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[人乳头瘤病毒感染在头颈癌中的相关性:2016年美国临床肿瘤学会年会要点]

[Relevance of HPV infections in head and neck cancers : Highlights of the 2016 ASCO Annual Meeting].

作者信息

Hoffmann M

机构信息

Klinik für Hals-, Nasen-, Ohrenheilkunde, Kopf- und Halschirurgie, Christian-Albrechts-Universität Kiel, Arnold-Heller-Str. 3, Haus 27, 24105, Kiel, Deutschland.

出版信息

HNO. 2016 Oct;64(10):731-5. doi: 10.1007/s00106-016-0244-5.

DOI:10.1007/s00106-016-0244-5
PMID:27601039
Abstract

The papers on human papillomavirus (HPV) infections in head and neck carcinomas presented during the ASCO Meeting in 2016 investigated factors influencing the survival of patients with known HPV status. Interestingly, women suffering from oropharyngeal carcinomas show better survival than men do. This is believed to be the consequence of differences in the immune system of male and female patients. Another interesting finding is that the HPV status in cases of locoregional recurrence of oropharyngeal carcinomas represents a positive predictive marker for patient survival. Other papers presented at the meeting compared methods used to reliably determine HPV-driven carcinomas. Of particular interest is the development of a new in situ hybridization method to determine the viral mRNA of the oncogenes E6 and E7. The results presented appear promising with regard to their accuracy in detecting HPV-driven carcinomas. Another set of papers investigated, partly in retrospective settings, interventional studies in which the HPV status of the patients was taken into account. It is noteworthy that the high doses of cisplatin that were tested in comparison with weekly administered cisplatin or the treatment with cetuximab instead of cisplatin showed positive effects in some survival calculations but were accompanied by higher toxicity. Overall the papers presented demonstrate the necessity for further epidemiologic, methodological, interventional, and in particular prospective studies.

摘要

2016年美国临床肿瘤学会会议上发表的关于头颈部癌中人乳头瘤病毒(HPV)感染的论文,研究了影响已知HPV状态患者生存的因素。有趣的是,患有口咽癌的女性比男性的生存率更高。这被认为是男性和女性患者免疫系统差异的结果。另一个有趣的发现是,口咽癌局部区域复发病例中的HPV状态是患者生存的一个阳性预测指标。会议上发表的其他论文比较了用于可靠确定HPV驱动型癌症的方法。特别值得关注的是一种用于确定癌基因E6和E7病毒mRNA的新原位杂交方法的开发。就检测HPV驱动型癌症的准确性而言,所呈现的结果似乎很有前景。另一组论文部分在回顾性研究中,调查了将患者HPV状态考虑在内的干预性研究。值得注意的是,与每周给药的顺铂相比进行测试的高剂量顺铂,或用西妥昔单抗代替顺铂的治疗,在一些生存计算中显示出积极效果,但伴随着更高的毒性。总体而言,所发表的论文表明有必要进行进一步的流行病学、方法学、干预性研究,特别是前瞻性研究。

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本文引用的文献

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Diagnosis of HPV driven oropharyngeal cancers: Comparing p16 based algorithms with the RNAscope HPV-test.人乳头瘤病毒驱动的口咽癌的诊断:基于p16的算法与RNAscope人乳头瘤病毒检测的比较
Oral Oncol. 2016 Nov;62:101-108. doi: 10.1016/j.oraloncology.2016.10.009. Epub 2016 Oct 21.
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HPV Involvement in Head and Neck Cancers: Comprehensive Assessment of Biomarkers in 3680 Patients.HPV 与头颈部癌症的相关性:3680 例患者中生物标志物的综合评估。
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德国头颈部鳞状细胞癌中人类乳头瘤病毒流行多样性的地理和解剖学影响。
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De-escalation treatment protocols for human papillomavirus-associated oropharyngeal squamous cell carcinoma: a systematic review and meta-analysis of current clinical trials.人乳头瘤病毒相关口咽鳞状细胞癌的降阶梯治疗方案:当前临床试验的系统评价和荟萃分析。
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Viral RNA patterns and high viral load reliably define oropharynx carcinomas with active HPV16 involvement.病毒 RNA 模式和高病毒载量可靠地区分了 HPV16 活跃参与的口咽癌。
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