Evidence map›Paper›PMID 42882808›Full record

ArticleCancers2026

Outcomes and Prognostic Factors of Salvage Surgery for Recurrent Oral Squamous Cell Carcinoma.

Pietro Orlando, Letizia Flammia, Giuseppe Licci, Luca Novelli, Saverio Caini, Angelo Cannavicci, Lapo Serni, Oreste Gallo

Abstract read
In one paragraph

Article in Cancers, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Pietro OrlandoOtorhinolaryngology Clinic, Careggi University Hospital, Florence-Largo Brambilla, 3, 50134 Florence, Italy.
Letizia FlammiaOtorhinolaryngology Clinic, Careggi University Hospital, Florence-Largo Brambilla, 3, 50134 Florence, Italy.ORCID 0009-0000-0748-259X
Giuseppe LicciOtorhinolaryngology Unit, Ospedale Civile di Vigevano, ASST Pavia, 27029 Vigevano, Italy.ORCID 0000-0002-8124-3607
Luca NovelliInstitute of Histopathology and Molecular Diagnosis, Careggi University Hospital, 50134 Florence, Italy.
Saverio CainiCancer Risk Factors and Lifestyle Epidemiology Unit, Institute for Cancer Research, Prevention, and Clinical Network (ISPRO), 50139 Florence, Italy.ORCID 0000-0002-2262-1102
Angelo CannavicciOtorhinolaryngology Clinic, Careggi University Hospital, Florence-Largo Brambilla, 3, 50134 Florence, Italy.ORCID 0000-0002-9537-2549
Lapo SerniResearch Unit in Periodontology and Periodontal Medicine, Department of Experimental and Clinical Medicine, University of Florence, 50121 Florence, Italy.ORCID 0000-0002-4499-4786
Oreste GalloOtorhinolaryngology Clinic, Careggi University Hospital, Florence-Largo Brambilla, 3, 50134 Florence, Italy.ORCID 0000-0003-3426-7179

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecurrent oral squamous cell carcinoma (rOSCC) is associated with a poor prognosis, and evidence supporting risk stratification in the salvage setting remains limited. The prognostic value of conventional staging systems and tumor-related characteristics after recurrence has not yet been fully established.

methodsWe conducted a single-center observational study including patients with rOSCC who had previously undergone treatment for pT1-2 N0M0 OSCC, all subsequently surgically salvaged. Clinical, histopathological, and recurrence-related variables were collected. Recurrent tumors were classified according to the AJCC TNM staging system, the Composite Oral Cavity and Oropharynx Recurrence Staging System (CORSS), and the Same-Up-Down staging system (SUDss), a novel staging system developed by our group.

resultsA total of 49 patients were included. Several pathological characteristics, including the rT3-4 category (

conclusionsCORSS appears to offer complementary prognostic value compared with conventional rTNM in patients with surgically treated rOSCC, although formal comparative validation of discrimination and calibration is warranted. Pathological lymph node involvement and close or positive surgical margins were the most relevant independent adverse prognostic factors. These findings identify higher-risk patients but do not, by themselves, establish a benefit from treatment intensification.

Indexed as

disease-free survivallymph node involvementoverall survivalrecurrent oral squamous cell carcinomasalvage surgerysurgical margin status

Identifiers

PMID42882808
PMCPMC13664575

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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.