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口腔和口咽鳞状细胞癌——最新进展。

Oral cavity and oropharyngeal squamous cell carcinoma--an update.

机构信息

Professor, Division of Oral Pathology, Medical University of South Carolina, Charleston, SC.

Professor, Wendy and Keith Wellin Endowed Chair for Head and Neck Oncology, Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, SC.

出版信息

CA Cancer J Clin. 2015 Sep-Oct;65(5):401-21. doi: 10.3322/caac.21293. Epub 2015 Jul 27.

Abstract

Oral cavity squamous cell carcinoma (OC-SCC) is the most common malignancy of the head and neck (excluding nonmelanoma skin cancer). Recent trends have shown a dramatic rise in the incidence of oropharyngeal squamous cell carcinoma (OP-SCC), with a marked increase in lesions related to human papillomavirus infection. This update presents the latest evidence regarding OC-SCC and OP-SCC. In particular, the authors compare and contrast tumors at these two sites with respect to epidemiology, etiopathogenesis, clinicopathologic presentation, clinical assessment, imaging, management, and prognosis. It is important for clinicians to be aware of differences between OC-SCC and OP-SCC so that appropriate patient education and multidisciplinary care can be provided to optimize outcomes.

摘要

口腔鳞状细胞癌(OC-SCC)是头颈部(不包括非黑色素瘤皮肤癌)最常见的恶性肿瘤。最近的趋势显示,口咽鳞状细胞癌(OP-SCC)的发病率显著上升,与人类乳头瘤病毒感染相关的病变明显增多。本更新提供了关于 OC-SCC 和 OP-SCC 的最新证据。特别是,作者就这两个部位的肿瘤在流行病学、病因发病机制、临床病理表现、临床评估、影像学、治疗和预后方面进行了比较和对比。临床医生了解 OC-SCC 和 OP-SCC 之间的差异非常重要,以便为患者提供适当的教育和多学科护理,从而优化治疗效果。

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