Human Papillomavirus and Epstein Barr Virus in Head and Neck Carcinomas: Suggestions for the New WHO Classification

被引:28
作者
Lewis Jr. J.S. [1 ,2 ]
Chernock R.D. [1 ,2 ]
机构
[1] Division of Anatomic and Molecular Pathology, Department of Pathology and Immunology, Washington University School of Medicine, St. Louis, MO, 63110, Campus Box 8118
[2] Department of Otolaryngology Head and Neck Surgery, Washington University School of Medicine, St. Louis, MO, 63110, Campus Box 8118
关键词
Classification; Epstein-Barr virus; Human papillomavirus; p16; Squamous cell carcinoma; World Health Organization;
D O I
10.1007/s12105-014-0528-6
中图分类号
学科分类号
摘要
In the 9 years since the last World Health Organization (WHO) classification for head and neck tumors, a great deal has changed. In particular, human papillomavirus (HPV) has emerged as the major etiologic agent and patient prognostic marker for squamous cell carcinoma, most profoundly in the oropharynx. It also casts a long shadow over all of the rest of head and neck cancer given its biologic and prognostic implications. By contrast, little has changed regarding our knowledge of Epstein-Barr virus in head and neck cancers, except as it relates to HPV in nonkeratinizing-type nasopharyngeal carcinomas. This article discusses some of the major advances in our understanding of virus-related squamous cell carcinoma of the head and neck and suggests several specific concepts and terminology for incorporation into the next WHO classification. © 2014 Springer Science+Business Media New York.
引用
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页码:50 / 58
页数:8
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