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Nasopharyngeal carcinoma (NPC) is a common cancer among Southern Chinese with a male dominance of about 3:1. The age-adjusted incidence for both sexes is less than one per 100, 000 population worldwide. The reported incidence of NPC among men and women in Hong Kong is 20–30 per 100, 000 and 15–20 per 100, 000.(Wei and Sham, 2005) The reported incidence of NPC among men and women in Taiwan is 8.3 per 100 000 and 2.8 per 100 000, respectively.(Bureau of health promotion, Taiwan, 2010) It mainly afflicts people in mid-life. There is now compelling evidences to suggest that Epstein-Barr virus (EBV) is associated with the development of NPC and is most likely to be involved in the multi-step and multifactorial carcinogenesis of NPC. In this chapter, the role of EBV in pathogenesis of NPC is reviewed briefly, and principle applications of EBV antibodies and circulating EBV DNA as markers of NPC are outlined. Based on current knowledge of EBV antibody responses by NPC and taking available testing technologies into account, serologic screening strategy to facilitate efficient early detection of NPC is formulated.

Epstein-Barr Virus Serology in the Detection and Screening of Nasopharyngeal Carcinoma