Published in:
01-03-2018 | Commentary
Understanding Interactions of Smoking on Prognosis of HPV-Associated Oropharyngeal Cancers
Authors:
Missak Haigentz Jr., Carlos Suarez, Primoz Strojan, Juan P. Rodrigo, Alessandra Rinaldo, Carol R. Bradford, June Corry, Robert P. Takes, Alfio Ferlito
Published in:
Advances in Therapy
|
Issue 3/2018
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Abstract
The new 8th edition AJCC/UICC staging system for human papillomavirus (HPV)-associated oropharyngeal squamous cell carcinoma (OPSCC), developed to account for improved survival outcomes over HPV-negative cancers, includes anatomic features strictly associated with tumor-node-metastasis (TNM) and does not account for patient-specific characteristics that may impact prognosis. This commentary evaluates the evidence of smoking as an adverse prognostic factor in HPV-associated OPSCC. We review the multifactorial biological, clinical, and social/behavioral characteristics of smokers with OPSCC that impact outcomes, discuss current challenges with incorporating smoking history in prognostic classifications, and consider opportunities for future investigation.