Evidence map›Paper›PMID 40377733›Full record

ArticleDiscover oncology2025

Novel technique in intraoperative localisation of skin cancer metastasis using ultrasound guidance: a case report.

Nadin Hawwash, Amr Fadel, Niranjan Bista, Damian Mullan, Damir Kosutic

Abstract read
In one paragraph

Article in Discover oncology, 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. 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

5 authors.

Nadin HawwashSchool of Medical Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK. nadin.hawwash@manchester.ac.uk.
Amr FadelDepartments of Plastic Surgery, The Christie NHS Foundation, Manchester, UK.
Niranjan BistaDepartments of Plastic Surgery, The Christie NHS Foundation, Manchester, UK.
Damian MullanDepartments of Radiology, The Christie NHS Foundation, Manchester, UK.
Damir KosuticDepartments of Plastic Surgery, The Christie NHS Foundation, Manchester, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLocalisation of metastatic squamous cell carcinoma (SCC) often poses intraoperative challenges. There is limited description of surgical practices to address these difficulties in the literature. Low-frequency ultrasound use intraoperatively may enhance tumour detection and facilitate complete resection. CASE PRESENTATION: We present the case of a 78-year-old male with right-sided intra-parotid metastatic SCC requiring surgical excision. This was completed under intraoperative ultrasound scan guidance. Preoperative whole-body PET-CT and MRI of the head were inadequate for confirming accurate lesion localisation regarding the depth of invasion and facial nerve involvement. Intraoperative ultrasound performed by a consultant radiologist guided the metastasectomy by confirming lesion boundaries, navigating safe excision by sparing the facial nerve branches and facilitating the avoidance of more radical resection. Full resection with no residual disease was confirmed intraoperatively with the ultrasound.

conclusionWe propose using ultrasound guidance intraoperatively to aid localisation and excision of metastatic disease in anatomically challenging sites.

Indexed as

Case reportImage-guided surgeryIntraoperative ultrasoundResection

Identifiers

PMID40377733
PMCPMC12084446

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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.