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美国神经外科医师协会系列:你了解相关指南吗?人乳头瘤病毒时代头颈部癌症的管理:对我们的患者进行人乳头瘤病毒教育。

AHNS series: Do you know your guidelines? Management of head and neck cancer in the era of human papillomavirus: Educating our patients on human papillomavirus.

作者信息

Guo Theresa, Goldenberg David, Fakhry Carole

机构信息

Department of Otolaryngology - Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.

Department of Surgery, Division of Otolaryngology - Head and Neck Surgery, The Pennsylvania State University, College of Medicine, Hershey, Pennsylvania.

出版信息

Head Neck. 2017 May;39(5):833-839. doi: 10.1002/hed.24693. Epub 2017 Mar 6.

Abstract

Human papillomavirus (HPV) has changed the face of head and neck cancer over the past 2 decades. No longer is this solely a disease of older patients with a history of heavy tobacco and alcohol use. Patients with HPV-related head and neck cancers tend to be younger, healthier, and have an improved prognosis, compared with those with HPV-negative tumors. As more patients are diagnosed with HPV-related head and neck cancer, physicians have important topics to consider. These include prevalence, transmission, and natural history of HPV, the role of screening, vaccines, and HPV testing in head and neck cancer. This article continues a series developed by the American Head and Neck Society's Education Committee entitled "Do you know your guidelines?" and is intended to provide guidance for navigating common questions and concerns patients may have about HPV infection and HPV-related head and neck cancer. © 2017 Wiley Periodicals, Inc. Head Neck 39: 833-839, 2017.

摘要

在过去20年里,人乳头瘤病毒(HPV)改变了头颈癌的面貌。这种疾病不再仅仅发生于有大量吸烟和饮酒史的老年患者。与HPV阴性肿瘤患者相比,HPV相关头颈癌患者往往更年轻、更健康,预后也更好。随着越来越多的患者被诊断为HPV相关头颈癌,医生需要考虑一些重要问题。这些问题包括HPV的患病率、传播途径和自然史,筛查、疫苗以及HPV检测在头颈癌中的作用。本文延续了美国头颈协会教育委员会开展的名为“你了解你的指南吗?”的系列文章,旨在为解答患者可能对HPV感染及HPV相关头颈癌存在的常见疑问和担忧提供指导。© 2017威利期刊公司。《头颈》2017年第39卷,第833 - 839页。

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