Ihloff A S, Knecht R, Tribius S
Klinik und Poliklinik für Hals-, Nasen- und Ohrenheilkunde, Universitätsklinikum Hamburg-Eppendorf, Hamburg.
HNO. 2010 Dec;58(12):1163-7. doi: 10.1007/s00106-010-2200-0.
The human papillomavirus (HPV) is now understood to be important in the development of oropharyngeal cancers, particularly when other risk factors typically associated with this disease, such as smoking and nicotine abuse, are less evident. Case series have suggested that HPV-positive status is associated with better outcomes than HPV-negative status. The HPV status of patients with oropharyngeal cancer should be established before treatment commences. The risks and potential benefits of individual treatment modalities for patients with HPV-positive disease should be carefully considered with the aim of preserving quality of life, improving outcomes, and minimizing morbidity. The new data presented at ASCO will be discussed.
目前认为,人乳头瘤病毒(HPV)在口咽癌的发生发展中起着重要作用,尤其是当与该疾病通常相关的其他风险因素,如吸烟和尼古丁滥用不那么明显时。病例系列研究表明,HPV阳性状态比HPV阴性状态的预后更好。口咽癌患者的HPV状态应在开始治疗前确定。对于HPV阳性疾病患者,应仔细考虑个体治疗方式的风险和潜在益处,以达到维持生活质量、改善预后和降低发病率的目的。将讨论在ASCO会议上公布的新数据。