The Role of Adjuvant Chemotherapy in Surgically Managed, p16-Positive Oropharyngeal Squamous Cell Carcinoma
Author(s) -
S. Andrew Skillington,
Dorina Kallogjeri,
James S. Lewis,
Jay F. Piccirillo
Publication year - 2016
Publication title -
jama otolaryngology–head and neck surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.571
H-Index - 128
eISSN - 2168-619X
pISSN - 2168-6181
DOI - 10.1001/jamaoto.2016.3353
Subject(s) - medicine , oncology , adjuvant chemotherapy , basal cell , chemotherapy , adjuvant , cancer , breast cancer
Human papillomavirus (HPV)-related oropharyngeal squamous cell carcinoma (OPSCC) has a favorable prognosis, and p16 immunohistochemistry is a surrogate marker of high-risk HPV infection and strong prognosticator. Given this favorable prognosis, treatment de-escalation for p16-positive OPSCC is now being considered with the goal of decreasing treatment-associated morbidity without compromising tumor control. The role of adjuvant chemotherapy in this setting is becoming increasingly unclear.
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