Evidence map›Paper›PMID 41029524›Full record

ArticleBMC cancer2025

Real-world treatment patterns and survival outcomes in metastatic head and neck adenoid cystic carcinoma.

Hatice Bölek, Mehmet Kayaalp, Taha Koray Şahin, Osman Talha Doğan, Seher Yüksel, Sumerya Duru Birgi, Ibrahim Halil Gullu, Mustafa Kürşat Gökcan, Sercan Aksoy, Hatime Arzu Yaşar

Abstract read
In one paragraph

Article in BMC cancer, 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. Integrated Transcriptomic Analysis ofInternational journal of molecular sciences · 2026
    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

10 authors.

Hatice BölekDepartment of Medical Oncology, Ankara University Faculty of Medicine, Ankara, Turkey.
Mehmet KayaalpDepartment of Medical Oncology, Ankara University Faculty of Medicine, Ankara, Turkey.
Taha Koray ŞahinDepartment of Medical Oncology, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Osman Talha DoğanDepartment of Internal Medicine, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Seher YükselDepartment of Pathology, Ankara University Faculty of Medicine, Ankara, Turkey.
Sumerya Duru BirgiDepartment of Radiation Oncology, Ankara University Faculty of Medicine, Ankara, Turkey.
Ibrahim Halil GulluDepartment of Medical Oncology, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Mustafa Kürşat GökcanDepartment of Otorhinolaryngology, Ankara University Faculty of Medicine, Ankara, Turkey.
Sercan AksoyDepartment of Medical Oncology, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Hatime Arzu YaşarDepartment of Medical Oncology, Ankara University Faculty of Medicine, Ankara, Turkey. arzuyasar@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThere is no standard-of-care systemic therapy for metastatic adenoid cystic carcinoma (ACC), and its management remains challenging. This study aimed to evaluate treatment patterns and disease outcomes in patients with metastatic head and neck ACC.

methodsWe conducted a retrospective analysis of patients diagnosed with metastatic head and neck ACC between January 2005 and December 2023.

resultsA total of 51 patients were included in the study, of whom 36 (70.6%) received at least one line of systemic treatment. The median overall survival (OS) for the entire cohort was 29.21 months. Patients with lung metastases had significantly longer OS compared to those without (44.52 vs. 11.04 months, p = 0.008). The median OS for patients who received at least one line of systemic treatment was 26.78 months. The median progression-free survival (PFS) was 7.82 months, 6.11 months, and 4.53 months for first-, second-, and third-line treatments, respectively. Disease progression was the primary reason for treatment discontinuation across all therapy lines.

conclusionThere is no consensus on the optimal treatment approach for metastatic ACC, and therapeutic strategies remain heterogeneous. Patients with lung metastases had better survival outcomes than those with metastases at other sites.

Indexed as

Carcinoma, Adenoid CysticHead and Neck NeoplasmsLung NeoplasmsAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedNeoplasm MetastasisProgression-Free SurvivalRetrospective StudiesTreatment OutcomeAdenoid cystic carcinomaHead and neck cancerPrognostic factors

Identifiers

PMID41029524
PMCPMC12481798

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LicenceCC BY-NC-ND
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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.