Clinical impact of human papillomavirus in laryngeal squamous cell carcinoma: a retrospective study
Objectives The purpose of this study is to determine the prevalence and clinical impact of human papillomavirus (HPV) related laryngeal squamous cell carcinoma (LSCC). Methods A total of 106 LSCC patients who underwent primary surgical resection with or without adjuvant radiotherapy/chemoradiotherap...
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PeerJ Inc.
2017-05-01
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| author | Wei-Chih Chen Hui-Ching Chuang Yu-Tsai Lin Chao-Cheng Huang Chih-Yen Chien |
| author_facet | Wei-Chih Chen Hui-Ching Chuang Yu-Tsai Lin Chao-Cheng Huang Chih-Yen Chien |
| author_sort | Wei-Chih Chen |
| collection | DOAJ |
| description | Objectives The purpose of this study is to determine the prevalence and clinical impact of human papillomavirus (HPV) related laryngeal squamous cell carcinoma (LSCC). Methods A total of 106 LSCC patients who underwent primary surgical resection with or without adjuvant radiotherapy/chemoradiotherapy were enrolled retrospectively. Tumors collected from paraffin-embedded samples were used for HPV detection by polymerase chain reaction and in situ hybridization technique. Clinicopathological parameters were recorded for analysis. Results The prevalence of HPV in patients with LSCC was 13.2% in our series and 12 out of 14 (85.7%) HPV-positive tumors were HPV-16. The patients with HPV-positive tumors were older (p = 0.042), less local/regional recurrence (p = 0.037) and non-smoker (p = 0.068). There was no significant difference in the 5-year overall survival (OS) (p = 0.8056) between HPV-positive and -negative tumors. The patients with HPV-positive tumors had a better 5-year disease-specific survival (DSS) (100% vs. 84.8%, p = 0.1485), although the difference did not reach statistical significance. However, the local/regional control rate was significantly better in HPV-positive tumors than in HPV-negative tumors (100% vs. 75%, p = 0.0494). Conclusions A low prevalence of HPV infection in our series suggests that HPV is not a major cause of LSCC. However, a 100% local/regional control rate and DSS were observed in HPV-positive tumors. This finding suggests a different tumor behavior between HPV-positive and HPV-negative LSCC. Further research with a larger sample size is necessary to confirm our observations. |
| first_indexed | 2024-03-09T08:04:45Z |
| format | Article |
| id | doaj.art-bb3b4d6565ad4a519e3710a04a0bbde0 |
| institution | Directory Open Access Journal |
| issn | 2167-8359 |
| language | English |
| last_indexed | 2024-03-09T08:04:45Z |
| publishDate | 2017-05-01 |
| publisher | PeerJ Inc. |
| record_format | Article |
| series | PeerJ |
| spelling | doaj.art-bb3b4d6565ad4a519e3710a04a0bbde02023-12-03T00:23:52ZengPeerJ Inc.PeerJ2167-83592017-05-015e339510.7717/peerj.3395Clinical impact of human papillomavirus in laryngeal squamous cell carcinoma: a retrospective studyWei-Chih Chen0Hui-Ching Chuang1Yu-Tsai Lin2Chao-Cheng Huang3Chih-Yen Chien4Department of Otolaryngology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, TaiwanDepartment of Otolaryngology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, TaiwanDepartment of Otolaryngology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, TaiwanHead and Neck Oncologic Group, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, TaiwanDepartment of Otolaryngology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, TaiwanObjectives The purpose of this study is to determine the prevalence and clinical impact of human papillomavirus (HPV) related laryngeal squamous cell carcinoma (LSCC). Methods A total of 106 LSCC patients who underwent primary surgical resection with or without adjuvant radiotherapy/chemoradiotherapy were enrolled retrospectively. Tumors collected from paraffin-embedded samples were used for HPV detection by polymerase chain reaction and in situ hybridization technique. Clinicopathological parameters were recorded for analysis. Results The prevalence of HPV in patients with LSCC was 13.2% in our series and 12 out of 14 (85.7%) HPV-positive tumors were HPV-16. The patients with HPV-positive tumors were older (p = 0.042), less local/regional recurrence (p = 0.037) and non-smoker (p = 0.068). There was no significant difference in the 5-year overall survival (OS) (p = 0.8056) between HPV-positive and -negative tumors. The patients with HPV-positive tumors had a better 5-year disease-specific survival (DSS) (100% vs. 84.8%, p = 0.1485), although the difference did not reach statistical significance. However, the local/regional control rate was significantly better in HPV-positive tumors than in HPV-negative tumors (100% vs. 75%, p = 0.0494). Conclusions A low prevalence of HPV infection in our series suggests that HPV is not a major cause of LSCC. However, a 100% local/regional control rate and DSS were observed in HPV-positive tumors. This finding suggests a different tumor behavior between HPV-positive and HPV-negative LSCC. Further research with a larger sample size is necessary to confirm our observations.https://peerj.com/articles/3395.pdfHPVLaryngeal cancerSurvivalRecurrencePrevalence |
| spellingShingle | Wei-Chih Chen Hui-Ching Chuang Yu-Tsai Lin Chao-Cheng Huang Chih-Yen Chien Clinical impact of human papillomavirus in laryngeal squamous cell carcinoma: a retrospective study PeerJ HPV Laryngeal cancer Survival Recurrence Prevalence |
| title | Clinical impact of human papillomavirus in laryngeal squamous cell carcinoma: a retrospective study |
| title_full | Clinical impact of human papillomavirus in laryngeal squamous cell carcinoma: a retrospective study |
| title_fullStr | Clinical impact of human papillomavirus in laryngeal squamous cell carcinoma: a retrospective study |
| title_full_unstemmed | Clinical impact of human papillomavirus in laryngeal squamous cell carcinoma: a retrospective study |
| title_short | Clinical impact of human papillomavirus in laryngeal squamous cell carcinoma: a retrospective study |
| title_sort | clinical impact of human papillomavirus in laryngeal squamous cell carcinoma a retrospective study |
| topic | HPV Laryngeal cancer Survival Recurrence Prevalence |
| url | https://peerj.com/articles/3395.pdf |
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