Survival in oral and pharyngeal cancers is catching up with laryngeal cancer in the NORDIC countries through a half century

Abstract Background Cancers of the head and neck (HN) are heterogeneous tumors with incidence rates varying globally. In Northern Europe oral and oropharyngeal cancers are the most common individual types. Survival for HN varies by individual tumor type but for most of them survival trends are not w...

Full description

Bibliographic Details
Main Authors: Frantisek Zitricky, Anni I. Koskinen, Otto Hemminki, Asta Försti, Akseli Hemminki, Kari Hemminki
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Cancer Medicine
Subjects:
Online Access:https://doi.org/10.1002/cam4.6867
_version_ 1797277132605358080
author Frantisek Zitricky
Anni I. Koskinen
Otto Hemminki
Asta Försti
Akseli Hemminki
Kari Hemminki
author_facet Frantisek Zitricky
Anni I. Koskinen
Otto Hemminki
Asta Försti
Akseli Hemminki
Kari Hemminki
author_sort Frantisek Zitricky
collection DOAJ
description Abstract Background Cancers of the head and neck (HN) are heterogeneous tumors with incidence rates varying globally. In Northern Europe oral and oropharyngeal cancers are the most common individual types. Survival for HN varies by individual tumor type but for most of them survival trends are not well known over extended periods of time. Methods Data for a retrospective survival study were obtained for Danish, Finnish, Norwegian, and Swedish patients from the NORDCAN database from 1971 to 2020. Relative 1‐ and 5‐year survival rates and 5/1‐year conditional survival for years 2–5 were calculated. Results Both 1‐ and 5‐year survival improved for all HN cancers but only marginally for laryngeal cancer. For the other cancers a 50‐year increase in 5‐year survival was about 30% units for nasopharyngeal and oropharyngeal cancers, 20% units for oral cancer and somewhat less for hypopharyngeal cancer. Conclusions 5‐year survival reached about 65% for all HN cancers, except for hypopharyngeal cancer (30%). Human papilloma virus infection is becoming a dominant risk factor for the rapidly increasing oropharyngeal cancer, the prevention of which needs to emphasize oral sex as a route of infection.
first_indexed 2024-03-07T15:43:16Z
format Article
id doaj.art-1d6dae5055bd49eaa77262308b4cfbbc
institution Directory Open Access Journal
issn 2045-7634
language English
last_indexed 2024-03-07T15:43:16Z
publishDate 2024-01-01
publisher Wiley
record_format Article
series Cancer Medicine
spelling doaj.art-1d6dae5055bd49eaa77262308b4cfbbc2024-03-05T06:22:52ZengWileyCancer Medicine2045-76342024-01-01131n/an/a10.1002/cam4.6867Survival in oral and pharyngeal cancers is catching up with laryngeal cancer in the NORDIC countries through a half centuryFrantisek Zitricky0Anni I. Koskinen1Otto Hemminki2Asta Försti3Akseli Hemminki4Kari Hemminki5Faculty of Medicine and Biomedical Center in Pilsen Charles University in Prague Pilsen Czech RepublicDepartment of Otorhinolaryngology‐ Head and Neck Surgery Helsinki University Hospital and University of Helsinki Helsinki FinlandDepartment of Urology Helsinki University Hospital and University of Helsinki Helsinki FinlandHopp Children's Cancer Center (KiTZ) Heidelberg GermanyCancer Gene Therapy Group, Translational Immunology Research Program University of Helsinki Helsinki FinlandFaculty of Medicine and Biomedical Center in Pilsen Charles University in Prague Pilsen Czech RepublicAbstract Background Cancers of the head and neck (HN) are heterogeneous tumors with incidence rates varying globally. In Northern Europe oral and oropharyngeal cancers are the most common individual types. Survival for HN varies by individual tumor type but for most of them survival trends are not well known over extended periods of time. Methods Data for a retrospective survival study were obtained for Danish, Finnish, Norwegian, and Swedish patients from the NORDCAN database from 1971 to 2020. Relative 1‐ and 5‐year survival rates and 5/1‐year conditional survival for years 2–5 were calculated. Results Both 1‐ and 5‐year survival improved for all HN cancers but only marginally for laryngeal cancer. For the other cancers a 50‐year increase in 5‐year survival was about 30% units for nasopharyngeal and oropharyngeal cancers, 20% units for oral cancer and somewhat less for hypopharyngeal cancer. Conclusions 5‐year survival reached about 65% for all HN cancers, except for hypopharyngeal cancer (30%). Human papilloma virus infection is becoming a dominant risk factor for the rapidly increasing oropharyngeal cancer, the prevention of which needs to emphasize oral sex as a route of infection.https://doi.org/10.1002/cam4.6867conditional survivalhuman papilloma virusoral cancerpharyngeal cancer
spellingShingle Frantisek Zitricky
Anni I. Koskinen
Otto Hemminki
Asta Försti
Akseli Hemminki
Kari Hemminki
Survival in oral and pharyngeal cancers is catching up with laryngeal cancer in the NORDIC countries through a half century
Cancer Medicine
conditional survival
human papilloma virus
oral cancer
pharyngeal cancer
title Survival in oral and pharyngeal cancers is catching up with laryngeal cancer in the NORDIC countries through a half century
title_full Survival in oral and pharyngeal cancers is catching up with laryngeal cancer in the NORDIC countries through a half century
title_fullStr Survival in oral and pharyngeal cancers is catching up with laryngeal cancer in the NORDIC countries through a half century
title_full_unstemmed Survival in oral and pharyngeal cancers is catching up with laryngeal cancer in the NORDIC countries through a half century
title_short Survival in oral and pharyngeal cancers is catching up with laryngeal cancer in the NORDIC countries through a half century
title_sort survival in oral and pharyngeal cancers is catching up with laryngeal cancer in the nordic countries through a half century
topic conditional survival
human papilloma virus
oral cancer
pharyngeal cancer
url https://doi.org/10.1002/cam4.6867
work_keys_str_mv AT frantisekzitricky survivalinoralandpharyngealcancersiscatchingupwithlaryngealcancerinthenordiccountriesthroughahalfcentury
AT anniikoskinen survivalinoralandpharyngealcancersiscatchingupwithlaryngealcancerinthenordiccountriesthroughahalfcentury
AT ottohemminki survivalinoralandpharyngealcancersiscatchingupwithlaryngealcancerinthenordiccountriesthroughahalfcentury
AT astaforsti survivalinoralandpharyngealcancersiscatchingupwithlaryngealcancerinthenordiccountriesthroughahalfcentury
AT akselihemminki survivalinoralandpharyngealcancersiscatchingupwithlaryngealcancerinthenordiccountriesthroughahalfcentury
AT karihemminki survivalinoralandpharyngealcancersiscatchingupwithlaryngealcancerinthenordiccountriesthroughahalfcentury