Advances in the Management of HPV-Related Oropharyngeal Cancer

Patients with human papillomavirus- (HPV-) related oropharyngeal squamous cell carcinoma (OPSCC) have a better prognosis than HPV-negative OPSCC when treated with standard high-dose cisplatin-based chemoradiotherapy. Consistent with this assertion and due to younger age at diagnosis, novel approache...

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Published inJournal of oncology Vol. 2019; no. 2019; pp. 1 - 8
Main Authors Polimeni, A., Mezi, S., de Vincentiis, M., Valentini, V., Tombolini, V., De Felice, Francesca, Brugnoletti, O.
Format Journal Article
LanguageEnglish
Published Cairo, Egypt Hindawi Publishing Corporation 01.01.2019
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Abstract Patients with human papillomavirus- (HPV-) related oropharyngeal squamous cell carcinoma (OPSCC) have a better prognosis than HPV-negative OPSCC when treated with standard high-dose cisplatin-based chemoradiotherapy. Consistent with this assertion and due to younger age at diagnosis, novel approaches to minimize treatment sequelae while preserving survival outcomes become of paramount importance. Here, we critically reviewed the evidence-based literature supporting the deintensification strategies in HPV-related OPSCC management, including radiotherapy dose and/or volume reduction, replacement of cisplatin radiosensitising chemotherapy, and the use of transoral surgery. Undoubtedly, further researches are needed before changing the standard of care in this setting of patients.
AbstractList Patients with human papillomavirus- (HPV-) related oropharyngeal squamous cell carcinoma (OPSCC) have a better prognosis than HPV-negative OPSCC when treated with standard high-dose cisplatin-based chemoradiotherapy. Consistent with this assertion and due to younger age at diagnosis, novel approaches to minimize treatment sequelae while preserving survival outcomes become of paramount importance. Here, we critically reviewed the evidence-based literature supporting the deintensification strategies in HPV-related OPSCC management, including radiotherapy dose and/or volume reduction, replacement of cisplatin radiosensitising chemotherapy, and the use of transoral surgery. Undoubtedly, further researches are needed before changing the standard of care in this setting of patients.
Author Polimeni, A.
de Vincentiis, M.
Brugnoletti, O.
Mezi, S.
De Felice, Francesca
Valentini, V.
Tombolini, V.
AuthorAffiliation 3 Department of Medical Oncology, Policlinico Umberto I “Sapienza” University of Rome, Rome, Italy
1 Department of Radiotherapy, Policlinico Umberto I, “Sapienza” University of Rome, Rome, Italy
2 Department of Oral and Maxillofacial Sciences, Policlinico Umberto I, “Sapienza” University of Rome, Rome, Italy
AuthorAffiliation_xml – name: 3 Department of Medical Oncology, Policlinico Umberto I “Sapienza” University of Rome, Rome, Italy
– name: 1 Department of Radiotherapy, Policlinico Umberto I, “Sapienza” University of Rome, Rome, Italy
– name: 2 Department of Oral and Maxillofacial Sciences, Policlinico Umberto I, “Sapienza” University of Rome, Rome, Italy
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/31097964$$D View this record in MEDLINE/PubMed
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ContentType Journal Article
Copyright Copyright © 2019 F. De Felice et al.
Copyright © 2019 F. De Felice et al. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.
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Snippet Patients with human papillomavirus- (HPV-) related oropharyngeal squamous cell carcinoma (OPSCC) have a better prognosis than HPV-negative OPSCC when treated...
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SubjectTerms Alcohol
Cancer therapies
Chemotherapy
Classification
Collaboration
Cyclin-dependent kinases
Drug dosages
Head & neck cancer
Human papillomavirus
Lymphatic system
Medical prognosis
Oncology
Patients
Quality of life
Radiation therapy
Review
Surgery
Throat cancer
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Title Advances in the Management of HPV-Related Oropharyngeal Cancer
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https://pubmed.ncbi.nlm.nih.gov/PMC6487078
Volume 2019
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