دورية أكاديمية
A Hidden Epidemic of 'Intermediate Risk' Oropharynx Cancer
| العنوان: | A Hidden Epidemic of 'Intermediate Risk' Oropharynx Cancer |
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| المؤلفون: | Vlad C. Sandulache, David C. Wilde, Erich M. Sturgis, Elizabeth Y. Chiao, Andrew G. Sikora |
| المصدر: | Laryngoscope Investigative Otolaryngology, Vol 4, Iss 6, Pp 617-623 (2019) |
| بيانات النشر: | Wiley, 2019. |
| سنة النشر: | 2019 |
| المجموعة: | LCC:Otorhinolaryngology LCC:Surgery |
| مصطلحات موضوعية: | Oropharynx, HPV, tobacco, radiation, tumor immune microenvironment, Otorhinolaryngology, RF1-547, Surgery, RD1-811 |
| الوصف: | Objectives Oropharyngeal squamous cell carcinoma (OPSCC) incidence is rapidly increasing in the United States and around the world, driven in large part by infection with the human papillomavirus (HPV). HPV associated OPSCC (HPV+OPSCC) has been shown to have improved response to treatment relative to tobacco‐associated OPSCC. However, improvement in patient survival has not been uniform. Subsets of OPSCC patients in the US and around the world continue to have poor oncologic outcomes. Although the drivers of this phenomenon remain unclear, there is increasing evidence that tobacco exposure plays an important role in modulating HPV+OPSCC clinical outcomes. Methods We conducted a review of the literature. Results We discuss the potential biological and epidemiological interplay between tobacco and HPV exposure in the context of OPSCC. Multiple retrospective and prospective cohorts show that HPV+OPSCC patients with a history of tobacco exposure have response to treatment and clinical outcomes distinct from HPV+OPSCC non‐smokers which poses clinical and scientific challenges to be addressed over the next decade. Conclusions The interaction between tobacco exposure and HPV infection in the context of OPSCC has significant implications for both standard of care treatment regimens and development of novel therapeutic approaches, in particular those which incorporate immunomodulatory agents. Level of Evidence 5 |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2378-8038 |
| Relation: | https://doaj.org/toc/2378-8038 |
| DOI: | 10.1002/lio2.316 |
| URL الوصول: | https://doaj.org/article/94541377c0fd4c47ad7f54bba811ee7b |
| رقم الأكسشن: | edsdoj.94541377c0fd4c47ad7f54bba811ee7b |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 23788038 |
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| DOI: | 10.1002/lio2.316 |