Evidence map›Paper›PMID 40682288›Full record

ArticleHead & neck2025

Predictive Factors of Malignancy in Cervical Paragangliomas: A Retrospective Study.

Garance Haw, Maxime Fieux, Anthime Flaus, Hélène Lasolle, Juliette Abeillon, Myriam Decaussin-Petrucci, Dylan Pavie, Benjamin Verillaud, Philippe Herman, Patrick Feugier and 4 more

Abstract readMulticenter Study
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 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

14 authors.

Garance HawHospices Civils de Lyon, Hôpital de la Croix Rousse, Service d'ORL et de Chirurgie Cervico-Faciale, Lyon, France.ORCID 0000-0001-6387-9647
Maxime FieuxHospices civils de Lyon, Hôpital Lyon Sud, Service d'ORL, d'Otoneurochirurgie et de Chirurgie Cervico-Faciale, France.ORCID 0000-0001-8317-2286
Anthime FlausHospices Civils de Lyon, Hôpital Louis Pradel, Service de Médecine Nucléaire, Bron, France.ORCID 0000-0001-5877-2159
Hélène LasolleHospices Civils de Lyon, Hôpital Louis Pradel, Service d'Endocrinologie, Bron, France.
Juliette AbeillonHospices Civils de Lyon, Hôpital Louis Pradel, Service d'Endocrinologie, Bron, France.
Myriam Decaussin-PetrucciHospices Civils de Lyon, Hôpital Lyon Sud, Service d'Anatomopathologie, France.ORCID 0000-0002-6065-0756
Dylan PavieHospices Civils de Lyon, Hôpital de la Croix Rousse, service de radiologie, Lyon, France.
Benjamin VerillaudAssistance Publique Hôpitaux de Paris, Hôpital Lariboisière, Service d'ORL et de Chirurgie Cervico-Faciale, Paris, France.
Philippe HermanAssistance Publique Hôpitaux de Paris, Hôpital Lariboisière, Service d'ORL et de Chirurgie Cervico-Faciale, Paris, France.ORCID 0000-0003-3408-0005
Patrick FeugierHospices Civils de Lyon, Hôpital Lyon Sud, Service de Chirurgie Vasculaire et Endovasculaire LYVES, France.
Fatima AmeurHospices Civils de Lyon, Hôpital Lyon Sud, Service d'Imagerie Médicale et Interventionnelle, France.
Pierre PhilouzeHospices Civils de Lyon, Hôpital de la Croix Rousse, Service d'ORL et de Chirurgie Cervico-Faciale, Lyon, France.
Françoise Borson-ChazotUniversité de Lyon, Université Lyon 1, Lyon, France.ORCID 0000-0003-2515-7840
Philippe CeruseHospices Civils de Lyon, Hôpital de la Croix Rousse, Service d'ORL et de Chirurgie Cervico-Faciale, Lyon, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly predictive factors of metastatic cervical paragangliomas (cPG) are lacking.

methodsThis multicenter retrospective study included patients with at least one cPG. Metastatic cPG were defined by the histological presence of lymph node metastases or distant metastases. Clinical, radiological, intraoperative, histological, and mutational status characteristics were collected. Predictive factors of metastatic cPG were searched using logistic regression.

resultsSixty-seven patients were included, corresponding to 86 cPG; 12.8% of these were metastatic. The seven newly identified risk factors were: presence of necrosis (OR = 12.36, 95% CI: [3.03-55.66]), extracapsular extension (OR = 33.42, 95% CI: [2.48-4752.00]), and pathological lymph nodes (OR = 25.00, 95% CI: [3.96-276.07]) on morphological imaging (MRI and/or CT); heterogeneous tumor uptake (OR = 15.5, 95% CI: [2.31-143.68]) and abnormal lymph node uptake (OR = 16.5, 95% CI: [2.04-174.94]) on functional imaging (FDG-PET-CT); invasion of adjacent tissues (OR = 34.63, 95% CI: [3.82-4602.65]) and sacrifice of noble structures (OR = 75.9, 95% CI: [7.99-10230.73]) in patients who underwent surgery.

conclusionThese risk factors could be combined to promptly identify aggressive cPG and adapt therapeutic strategy.

Indexed as

Head and Neck NeoplasmsParagangliomaAdultAgedFemaleHumansLymphatic MetastasisMagnetic Resonance ImagingMaleMiddle AgedRetrospective StudiesRisk Factorscervical paragangliomaimaging findingmalignancymetastasessurgery

Identifiers

PMID40682288
PMCPMC12617500

What OpenQuestion holds

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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.