryngology, Head and Neck Surgery and Audiology, Centre of Head and Orthopaedics, Copenhagen University Hospital-Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Irene WesselDepartment of Otorhinolaryngology, Head and Neck Surgery and Audiology, Centre of Head and Orthopaedics, Copenhagen University Hospital-Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.

Funding

Novo Nordisk Foundation NNF20OC0059290
6 · The paper itself

Abstract

backgroundOropharyngeal squamous cell carcinoma (SCC) can present as cancer of unknown primary, where only cervical lymph node metastases are identified. Most tumors, particularly human-papillomavirus-associated ones, are located in the palatine/lingual tonsils. When this is not the case, additional imaging with 2-deoxy-2-[

methodsA 68-year-old male with bilateral cervical metastasis from an HPV-positive SCC, no primary tumor was identified despite thorough examination. [

resultsFrozen sectioning of the posterior tumor revealed SCC. Final histology confirmed the posterior wall tumor as the primary cancer.

conclusionsThe posterior oropharynx wall must be carefully investigated during the diagnostic workup for SCC of an unknown primary tumor as it can be the site of the primary tumor. Identification of the primary tumor reduces the need for further diagnostic surgery.

Indexed as

Carcinoma, Squamous CellNeoplasms, Unknown PrimaryOropharyngeal NeoplasmsPapillomavirus InfectionsAgedFluorodeoxyglucose F18HumansLymphatic MetastasisMalePositron-Emission TomographyFluorodeoxyglucose F18cancer of unknown primaryhuman papillomavirusoropharyngeal cancerPET imagingultrasound

Identifiers

PMID40190266
PMCPMC12338013

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.