Frontiers in Oral Health,
Journal Year:
2022,
Volume and Issue:
3
Published: May 6, 2022
The
treatment
of
oropharyngeal
cancer
has
undergone
many
paradigms
shifts
in
recent
decades.
First
considered
a
surgical
disease,
improvements
radiotherapy
led
to
its
popularization
the
1990s.
Subsequently,
discovery
human
papillomavirus
(HPV)
pathogenesis
cancer,
as
well
increase
HPV-associated
oropharynx
incidence,
have
prompted
reevaluation
management.
Its
sensitivity
standard
with
favorable
prognosis
compared
non
focus
on
minimizing
toxicity.
Advances
radiation
and
techniques,
including
use
transoral
robotic
surgery,
gave
rationale
ongoing
de-escalation
clinical
trials
cancer.
Cancer
patients
often
experience
changes
in
mental
health,
prompting
an
exploration
into
whether
nerves
infiltrating
tumors
contribute
to
these
alterations
by
impacting
brain
functions.
Using
a
mouse
model
for
head
and
neck
cancer
neuronal
tracing,
we
show
that
tumor-infiltrating
connect
distinct
areas.
The
activation
of
this
circuitry
altered
behaviors
(decreased
nest-building,
increased
latency
eat
cookie,
reduced
wheel
running).
Tumor-infiltrating
nociceptor
neurons
exhibited
heightened
calcium
activity
regions
receiving
neural
projections
showed
elevated
Fos
as
well
responses
compared
non-tumor-bearing
counterparts.
genetic
elimination
decreased
expression
mitigated
the
behavioral
induced
presence
tumor.
While
analgesic
treatment
restored
nesting
cookie
test
behaviors,
it
did
not
fully
restore
voluntary
running
indicating
pain
is
exclusive
driver
such
shifts.
Unraveling
interaction
between
tumor,
nerves,
pivotal
developing
targeted
interventions
alleviate
health
burdens
associated
with
cancer.
JAMA Otolaryngology–Head & Neck Surgery,
Journal Year:
2023,
Volume and Issue:
149(4), P. 291 - 291
Published: Feb. 16, 2023
Human
papillomavirus
(HPV)
is
strongly
associated
with
head
and
neck
cancer,
HPV
status
considered
a
prognostic
factor.
Being
sexually
transmitted
infection,
HPV-related
cancers
may
have
greater
risk
of
stigma
psychological
distress;
however,
the
potential
association
HPV-positive
psychosocial
outcomes,
such
as
suicide,
understudied
in
cancer.
International Journal of Molecular Sciences,
Journal Year:
2022,
Volume and Issue:
23(15), P. 8395 - 8395
Published: July 29, 2022
The
rise
in
human
papillomavirus
(HPV)-associated
oropharyngeal
squamous
cell
carcinoma
(OPSCC)
has
prompted
a
quest
for
further
understanding
of
the
role
high-risk
HPV
tumor
initiation
and
progression.
Patients
with
HPV-positive
OPSCC
(HPV+
OPSCC)
have
better
prognoses
than
their
HPV-negative
counterparts;
however,
current
therapeutic
strategies
HPV+
are
overly
aggressive
leave
patients
life-long
sequalae
poor
quality
life.
This
highlights
need
customized
treatment.
Several
clinical
trials
treatment
de-intensification
to
reduce
acute
late
toxicity
without
compromising
efficacy
been
conducted.
article
reviews
differences
similarities
pathogenesis
progression
HPV-related
compared
cervical
cancer,
emphasis
on
prophylactic
vaccines
as
potential
strategy.
Overall,
future
development
novel
effective
agents
HPV-associated
head
neck
tumors
promises
meet
challenges
posed
by
this
growing
epidemic.
bioRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2023,
Volume and Issue:
unknown
Published: Oct. 20, 2023
Abstract
Cancer
patients
often
experience
changes
in
mental
health,
prompting
an
exploration
into
whether
nerves
infiltrating
tumors
contribute
to
these
alterations
by
impacting
brain
functions.
Using
a
mouse
model
for
head
and
neck
cancer
neuronal
tracing
we
show
that
tumor-infiltrating
connect
distinct
areas.
The
activation
of
this
circuitry
altered
behaviors
(decreased
nest-building,
increased
latency
eat
cookie,
reduced
wheel
running).
Tumor-infiltrating
nociceptor
neurons
exhibited
heightened
calcium
activity
regions
receiving
neural
projections
showed
elevated
Fos
as
well
responses
compared
non-tumor-bearing
counterparts.
genetic
elimination
decreased
expression
mitigated
the
behavioral
induced
presence
tumor.
While
analgesic
treatment
restored
nesting
cookie
test
behaviors,
it
did
not
fully
restore
voluntary
running
indicating
pain
is
exclusive
driver
such
shifts.
Unraveling
interaction
between
tumor,
nerves,
pivotal
developing
targeted
interventions
alleviate
health
burdens
associated
with
cancer.
Significance
Statement
Head
cancers
are
infiltrated
sensory
which
pre-existing
circuit
includes
areas
brain.
Neurons
within
mediate
modifications
behavior.
Cancers,
Journal Year:
2024,
Volume and Issue:
16(19), P. 3366 - 3366
Published: Oct. 1, 2024
Objectives:
This
study
aimed
to
examine
the
relationship
between
health-related
quality
of
life
(HRQoL)
and
sociodemographic
clinical
variables
in
survivors
head
neck
cancer
(HNC)
treated
with
radiotherapy,
or
without
surgery.
Materials
Methods:
HRQoL
was
measured
using
functional
assessment
therapy—head
(FACT-H&N)
a
cross-sectional
survey
involving
150
patients.
Of
these,
60
had
nasopharyngeal
(NPC),
exclusively
while
90
oral
cavity
squamous
cell
(OSCC),
undergoing
radical
surgery
followed
by
adjuvant
radiotherapy.
Key
included
type,
age,
gender,
partnership
status,
education,
employment,
additional
assessed
patients
OSCC.
Statistical
analyses
multiple
regression,
ANOVA,
t-tests
explore
relationships
HRQoL.
Results:
Cancer
surgical
treatment,
employment
status
emerged
as
significant
independent
predictors
HNC
Patients
NPC
reported
better
on
three
FACT-H&N
subscales—social/family
well-being,
concerns—compared
Unemployed
individuals
exhibited
lower
four
subscales.
In
OSCC,
segmental
mandibulectomy
were
found
predict
independently.
Conclusions:
concludes
that
intervention,
notably
influence
among
addition,
is
key
factor
affecting
OTO Open,
Journal Year:
2024,
Volume and Issue:
8(4)
Published: Oct. 1, 2024
Abstract
Objective
To
characterize
neighborhood‐level
area
deprivation's
association
with
oropharyngeal
carcinoma
clinicodemographics,
tumor
staging,
recurrence,
and
overall
survival.
Study
Design
Retrospective
study.
Setting
Single
institution
academic
medical
center.
Methods
Patients
diagnosed
squamous
cell
(OPSCC)
between
2007
2022
at
our
were
included
in
this
The
Area
Deprivation
Index
(ADI)
was
used
to
quantify
disadvantage
based
on
patients’
primary
residence
the
time
of
their
diagnosis.
Continuous
variables
compared
groups
using
Wilcoxon
rank
sum
test.
For
categorical
variables,
proportions
Fisher's
exact
Overall
survival
(OS)
recurrence‐free
(RFS)
distributions
estimated
Kaplan‐Meier
method
log‐rank
OS
RFS
further
assessed
by
univariable
multivariable
analyses
performed
Cox
proportional
hazards
model.
Results
higher
ADI
(more
disadvantaged)
group
consisted
a
significantly
greater
proportion
Black
race
(
P
<
.001),
10+
pack‐year
smoking
history
=
.003),
Medicare
patients
.018).
On
logistic
regression
analysis,
neither
nor
other
social
factors
associated
increased
likelihood
advanced
clinical
staging
p16
positive
OPSCC
population.
Furthermore,
while
did
not
correspond
significant
differences
survival,
multivariate
cox
model
demonstrated
that
“Other”
insurance
type
(Medicaid
uninsured)
(hazard
ratio
[HR]
10.1,
.008),
age
diagnosis
(1.10,
(HR
3.25,
.004)
all
HR
death.
Conclusion
While
may
be
outcomes
HPV‐related
patients,
study
revealed
sociodemographic
risk
factor
across
ADIs,
as
well
individual
influencing
prognosis.
These
findings
emphasize
need
for
comprehensive
approach
understanding
incidence
The Journal of Laryngology & Otology,
Journal Year:
2023,
Volume and Issue:
137(12), P. 1312 - 1325
Published: April 20, 2023
Abstract
Objective
Digital
health
tools
are
increasingly
being
recognised
as
effective
interventions
in
monitoring
chronic
conditions.
This
systematic
review
addressed
how
digital
is
currently
utilised
patients
with
head
and
neck
cancer
an
adjunct
to
care.
Method
Studies
of
the
development
or
evaluation
eHealth,
telemedicine
telemonitoring
tool
were
eligible.
A
narrative
synthesis
was
performed
per
Preferred
Reporting
Items
for
Systematic
Review
Meta-Analyses
reporting
guidelines.
Results
Twenty-nine
studies
identified.
Nine
randomised,
controlled
trials
but
most
had
concern
bias.
Fourteen
(48
cent)
used
multiple
modes
delivery.
The
primary
functions
symptom
tracking
self-care,
prehabilitation
rehabilitation,
psychological
support,
education,
including
decision
aids.
Most
aimed
support
during
active
treatment.
Conclusion
There
a
small
number
patients;
however,
there
lack
well-designed
demonstrate
effectiveness.
Psychotherapy and Psychosomatics,
Journal Year:
2024,
Volume and Issue:
93(4), P. 271 - 277
Published: Jan. 1, 2024
The
early
and
rapid
identification
of
psychosomatic
symptoms
is
crucial
to
prevent
harmful
outcomes
in
patients
with
human
papillomavirus
(HPV)
infection
busy
comprehensive
clinics.
This
study
aimed
explore
the
prevalence
screening
method
Diagnostic
Criteria
for
Psychosomatic
Research-revised
(DCPR)
syndromes
HPV
infection.