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人乳头瘤病毒相关癌症的特征。

Attributes of HPV associated cancers.

作者信息

Thobias Ashi Robert, Patel Mrugdha, Vaghela Chirag, Patel Prabhudas Shankarbhai

机构信息

Dr Jivraj Mehta Smarak Health Foundation, Ahmedabad, Gujarat, India.

出版信息

Clin Transl Oncol. 2025 Jun 1. doi: 10.1007/s12094-025-03959-1.

Abstract

Oncogenic human papillomavirus (HPV) has been strongly implicated in the etiology of cervical cancer and its prevalence in patients with head and neck cancers, particularly oropharyngeal cancers (OPCs), is increasing at an alarming rate. In developed Western nations, HPV is responsible for approximately 90% of all OPC cases, while the proportion of HPV-related OPCs is progressively rising in developing countries. The 8th edition of the American Joint Committee on Cancer (AJCC) now incorporates HPV status as part of the staging system for oropharyngeal cancers. Moreover, due to distinct molecular pathways, the clinical presentation of HPV-positive tumors differs from that of HPV-negative tumors, a phenomenon supported by numerous studies. Despite these differences, the treatment regimens for HPV-associated cancers generally remain analogous to those for their HPV-negative counterparts. This review aims to elucidate the unique tumor characteristics and underlying molecular aberrations associated with HPV-induced malignancies.

摘要

致癌性人乳头瘤病毒(HPV)与宫颈癌的病因密切相关,并且其在头颈癌患者,尤其是口咽癌(OPC)中的患病率正以惊人的速度上升。在西方发达国家,HPV导致了约90%的口咽癌病例,而在发展中国家,HPV相关口咽癌的比例也在逐步上升。美国癌症联合委员会(AJCC)第8版现已将HPV状态纳入口咽癌分期系统的一部分。此外,由于分子途径不同,HPV阳性肿瘤的临床表现与HPV阴性肿瘤不同,这一现象得到了大量研究的支持。尽管存在这些差异,但HPV相关癌症的治疗方案通常仍与HPV阴性癌症的治疗方案类似。本综述旨在阐明与HPV诱导的恶性肿瘤相关的独特肿瘤特征和潜在分子异常。

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