Treatment de-escalation for HPV-driven oropharyngeal cancer: Where do we stand?

被引:141
作者
Mirghani, Haitham [1 ]
Blanchard, Pierre [2 ]
机构
[1] Gustave Roussy Canc Campus, Dept Head & Neck Oncol, 114 Rue Edouard Vaillant, Villejuif, France
[2] Gustave Roussy Canc Campus, Dept Radiat Oncol, 114 Rue Edouard Vaillant, Villejuif, France
关键词
Human papillomavirus (HPV); Oropharynx/oropharyngeal; Cancer/neoplasm; Treatment de-escalation/de-intensification;
D O I
10.1016/j.ctro.2017.10.005
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
HPV-driven oropharyngeal cancers have significantly better survival rates than tobacco and alcohol induced head and neck cancers. As HPV-positive patients are younger, healthier and far more likely to survive their disease, long-term treatment side effects are becoming a major issue. This has led the scientific and medical community to reassess the current treatment protocols in order to develop less toxic strategies while maintaining good oncological outcomes. In this article, we discuss the ongoing treatment de-escalation trials and highlight the issues raised by these studies. (C) 2017 The Authors. Published by Elsevier Ireland Ltd on behalf of European Society for Radiotherapy and Oncology.
引用
收藏
页码:4 / 11
页数:8
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