HPV-associated oropharyngeal cancer: epidemiology, molecular biology and clinical management.
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Publication Date
2022-05Journal Title
Nat Rev Clin Oncol
ISSN
1759-4774
Publisher
Springer Science and Business Media LLC
Language
eng
Type
Article
This Version
VoR
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Lechner, M., Liu, J., Masterson, L., & Fenton, T. R. (2022). HPV-associated oropharyngeal cancer: epidemiology, molecular biology and clinical management.. Nat Rev Clin Oncol https://doi.org/10.1038/s41571-022-00603-7
Abstract
Human papillomavirus (HPV)-positive (HPV+) oropharyngeal squamous cell carcinoma (OPSCC) has one of the most rapidly increasing incidences of any cancer in high-income countries. The most recent (8th) edition of the UICC/AJCC staging system separates HPV+ OPSCC from its HPV-negative (HPV-) counterpart to account for the improved prognosis seen in the former. Indeed, owing to its improved prognosis and greater prevalence in younger individuals, numerous ongoing trials are examining the potential for treatment de-intensification as a means to improve quality of life while maintaining acceptable survival outcomes. In addition, owing to the distinct biology of HPV+ OPSCCs, targeted therapies and immunotherapies have become an area of particular interest. Importantly, OPSCC is often detected at an advanced stage owing to a lack of symptoms in the early stages; therefore, a need exists to identify and validate possible diagnostic biomarkers to aid in earlier detection. In this Review, we provide a summary of the epidemiology, molecular biology and clinical management of HPV+ OPSCC in an effort to highlight important advances in the field. Ultimately, a need exists for improved understanding of the molecular basis and clinical course of this disease to guide efforts towards early detection and precision care, and to improve patient outcomes.
Identifiers
PMC8805140, 35105976
External DOI: https://doi.org/10.1038/s41571-022-00603-7
This record's URL: https://www.repository.cam.ac.uk/handle/1810/334711
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