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Published in: European Archives of Oto-Rhino-Laryngology 6/2009

01-06-2009 | Rhinology

Nasopharyngeal carcinoma: our experience

Authors: Carla d’Espiney Amaro, Pedro Montalvão, Pedro Henriques, Miguel Magalhães, João Olias

Published in: European Archives of Oto-Rhino-Laryngology | Issue 6/2009

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Abstract

The objectives of our study were to characterize nasopharyngeal carcinoma patients in the Portuguese Institute of Oncology Hospital in Lisbon (IPOLFG) and identify the main factors that interfere with patients survival rate. We performed a retrospective study involving 157 patients (65% male and 35% female) between the years 2000 and 2005, and a histological classification according to Health World Organization. We constructed a Kaplan–Meier survival curve for the studied patients and evaluated the significance of the different studied factors with a Pearson correlation study. With an average age of 53 years, most of the carcinomas were type III (58%), followed by type II (30%) and at last type I (8%). Fifty-one of carcinomas were in stage IV at time of diagnosis. Ninety-five patients (60%) had remission. Five-year actuarial survival rate of all patients was 65.1%. There was a significant difference (P = 0.033) in the actuarial survival rate of staged IV patients treated with adjuvant chemotherapy. Undifferentiated nasopharyngeal carcinoma is the most frequent type in our geographic area. Chemotherapy improves survival rate, mainly in late stages.
Literature
1.
go back to reference Boussen H, Bouaoina N, Gamoudi A, Moukni N et al (2007) Cancers du nasopharynx. In: Encyclopédie Médico-Chirurgicale. 2007, 20-590-A-10 Boussen H, Bouaoina N, Gamoudi A, Moukni N et al (2007) Cancers du nasopharynx. In: Encyclopédie Médico-Chirurgicale. 2007, 20-590-A-10
4.
go back to reference Nichols J, Agathanggelou A, Fung K, Xiangguo Z et al (1997) The association of squamous cell carcinomas of the nasopharynx with Epstein–Barr virus shows geographical variation reminiscent of Burkitt’s lymphoma. J Pathol 183(2):164–168. doi:10.1002/(SICI)1096-9896(199710)183:2<164::AID-PATH919>3.0.CO;2-JCrossRef Nichols J, Agathanggelou A, Fung K, Xiangguo Z et al (1997) The association of squamous cell carcinomas of the nasopharynx with Epstein–Barr virus shows geographical variation reminiscent of Burkitt’s lymphoma. J Pathol 183(2):164–168. doi:10.1002/(SICI)1096-9896(199710)183:2<164::AID-PATH919>3.0.CO;2-JCrossRef
6.
go back to reference Punwaney R, Brandwein M, Zhang D, Urken M et al (1999) Human papillomavirus may be common within nasopharyngeal carcinoma of Caucasian Americans: investigation of Epstein–Barr virus and human papillomavirus in Eastern and Western nasopharyngeal carcinoma using ligation-dependent polymerase chain reaction. Head Neck 21(1):21–29. doi:10.1002/(SICI)1097-0347(199901)21:1<21::AID-HED3>3.0.CO;2-ZPubMedCrossRef Punwaney R, Brandwein M, Zhang D, Urken M et al (1999) Human papillomavirus may be common within nasopharyngeal carcinoma of Caucasian Americans: investigation of Epstein–Barr virus and human papillomavirus in Eastern and Western nasopharyngeal carcinoma using ligation-dependent polymerase chain reaction. Head Neck 21(1):21–29. doi:10.1002/(SICI)1097-0347(199901)21:1<21::AID-HED3>3.0.CO;2-ZPubMedCrossRef
7.
go back to reference Marks J, Phillips J, Menck H (1998) The national cancer data base report on the relationship of race and national origin to the histology of nasopharyngeal carcinoma. Cancer 83:582–588. doi:10.1002/(SICI)1097-0142(19980801)83:3<582::AID-CNCR29>3.0.CO;2-RPubMedCrossRef Marks J, Phillips J, Menck H (1998) The national cancer data base report on the relationship of race and national origin to the histology of nasopharyngeal carcinoma. Cancer 83:582–588. doi:10.1002/(SICI)1097-0142(19980801)83:3<582::AID-CNCR29>3.0.CO;2-RPubMedCrossRef
9.
go back to reference Vaughan T, Shapiro J, Burt R, Swason G et al (1996) Nasopharyngeal cancer in a low-risk population: defining risk factors by histological type. Cancer Epidemiol Biomarkers Prev 5:587–593PubMed Vaughan T, Shapiro J, Burt R, Swason G et al (1996) Nasopharyngeal cancer in a low-risk population: defining risk factors by histological type. Cancer Epidemiol Biomarkers Prev 5:587–593PubMed
10.
go back to reference Ou S, Zell J, Ziogas A, Anton-Culver H (2007) Epidemiology of nasopharyngeal carcinoma in the United States: improved survival of Chinese patients within the keratinizing squamous cell carcinoma histology. Ann Oncol 18:29–35. doi:10.1093/annonc/mdl320 PubMedCrossRef Ou S, Zell J, Ziogas A, Anton-Culver H (2007) Epidemiology of nasopharyngeal carcinoma in the United States: improved survival of Chinese patients within the keratinizing squamous cell carcinoma histology. Ann Oncol 18:29–35. doi:10.​1093/​annonc/​mdl320 PubMedCrossRef
11.
go back to reference Klemenc P, Marin J, Soba E, Gale N et al (2006) Distribution of Epstein–Barr virus genotypes in throat washings, sera, peripheral blood lymphocytes and in EBV positive tumor biopsies from Slovenian patients with nasopharyngeal carcinoma. J Med Virol 78(8):1083–1090. doi:10.1002/jmv.20666 PubMedCrossRef Klemenc P, Marin J, Soba E, Gale N et al (2006) Distribution of Epstein–Barr virus genotypes in throat washings, sera, peripheral blood lymphocytes and in EBV positive tumor biopsies from Slovenian patients with nasopharyngeal carcinoma. J Med Virol 78(8):1083–1090. doi:10.​1002/​jmv.​20666 PubMedCrossRef
12.
go back to reference Plaza G, Manzanal A, Fougué L, Santón A et al (2002) Association of Epstein–Barr virus and nasopharyngeal carcinoma in Caucasian patients. Ann Otol Rhinol Laryngol 111:210–216PubMed Plaza G, Manzanal A, Fougué L, Santón A et al (2002) Association of Epstein–Barr virus and nasopharyngeal carcinoma in Caucasian patients. Ann Otol Rhinol Laryngol 111:210–216PubMed
13.
go back to reference Pai P, Tseng C, Chuang C, Wei K et al (2007) Polymorphism of C-terminal activation region 2 of Epstein–Barr virus latent membrane protein 1 in predicting distant failure and post-metastatic survival in patients with nasopharyngeal carcinoma. Head Neck 29(2):109–119. doi:10.1002/hed.20483 PubMedCrossRef Pai P, Tseng C, Chuang C, Wei K et al (2007) Polymorphism of C-terminal activation region 2 of Epstein–Barr virus latent membrane protein 1 in predicting distant failure and post-metastatic survival in patients with nasopharyngeal carcinoma. Head Neck 29(2):109–119. doi:10.​1002/​hed.​20483 PubMedCrossRef
14.
16.
go back to reference Fachiroh J, Schouten T, Hariwiyanto B, Paramita D et al (2004) Molecular diversity of Epstein–Barr virus IgG and IgA antibody responses in nasopharyngeal carcinoma: a comparison of Indonesian, Chinese and European subjects. J Infect Dis 190(1):53–62. doi:10.1086/421245 PubMedCrossRef Fachiroh J, Schouten T, Hariwiyanto B, Paramita D et al (2004) Molecular diversity of Epstein–Barr virus IgG and IgA antibody responses in nasopharyngeal carcinoma: a comparison of Indonesian, Chinese and European subjects. J Infect Dis 190(1):53–62. doi:10.​1086/​421245 PubMedCrossRef
18.
19.
go back to reference Farrow D, Vaughan T, Berwick M, Lynch C et al (1998) Diet and nasopharyngeal cancer in a low-risk population. Int J Cancer 78(6):675–679. doi:10.1002/(SICI)1097-0215(19981209)78:6<675::AID-IJC2>3.0.CO;2-JPubMedCrossRef Farrow D, Vaughan T, Berwick M, Lynch C et al (1998) Diet and nasopharyngeal cancer in a low-risk population. Int J Cancer 78(6):675–679. doi:10.1002/(SICI)1097-0215(19981209)78:6<675::AID-IJC2>3.0.CO;2-JPubMedCrossRef
22.
go back to reference Friborg J, Yuan J, Wang R, Koh W et al (2007) A prospective study of tobacco and alcohol use as risk factors for pharyngeal carcinomas in Singapore Chinese. Cancer 109(6):1183–1191. doi:10.1002/cncr.22501 PubMedCrossRef Friborg J, Yuan J, Wang R, Koh W et al (2007) A prospective study of tobacco and alcohol use as risk factors for pharyngeal carcinomas in Singapore Chinese. Cancer 109(6):1183–1191. doi:10.​1002/​cncr.​22501 PubMedCrossRef
24.
go back to reference Breda E, Catarino R, Azevedo I, Fernandes T et al (2007) Characterization of the clinical evolution of nasopharyngeal carcinoma in a Portuguese population. Acta Otorrinolaringol Esp 58(5):191–197PubMedCrossRef Breda E, Catarino R, Azevedo I, Fernandes T et al (2007) Characterization of the clinical evolution of nasopharyngeal carcinoma in a Portuguese population. Acta Otorrinolaringol Esp 58(5):191–197PubMedCrossRef
30.
Metadata
Title
Nasopharyngeal carcinoma: our experience
Authors
Carla d’Espiney Amaro
Pedro Montalvão
Pedro Henriques
Miguel Magalhães
João Olias
Publication date
01-06-2009
Publisher
Springer-Verlag
Published in
European Archives of Oto-Rhino-Laryngology / Issue 6/2009
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-008-0822-6

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