Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

Markers of Occult Lymph Node Metastasis in Head and Neck Squamous Cell Carcinoma (HNSCC): A Systematic Review

Version 1 : Received: 25 April 2024 / Approved: 26 April 2024 / Online: 26 April 2024 (08:14:18 CEST)

How to cite: Meliante, P.G.; Pizzolante, S.; Perna, L.; Filippi, C.; Bandiera, G.; Barbato, C.; Minni, A.; de Vincentiis, M.; Covelli, E. Markers of Occult Lymph Node Metastasis in Head and Neck Squamous Cell Carcinoma (HNSCC): A Systematic Review. Preprints 2024, 2024041712. https://doi.org/10.20944/preprints202404.1712.v1 Meliante, P.G.; Pizzolante, S.; Perna, L.; Filippi, C.; Bandiera, G.; Barbato, C.; Minni, A.; de Vincentiis, M.; Covelli, E. Markers of Occult Lymph Node Metastasis in Head and Neck Squamous Cell Carcinoma (HNSCC): A Systematic Review. Preprints 2024, 2024041712. https://doi.org/10.20944/preprints202404.1712.v1

Abstract

Background: The accurate diagnosis of regional lymph node metastasis is critical for guiding treatment decisions in head and neck cancer patients. Despite advances in imaging techniques, detecting nodal metastasis remains challenging, leading to potential undertreatment or overtreatment. This systematic review aims to identify molecular markers associated with occult metastasis in Head and Neck Squamous Cell Carcinoma (HNSCC) patients. Methods: The present research was conducted following PRISMA guidelines. Prospero registration nr. CRD42024522985. Results: Through a comprehensive literature search and review process, 634 articles were considered, 103 of them were finally included. Conclusions: Several promising markers were identified, including miR-205, DSG3, pan-CK AE1/AE3, HPV-16, Activin-A, Cyclin D1, and NPL that demonstrated effectiveness across multiple studies. Future research should focus on exploring combination scoring systems to improve diagnostic precision and optimize treatment selection in HNSCC patients.

Keywords

Head and neck squamous cell carcinoma; Meastasis; Lymp Node; Regional Metastasis; Cancer Marker; Occult Metastasis

Subject

Medicine and Pharmacology, Oncology and Oncogenics

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