Evidence map›Paper›PMID 40285656›Full record

ArticleThe Laryngoscope2025

The Role of Tumor Budding in Early-Stage Laryngeal Cancer Treatment Selection.

Mehmet Birinci, Oğuz Gül, Oğuzhan Okcu, Tuğba Yemiş, Bayram Şen, Metin Çeliker, Çiğdem Öztürk, Özlem Çelebi Erdivanlı

Abstract read
In one paragraph

Article in The Laryngoscope, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Mehmet BirinciDepartment of Otorhinolaryngology, Recep Tayyip Erdogan University Faculty of Medicine, Rize, Türkiye.ORCID 0000-0001-8184-7454
Oğuz GülDepartment of Otorhinolaryngology, Akçaabat Haçkalı Baba State Hospital, Trabzon, Türkiye.ORCID 0000-0003-4626-0820
Oğuzhan OkcuDepartment of Pathology, Recep Tayyip Erdogan University Faculty of Medicine, Rize, Türkiye.ORCID 0000-0001-7481-4718
Tuğba YemişDepartment of Otorhinolaryngology, Recep Tayyip Erdogan University Faculty of Medicine, Rize, Türkiye.ORCID 0000-0001-8713-0251
Bayram ŞenDepartment of Medical Biochemistry, Recep Tayyip Erdogan University Training and Research Hospital, Rize, Türkiye.ORCID 0000-0002-4541-881X
Metin ÇelikerDepartment of Otorhinolaryngology, Recep Tayyip Erdogan University Faculty of Medicine, Rize, Türkiye.ORCID 0000-0002-9833-402X
Çiğdem ÖztürkDepartment of Pathology, Recep Tayyip Erdogan University Faculty of Medicine, Rize, Türkiye.ORCID 0000-0003-2587-214X
Özlem Çelebi ErdivanlıDepartment of Otorhinolaryngology, Recep Tayyip Erdogan University Faculty of Medicine, Rize, Türkiye.ORCID 0000-0001-9245-1551

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveLaryngeal cancer is a prevalent malignant neoplasm, with early-stage glottic tumors treated with surgery or radiotherapy. Radioresistance significantly complicates treatment, highlighting the necessity for early detection methods. This study aimed to evaluate the relationship between tumor budding and radiotherapy outcomes in affected patients.

methodsThis investigation encompassed patients diagnosed with early-stage squamous cell carcinoma of the glottic larynx who received radiotherapy and had a minimum follow-up of 1 year. Pathological specimens collected at diagnosis were reassessed for tumor budding. The data were analyzed to determine the best cut-off value for tumor budding to predict radioresistance and differences in survival based on tumor budding cut-off value.

resultsThe study cohort comprised 49 patients who met the pre-established criteria. The radioresistant group comprised 14 patients. All except one patient were male (mean age: 64 years). The best cut-off value for tumor budding was determined as 2. Patients categorized into high risk (tumor budding ≥ 2) had a significantly higher chance of radiotherapy failure than those with low risk (tumor budding < 2, AUC = 0.696; p = 0.034; sensitivity = 78.6%; specificity = 62.9%). The high risk group also had a significantly reduced 5-year disease-free survival compared to the low risk group (p = 0.008). Overall survival was similar.

conclusionThe prognosis for early-stage glottic laryngeal cancer is generally favorable, yet a standardized risk stratification tool for treatment selection remains lacking. Tumor budding assessment in routine histopathology could help identify patients at higher risk of recurrence, guiding decisions on radiotherapy intensity and post-treatment surveillance. Integrating tumor budding into clinical practice may support more personalized treatment strategies, ultimately improving patient outcomes. LEVEL OF EVIDENCE: 3:

Indexed as

Carcinoma, Squamous CellLaryngeal NeoplasmsAdultAgedFemaleGlottisHumansMaleMiddle AgedNeoplasm StagingRadiation ToleranceRetrospective Studieslarynx carcinomaoverall survivalprognosisradioresistancetumor budding

Identifiers

PMID40285656
PMCPMC12371797

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Registered trials

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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.