Evidence map›Paper›PMID 40728682›Full record

SynthesisHead and neck pathology2025

Clinicopathological Profile of HPV-related Multiphenotypic Sinonasal Carcinoma: A Systematic Review.

João Paulo Gonçalves de Paiva, Daniela Giraldo Roldán, Ricardo Anderson de Oliveira Vasconcelos, Luiz Miguel Ferreira, Isaac Santos Araújo, Ana Lúcia Carrinho Ayroza Rangel, Maíra Medeiros Pacheco de Andrade, Igor Lima Fernandes, Lucas Faria Abrahao-Machado, Justin A Bishop and 2 more

Abstract readSystematic Review
In one paragraph

Synthesis in Head and neck pathology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

12 authors.

João Paulo Gonçalves de PaivaOral Diagnosis Department, Piracicaba Dental School, University of Campinas (UNICAMP), Av. Limeira, 901, Piracicaba, São Paulo, 13414-903, Brazil.ORCID http://orcid.org/0000-0002-0079-2373
Daniela Giraldo RoldánOral Diagnosis Department, Piracicaba Dental School, University of Campinas (UNICAMP), Av. Limeira, 901, Piracicaba, São Paulo, 13414-903, Brazil.ORCID http://orcid.org/0000-0001-7150-3025
Ricardo Anderson de Oliveira VasconcelosOral Diagnosis Department, Piracicaba Dental School, University of Campinas (UNICAMP), Av. Limeira, 901, Piracicaba, São Paulo, 13414-903, Brazil.ORCID http://orcid.org/0000-0003-2720-5826
Luiz Miguel FerreiraOral Diagnosis Department, Piracicaba Dental School, University of Campinas (UNICAMP), Av. Limeira, 901, Piracicaba, São Paulo, 13414-903, Brazil.ORCID http://orcid.org/0000-0003-2053-8097
Isaac Santos AraújoOral Diagnosis Department, Piracicaba Dental School, University of Campinas (UNICAMP), Av. Limeira, 901, Piracicaba, São Paulo, 13414-903, Brazil.ORCID http://orcid.org/0000-0003-0295-7925
Ana Lúcia Carrinho Ayroza RangelSchool of Dentistry, State University of Western Paraná, Cascavel, Paraná, Brazil.ORCID http://orcid.org/0000-0003-1080-358X
Maíra Medeiros Pacheco de AndradeGetúlio Sales Diagnósticos (GSD), Private Pathology Service, Natal, Rio Grande do Norte, Brazil.ORCID http://orcid.org/0000-0002-1830-8439
Igor Lima FernandesPrivate Pathology Service, Laboratório Bacchi, São Paulo, Brazil.ORCID http://orcid.org/0000-0003-0377-0441
Lucas Faria Abrahao-MachadoPrivate Pathology Service, Laboratório Bacchi, São Paulo, Brazil.ORCID http://orcid.org/0000-0003-3790-4479
Justin A BishopDepartament of Pathology, University of Texas Southwestern Medical Center, Dallas, TX, United States of America.ORCID http://orcid.org/0000-0002-0412-6810
Jacks Jorge *Oral Diagnosis Department, Piracicaba Dental School, University of Campinas (UNICAMP), Av. Limeira, 901, Piracicaba, São Paulo, 13414-903, Brazil.ORCID http://orcid.org/0000-0001-8808-8104
Ciro Dantas Soares *Oral Diagnosis Department, Piracicaba Dental School, University of Campinas (UNICAMP), Av. Limeira, 901, Piracicaba, São Paulo, 13414-903, Brazil. ciro.dss@gmail.com.ORCID http://orcid.org/0000-0002-6861-6640

Funding

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior 001
6 · The paper itself

Abstract

purposeThis study aimed to perform a systematic review of the clinicopathological, prognostic features, and HPV genotyping patterns of HPV-related multiphenotypic sinonasal carcinoma (HMSC).

methodsThis study adhered to the PRISMA 2020 guidelines and was registered in the PROSPERO database. We included case reports, case series studies, and cohort studies of HMSC indexed in the PubMed, Web of Science, Scopus, Embase, and LILACS databases published between 2017 and 2025. Collected variables were analyzed descriptively, followed by association analyses using Fisher's and Chi-squared tests, and the Kaplan-Meier method. The quality assessment of the included studies was conducted using the Joanna Briggs Institute tools.

resultsThis systematic review identified 32 studies encompassing 101 HMSC cases. The majority occurred in the nasal cavity of patients in the sixth decade of life, without significant sex predilection. Microscopically, the HMSC predominantly displayed basaloid morphology with solid and cribriform growth patterns, high mitotic activity, pleomorphism, and necrosis. Most patients underwent surgical excision and experienced no recurrence or metastasis, indicating favorable outcomes. However, treatment modality, recurrence, and distant metastasis negatively affected survival rates. HMSC cases showed strong p16 expression, variable squamous/epithelial and myoepithelial marker expression, and a high Ki67 index. HPV 33 was the most prevalent type identified.

conclusionHMSC is a heterogeneous malignant lesion with excellent overall prognosis. Detection of transcriptionally active HPV through in situ hybridization or reverse transcriptase polymerase chain reaction is critical for definitive diagnosis of HMSC.

Indexed as

CarcinomaPapillomavirus InfectionsParanasal Sinus NeoplasmsHumansCarcinoma.Human PapillomavirusNasal CavityParanasal Sinuses

Identifiers

PMID40728682
PMCPMC12307262

What Socratic holds

Textmetadata
Read underepoch 390

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 Socratic graph.