Human papillomavirus and survival of patients per histological subsite of tonsillar squamous cell carcinoma

Abstract Current data advocate that oropharyngeal squamous cell carcinoma (OPSCC) should be divided into subsites when evaluating the presence of human papillomavirus (HPV) and prognosis. More specifically, tonsillar squamous cell carcinoma (TSCC) and base of tongue squamous cell carcinoma (BOTSCC)...

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Main Authors: Linnea Haeggblom, Tove Attoff, Lalle Hammarstedt‐Nordenvall, Anders Näsman
Format: Article
Language:English
Published: Wiley 2018-05-01
Series:Cancer Medicine
Subjects:
Online Access:https://doi.org/10.1002/cam4.1400
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author Linnea Haeggblom
Tove Attoff
Lalle Hammarstedt‐Nordenvall
Anders Näsman
author_facet Linnea Haeggblom
Tove Attoff
Lalle Hammarstedt‐Nordenvall
Anders Näsman
author_sort Linnea Haeggblom
collection DOAJ
description Abstract Current data advocate that oropharyngeal squamous cell carcinoma (OPSCC) should be divided into subsites when evaluating the presence of human papillomavirus (HPV) and prognosis. More specifically, tonsillar squamous cell carcinoma (TSCC) and base of tongue squamous cell carcinoma (BOTSCC) have much higher HPV prevalence compared to other OPSCC. Moreover, patients with HPV positive (HPV+) TSCC and BOTSCC have a better prognosis as compared to patients with HPV negative (HPV−) corresponding tumors, while the prognostic role of HPV in other OPSCC is unclear. Furthermore, in a recent report from Denmark, TSCC was further subclassified into specified TSCC (STSCC) and nonspecified TSCC (NSTSCC), with HPV significantly more prevalent in STSCC. In this study, the histopathological influence of HPV prevalence and survival in TSCC was analyzed in a TSCC cohort with known HPV status, of patients diagnosed 1970–2002 in Stockholm. In total, 139 TSCC biopsies with both tumor and adjacent normal tissue were separated into STSCC and NSTSCC. HPV was significantly more commonly found in STSCC than in NSTSCC. Patients with HPV+ STSCC had a better disease‐specific and overall survival as compared to patients with HPV+ NSTSCC, but no survival differences were observed in patients with HPV− STSCC and NSTCC. These findings confirm previous reports and suggest that TSCC subsite may also be of relevance for clinical outcome and should be further followed up in future studies.
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spelling doaj.art-007479cb4061456281823134037c1d732023-03-10T15:42:21ZengWileyCancer Medicine2045-76342018-05-01751717172210.1002/cam4.1400Human papillomavirus and survival of patients per histological subsite of tonsillar squamous cell carcinomaLinnea Haeggblom0Tove Attoff1Lalle Hammarstedt‐Nordenvall2Anders Näsman3Department of Oncology‐Pathology Karolinska Institutet 171 76 Stockholm SwedenDepartment of Oncology‐Pathology Karolinska Institutet 171 76 Stockholm SwedenDepartment of Oto‐Rhino‐Laryngology, Head and Neck Surgery Karolinska University Hospital 171 76 Stockholm SwedenDepartment of Oncology‐Pathology Karolinska Institutet 171 76 Stockholm SwedenAbstract Current data advocate that oropharyngeal squamous cell carcinoma (OPSCC) should be divided into subsites when evaluating the presence of human papillomavirus (HPV) and prognosis. More specifically, tonsillar squamous cell carcinoma (TSCC) and base of tongue squamous cell carcinoma (BOTSCC) have much higher HPV prevalence compared to other OPSCC. Moreover, patients with HPV positive (HPV+) TSCC and BOTSCC have a better prognosis as compared to patients with HPV negative (HPV−) corresponding tumors, while the prognostic role of HPV in other OPSCC is unclear. Furthermore, in a recent report from Denmark, TSCC was further subclassified into specified TSCC (STSCC) and nonspecified TSCC (NSTSCC), with HPV significantly more prevalent in STSCC. In this study, the histopathological influence of HPV prevalence and survival in TSCC was analyzed in a TSCC cohort with known HPV status, of patients diagnosed 1970–2002 in Stockholm. In total, 139 TSCC biopsies with both tumor and adjacent normal tissue were separated into STSCC and NSTSCC. HPV was significantly more commonly found in STSCC than in NSTSCC. Patients with HPV+ STSCC had a better disease‐specific and overall survival as compared to patients with HPV+ NSTSCC, but no survival differences were observed in patients with HPV− STSCC and NSTCC. These findings confirm previous reports and suggest that TSCC subsite may also be of relevance for clinical outcome and should be further followed up in future studies.https://doi.org/10.1002/cam4.1400Human papillomavirusoropharyngeal cancersurvivaltonsillar cancer
spellingShingle Linnea Haeggblom
Tove Attoff
Lalle Hammarstedt‐Nordenvall
Anders Näsman
Human papillomavirus and survival of patients per histological subsite of tonsillar squamous cell carcinoma
Cancer Medicine
Human papillomavirus
oropharyngeal cancer
survival
tonsillar cancer
title Human papillomavirus and survival of patients per histological subsite of tonsillar squamous cell carcinoma
title_full Human papillomavirus and survival of patients per histological subsite of tonsillar squamous cell carcinoma
title_fullStr Human papillomavirus and survival of patients per histological subsite of tonsillar squamous cell carcinoma
title_full_unstemmed Human papillomavirus and survival of patients per histological subsite of tonsillar squamous cell carcinoma
title_short Human papillomavirus and survival of patients per histological subsite of tonsillar squamous cell carcinoma
title_sort human papillomavirus and survival of patients per histological subsite of tonsillar squamous cell carcinoma
topic Human papillomavirus
oropharyngeal cancer
survival
tonsillar cancer
url https://doi.org/10.1002/cam4.1400
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