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Your Article Summary
Human papillomaviruses are identified in a subgroup of sinonasal squamous cell carcinomas with favorable outcome
Cancer, 04/16/09
Alos L et al. - In a study to evaluate the role of human papillomavirus (HPV) in the pathogenesis of squamous cell carcinomas (SCCs) of the sinonasal tract and its clinicopathological implications, it appears that a subgroup of sinonasal SCCs is associated with HPV infection. These tumors have a significantly better prognosis.
Methods- All SCCs of the sinonasal tract diagnosed were retrospectively evaluated (n = 60).
- Clinical and pathological data were reviewed.
- HPV infection was determined and typed by amplification of HPV DNA by polymerase chain reaction using the SPF-10 primers.
- p16INK4a expression was determined by immunohistochemistry.
- Overall (OS) and progression-free survival (PFS) for HPV-positive and -negative pts was estimated by Kaplan-Meier analysis and by use of a multivariate Cox proportional hazards model.
- HPV DNA was detected in tumor tissue of 12 of 60 (20%) pts.
- HPV16 was identified in 11 tumors and HPV35 in 1.
- Immunohistochemistry for p16INK4a stained all HPV-positive and no HPV-negative tumors.
- No differences were observed in terms of site and histological grade or stage at presentation between HPV-positive and -negative tumors.
- HPV-positive pts had a significantly better 5-yr PFS and OS than pts with HPV-negative tumors.
- In multivariate analysis, HPV-positive tumors were associated with improved PFS.
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