[논문]Three synchronous HPV-associated squamous cell carcinomas of Waldeyer's ring: Case report and comparison with Slaughter's model of field cancerization

McGovern, Susan L.; Williams, Michelle D.; Weber, Randal S.; Sabichi, Anita; Chambers, Mark S.; Martin, Jack W.; Chao, K. S. Clifford

doi:10.1002/hed.21171

Three synchronous HPV-associated squamous cell carcinomas of Waldeyer's ring: Case report and comparison with Slaughter's model of field cancerization

Head & neck, v.32 no.8, 2010년, pp.1118 - 1124

McGovern, Susan L. (Department of Radiation Oncology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas 77030) , Williams, Michelle D. (Department of Pathology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas 77030) , Weber, Randal S. (Department of Head and Neck Surgery, The University of Texas M. D. Anderson Cancer Center, Houston, Texas 77030) , Sabichi, Anita (Department of Head and Neck Medical Oncology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas 77030) , Chambers, Mark S. (Department of Dental Oncology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas 77030) , Martin, Jack W. (Department of Dental Oncology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas 77030) , Chao, K. S. Clifford (Department of Radiation Oncology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas 77030)

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Background.Patients with squamous cell carcinoma (SCC) of the oropharynx have an 8% to 20% risk of a synchronous or metachronous second malignancy. The rate of synchronous lesions in human papillomavirus (HPV)-positive oropharyngeal cancers is unknown.Methods.We report the case of a 46-year-old man with 3 simultaneous primary malignancies of Waldeyer's ring: HPV-positive SCC of both tonsils and the nasopharynx, with bilateral neck metastases.Results.The patient received induction chemotherapy followed by definitive radiotherapy and remains free of disease at 18 months.Conclusion.Comparison with the Slaughter model of field cancerization suggests that HPV-positive SCC of the head and neck may have a distinct mechanism for the development of multifocal disease. Therefore, the emerging population of young patients with head and neck SCC with HPV-positive cancers presents a new opportunity for understanding the molecular origins of synchronous tumors. © 2009 Wiley Periodicals, Inc. Head Neck, 2009

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Three synchronous HPV-associated squamous cell carcinomas of Waldeyer's ring: Case report and comparison with Slaughter's model of field cancerization

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