Dietz Andreas
Klinik und Poliklinik für Hals‑, Nasen‑, Ohrenheilkunde, Universitätsklinikum Leipzig, Universität Leipzig, Liebigstraße 10, 04103, Leipzig, Deutschland.
HNO. 2025 Mar;73(3):213-224. doi: 10.1007/s00106-025-01552-0.
Due to the association with the causal human papillomavirus 16 (HPV16) infection, oropharyngeal squamous cell carcinoma is now separated into two distinct entities depending on HPV16 positivity. More recent data show a diversified picture of the importance and prevalence of the surrogate parameter p16 (discordance) for a definitive HPV16 association, which varies worldwide. In the context of preventive options, vaccination is of major importance and HPV screening of healthy people of less importance. The current CME article excerpts parts of the new German S3 guideline on diagnosis, treatment, prevention, and aftercare of oro- and hypopharyngeal cancer (version 1.0, March 2024; Association of the Scientific Medical Societies in Germany [AWMF] registration number 017-082OL).
由于与致病性人乳头瘤病毒16型(HPV16)感染相关,口咽鳞状细胞癌现在根据HPV16阳性情况分为两个不同的实体。最新数据显示,对于明确的HPV16关联,替代参数p16(不一致性)的重要性和患病率情况多样,且在全球范围内各不相同。在预防措施方面,疫苗接种至关重要,而对健康人群进行HPV筛查的重要性较低。当前的继续医学教育文章摘录了德国关于口咽和下咽癌诊断、治疗、预防及后续护理的新S3指南的部分内容(第1.0版,2024年3月;德国科学医学协会联合会[AWMF]注册号017 - 082OL)。