Effect of p16 Status on Survival Outcomes in Sinonasal Squamous Cell Carcinoma

被引：1

作者：

Agarwal, Aarti ^{[1
]}

Philips, Ramez ^{[1
]}

Chitguppi, Chandala ^{[1
]}

Gargano, Stacey ^{[2
]}

Sahin, Ziver ^{[2
]}

Curry, Joseph ^{[1
]}

Luginbuhl, Adam ^{[1
]}

Cognetti, David ^{[1
]}

Toskala, Elina ^{[1
]}

Rabinowitz, Mindy R. ^{[1
]}

Rosen, Marc R. ^{[1
]}

Nyquist, Gurston G. ^{[1
]}

机构：

[1] Thomas Jefferson Univ Hosp, Dept Otolaryngol Head & Neck Surg, 925 Chestnut St,6th Floor, Philadelphia, PA 19107 USA

[2] Thomas Jefferson Univ Hosp, Dept Pathol Anat & Cell Biol, Philadelphia, PA 19107 USA

来源：

ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY | 2023年 / 132卷 / 08期

关键词：

sinonasal malignancy; squamous cell carcinoma; survival; p16; human papilloma virus; HPV; HEAD;

D O I：

10.1177/00034894221121401

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Objective: Evaluate the effect of p16 status on disease-free survival (DFS) and overall survival (OS) in patients with sinonasal squamous cell carcinoma (SCC) undergoing treatment with curative intent; and to assess how p16 status may affect patterns of recurrence. Study Design: Retrospective cohort study. Setting: Tertiary medical center. Methods: Patients with sinonasal SCC treated with curative intent from 2012 to 2018 were identified. Independent variable of interest was p16 status, which was assessed using immunohistochemistry (IHC) with a 70% staining cutoff for positivity. Kaplan Meier survival curve was plotted to assess correlation between p16 status and DFS and OS. Association between recurrence patterns and p16 status was conducted using chi square and fisher's exact tests. Multivariable Cox proportional hazard analysis was conducted to assess association between independent variables and DFS. Results: Fifty patients with sinonasal SCC met inclusion criteria. Patients were p16 positive in 28/50 (56%) of cases. Kaplan Meier survival curve revealed no statistically significant association between p16 status and DFS or OS survival (P = .780, P = .474). There was no difference in recurrence patterns in patients with p16 positive versus negative tumors. Conclusion: p16 status did not have prognostic value on DFS and OS in our cohort of patients with sinonasal SCC undergoing treatment with curative intent. There was no difference in recurrence patterns between the 2 populations. Based on the results of this study, p16 status should not impact counseling of patients as it relates to their prognosis from SNM.

引用

页码：917 / 925

页数：9

共 22 条

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