Evidence map›Paper›PMID 41339119›Full record

ArticleCancer reports (Hoboken, N.J.)2025

HPV-Related Pelvic Squamous Cell Carcinoma of Unknown Primary: Two Case Studies.

Sepideh Soltani, Sahar Dashti, Maryam Garousi, Elahe Mirzaee, Majid Kaheh, Masoome Zolfaghari, Maryam Abolhasani, Alireza Nikoofar

Abstract readCase Reports
In one paragraph

Article in Cancer reports (Hoboken, N.J.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Sepideh SoltaniDepartment Of Radiation Oncology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.ORCID 0009-0000-7334-0370
Sahar DashtiDepartment Of Radiation Oncology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Maryam GarousiDepartment Of Radiation Oncology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.ORCID 0000-0001-8460-305X
Elahe MirzaeeDepartment Of Radiation Oncology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.ORCID 0000-0002-0402-9412
Majid KahehDepartment of Internal Medicine, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran.
Masoome ZolfaghariDepartment of Radiology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Maryam AbolhasaniOncopathology Research Center, Iran University of Medical Sciences IUMS, Tehran, Iran.
Alireza NikoofarDepartment Of Radiation Oncology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCancer of unknown primary (CUP) presents diagnostic and management challenges, particularly when associated with rare subsets such as pelvic squamous cell carcinoma (SCC) of unknown primary origin. Human papillomavirus (HPV) is increasingly recognized as a prognostic and potentially predictive biomarker. HPV-associated SCCs often demonstrate better response to treatment and improved outcomes. CASES: We present two cases of pelvic SCC with unknown primary origin, both positive for HPV genotype 16. Case 1 involved a 54-year-old woman with persistent abdominal pain who was diagnosed with an infiltrative 110 × 100 × 65 mm tumoral mass on the right side of the pelvic cavity, significantly involving the right iliac bone and right iliopsoas muscle; despite chemotherapy, the patient developed metastases. Case 2 featured a 46-year-old woman with progressive left lower limb pain, whose pelvic SCC was incidentally discovered on imaging with an 80 × 75 mm mass with an abnormal signal in the left iliac bone with extension to the left iliopsoas muscle involving the lower aspect of the iliopsoas muscle, and also involving the anterior aspect of the left sacral bone. She achieved a complete response to chemotherapy and chemoradiotherapy, with no evidence of recurrence during follow-up.

conclusionHPV-associated pelvic SCC of unknown primary presents both diagnostic complexity and therapeutic opportunity. The detection of HPV genotype 16 in both cases supports a growing body of case-based evidence suggesting a potential association with a favorable prognosis. However, further studies are needed to clarify its role in guiding management.

Indexed as

Carcinoma, Squamous CellHuman papillomavirus 16Neoplasms, Unknown PrimaryPapillomavirus InfectionsPelvic NeoplasmsAntineoplastic Combined Chemotherapy ProtocolsChemoradiotherapyFemaleHumansMiddle Agedcancer of unknown primaryHPVpelvic cavitysquamous cell carcinoma

Identifiers

PMID41339119
PMCPMC12674908

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