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Published in: Clinical Oral Investigations 11/2023

22-09-2023 | Human Papillomavirus | Research

Clinical data, survival, and prognosis of 426 cases of oropharyngeal cancer: a retrospective analysis

Authors: Jiancheng Li, Feng Zhuo, Xuji Wang, Yun Guo, Lina Jiang

Published in: Clinical Oral Investigations | Issue 11/2023

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Abstract

Objective

To determine factors influencing survival and prognosis of HPV-related and non-related oropharyngeal cancer.

Methods

Subjects were determined from the three hospitals in Anhui province of China between 2015 and 2020. Paraffin-embedded specimens from participants’ tissues were analyzed, and the subjects were classified as P16 + and P16 − cases using immunohistochemical staining for P16 protein.

Results

A total of 426 patients with oropharyngeal cancer were recruited in this study; 108 cases were found to be P16 + . The subjects were treated with the three regimens: surgery/radiotherapy/chemotherapy (SRCT), radiotherapy/chemotherapy (RCT), and surgery/chemotherapy (SCT). There were no statistically significant differences in the survival rates within the P16 + or P16 − groups between the three treatment regimens (P > 0.05). The 1-, 3-, and 5-year survival rates for P16 + and P16 − groups were statistically different (P < 0.05). Multivariate analysis showed that age, physical health status, smoking, and alcohol abuse were independent risk factors affecting the prognosis of P16 + cases, while pathological grading and TNM staging were independent risk factors affecting the P16 − cases.

Conclusion

The etiology, pathogenesis, survival status, and prognostic factors of HPV-related oropharyngeal cancer are very different from those of traditional oropharyngeal cancer. Thus, HPV-related oropharyngeal cancer could be classified as a separate type of disease. This distinction could be of great significance for treatment, prevention, and prognostication of oropharyngeal cancer.
Literature
Metadata
Title
Clinical data, survival, and prognosis of 426 cases of oropharyngeal cancer: a retrospective analysis
Authors
Jiancheng Li
Feng Zhuo
Xuji Wang
Yun Guo
Lina Jiang
Publication date
22-09-2023
Publisher
Springer Berlin Heidelberg
Published in
Clinical Oral Investigations / Issue 11/2023
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-023-05265-y

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