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The value of p16 and HPV DNA in non-tonsillar, non-base of tongue oropharyngeal cancer.
- Source :
-
Acta oto-laryngologica [Acta Otolaryngol] 2021 Jan; Vol. 141 (1), pp. 89-94. Date of Electronic Publication: 2020 Sep 17. - Publication Year :
- 2021
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Abstract
- Background: Oropharyngeal squamous cell carcinoma (OPSCC) is dominated by tonsillar and tongue base carcinomas (TSCC/BOTSCC), but there are carcinomas at other sites, such as uvula/soft palate/pharyngeal wall here defined as other OPSCC. Human papillomavirus (HPV) positive TSCC/BOTSCC have favorable outcome, and the TNM-classification separates OPSCC into HPV mediated (p16 <superscript>INK4a</superscript> overexpressing, p16+) and HPV unrelated OPSCC (p16 <superscript>INK4a</superscript> non-overexpressing, p16-) cancer, but the prognostic role of p16+ in other OPSCC is unclear.<br />Aims/objectives: This study therefore aimed to further investigate the prognostic role of p16+, presence of HPV DNA, or both combined in other OPSCC.<br />Material and Methods: 195 other OPSCC, from patients diagnosed 2000-2018 were tested for p16, and/or presence of HPV DNA and the data correlated to outcome.<br />Results: Neither overall survival, nor disease free survival correlated to presence of p16+ or HPV DNA in other OPSCC. p16+ and HPV DNA presence were correlated ( p < .0001), but the sensitivity of p16 as a surrogate marker for presence of HPV DNA was low (49%).<br />Conclusions and Significance: The data suggest that p16+ (and p16+/HPV DNA) positive other OPSCC should be analyzed cautiously and possibly separately from the HPV mediated OPSCC staging group.
- Subjects :
- Aged
DNA Probes, HPV biosynthesis
DNA Probes, HPV genetics
DNA, Viral genetics
Female
Follow-Up Studies
Humans
Male
Oropharyngeal Neoplasms diagnosis
Oropharyngeal Neoplasms virology
Papillomavirus Infections metabolism
Papillomavirus Infections virology
Retrospective Studies
Squamous Cell Carcinoma of Head and Neck diagnosis
Squamous Cell Carcinoma of Head and Neck virology
Tongue Neoplasms diagnosis
Tongue Neoplasms virology
Viral Core Proteins biosynthesis
Gene Expression Regulation, Viral
Human papillomavirus 16 genetics
Oropharyngeal Neoplasms genetics
Papillomavirus Infections genetics
Squamous Cell Carcinoma of Head and Neck genetics
Tongue Neoplasms genetics
Viral Core Proteins genetics
Subjects
Details
- Language :
- English
- ISSN :
- 1651-2251
- Volume :
- 141
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Acta oto-laryngologica
- Publication Type :
- Academic Journal
- Accession number :
- 32940116
- Full Text :
- https://doi.org/10.1080/00016489.2020.1813906