Department of Medicine, Division of Hematology-Oncology, University of Pennsylvania, Perelman Center for Advanced Medicine, 3400 Civic Center Boulevard, Philadelphia, PA 19104, USA.
Department of Medicine, Division of Hematology-Oncology, University of Pennsylvania, Perelman Center for Advanced Medicine, 3400 Civic Center Boulevard, Philadelphia, PA 19104, USA.
Hematol Oncol Clin North Am. 2021 Oct;35(5):1021-1037. doi: 10.1016/j.hoc.2021.05.010. Epub 2021 Jul 7.
Head and neck squamous cell carcinomas (HNSCC) remain an important cause of global cancer morbidity and mortality. Historically, outcomes for patients with recurrent or metastatic disease were poor with limited treatment options. In recent decades, the demographic profile of this disease has evolved with an increase in human papilloma virus-associated oropharyngeal carcinoma and a decrease in tobacco-related disease. The treatment paradigm for HNSCC has rapidly evolved with identification of novel, immune-directed, therapeutic strategies that take advantage of immune dysregulation commonly seen in HNSCC. This review summarizes recent developments in this field and discusses emerging strategies for future therapies.
头颈部鳞状细胞癌(HNSCC)仍然是全球癌症发病率和死亡率的重要原因。从历史上看,复发或转移性疾病患者的预后较差,治疗选择有限。近几十年来,这种疾病的人口统计学特征发生了变化,人乳头瘤病毒相关的口咽癌发病率增加,而与烟草相关的疾病发病率下降。HNSCC 中常见的免疫失调现象,利用新型免疫导向治疗策略,HNSCC 的治疗模式迅速发展。本文总结了该领域的最新进展,并讨论了未来治疗的新兴策略。