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Review
. 2014 Jun;50(6):565-74.
doi: 10.1016/j.oraloncology.2013.09.008. Epub 2013 Oct 14.

The clinical impact of HPV tumor status upon head and neck squamous cell carcinomas

Affiliations
Review

The clinical impact of HPV tumor status upon head and neck squamous cell carcinomas

Eleni Benson et al. Oral Oncol. 2014 Jun.

Abstract

Human papillomavirus (HPV) is etiologically responsible for a distinct subset of head and neck squamous cell cancers (HNSCCs). HPV-positive HNSCCs (HPV-HNSCCs) most commonly arise from the oropharynx and are responsible for the increasing incidence of oropharyngeal SCC (OSCC) in the United States (US) and abroad. HPV-positive OSCC (HPV-OSCC) has a unique demographic and risk factor profile and tumor biology. HPV-OSCC patients tend to be white, younger, and have a higher cumulative exposure to sexual behaviors as compared with HPV-negative OSCC patients. HPV-positive tumor status also significantly improves survival, and is indeed the single strongest prognostic factor for OSCC. The mechanisms that underlie the improved prognosis conferred by HPV-positive disease are unknown. The purpose of this review is to describe the clinical impact of HPV status in HNSCC, particularly in OSCC, both in terms of the unique clinic-demographic profile and prognostic implications.

Keywords: HPV; Head and neck cancer; Oropharyngeal neoplasms; Prognosis; Risk factors.

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Conflict of interest statement

Conflict of interest statement

None declared.

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