St Luke's Cancer Centre, Royal Surrey County Hospital, Guildford, UK; University of Surrey, Guildford, UK.
St Luke's Cancer Centre, Royal Surrey County Hospital, Guildford, UK.
Clin Oncol (R Coll Radiol). 2019 Feb;31(2):81-90. doi: 10.1016/j.clon.2018.10.004. Epub 2018 Oct 29.
The burden of human papillomavirus (HPV)-related cancers worldwide is significant. Although the incidence of cervical cancer is decreasing due to cervical screening programmes, the incidences of oropharyngeal, anal and vulval cancers are increasing. The introduction of HPV vaccination programmes in many countries has had an impact on HPV infection rates but due to the time-lag from initial HPV infection to the development of invasive carcinoma, the impact on the incidence of HPV-related cancer will take more time to become evident. This review explores the common aspects of HPV-related cancers and how they differ from their HPV-negative counterparts, both clinically and molecularly. It also covers the implications this has on future treatment strategies, including the possible role of immunotherapy.
全球范围内,与人类乳头瘤病毒(HPV)相关的癌症负担巨大。尽管由于宫颈癌筛查计划,宫颈癌的发病率正在下降,但口咽癌、肛门癌和外阴癌的发病率却在上升。许多国家引入 HPV 疫苗接种计划对 HPV 感染率产生了影响,但由于从最初的 HPV 感染到侵袭性癌的发展存在时间滞后,因此 HPV 相关癌症的发病率要过更长时间才会变得明显。这篇综述探讨了 HPV 相关癌症的共同方面,以及它们在临床和分子水平上与 HPV 阴性癌症的不同之处。它还涵盖了这对未来治疗策略的影响,包括免疫疗法的可能作用。