Clinical Outcomes for Nasopharyngeal Cancer in Non-Asian Patients: A Single-Center Experience
Renata Zahu,
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Daniela Urian,
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Vlad Manolescu
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et al.
Journal of Clinical Medicine,
Journal Year:
2025,
Volume and Issue:
14(4), P. 1177 - 1177
Published: Feb. 11, 2025
Background/Objectives:
According
to
Globocan,
Romania
has
the
highest
incidence
of
nasopharyngeal
cancer
(NPC)
in
Europe.
Our
objective
was
evaluate
survival
data
for
a
cohort
non-Asian
patient
population
treated
with
curative
intent
at
tertiary
center
Romania.
Methods:
We
retrospectively
analyzed
161
patients
histologically
proven,
non-metastatic
NPC
our
institution
between
October
2014
and
December
2021
intensity
modulated
arc
radiotherapy
(IMRT)
or
without
neoadjuvant
concomitant
chemotherapy
according
stage
disease.
Kaplan-Meier
estimates
overall,
disease-free,
locoregional
relapse
free
distant
metastasis
were
calculated.
The
log-rank
test
used
determine
significant
prognostic
determinants
overall
disease-free
survival.
Results:
median
age
50
years
(range
19–80),
88%
had
nonkeratinizing
undifferentiated
carcinoma.
Epstein
Barr
virus
status
not
evaluated
routinely.
42.2%
III
46%
IVA
Induction
prescribed
72.7%
89.4%
received
concurrent
chemotherapy.
After
follow
up
44
months
(range:
3.6,
104.7
months),
estimated
3
disease
free,
entire
82.6%,
73.3%,
83.2%
86.3%
respectively.
On
testing
interactions,
offered
benefit
(HR—0.287;
95%
CI
0.137–0.603;
p
=
0.001)
cumulative
Cisplatin
dose
more
than
100
mg/mp
statistically
(HR—0.350;95%
0.157–0.779;
0.01)
Conclusions:
This
is
largest
retrospective
series
from
reporting
data.
Despite
high
percentage
advanced
shows
very
good
control.
Compliance
optimal
should
represent
priority
clinical
practice
population.
Language: Английский
Updates on Treatments and Management of Nasopharyngeal Carcinoma
American Society of Clinical Oncology Educational Book,
Journal Year:
2025,
Volume and Issue:
45(3)
Published: April 10, 2025
Nasopharyngeal
carcinoma
(NPC)
is
a
unique
head
and
neck
cancer,
where
the
endemic
subtype
strongly
associated
with
Epstein-Barr
virus
(EBV)
infection,
whereas
emerging
data
suggest
that
subset
of
nonendemic
NPC
may
be
human
papillomavirus
(HPV)
infection.
Nonetheless,
treatment
advances
have
been
driven
by
clinical
trials
conducted
in
NPC,
investigating
optimal
sequencing
chemotherapy
immune
checkpoint
inhibitors
radiotherapy
for
locoregionally
advanced
disease.
The
preference
induction
(IC)
these
patients
has
also
led
to
evolution
concept
target
delineation.
Because
its
association
EBV,
plasma
EBV
DNA
an
archetypal
biomarker
it
being
explored
precise
stratification
individualization
several
ongoing
trials.
In
space
recurrent
or
metastatic-NPC,
advent
platinum-doublet
anti–PD-1
antibody
as
new
standard
care,
are
immunotherapeutic
combinations,
bispecific
antibodies,
antibody-drug
conjugates
demonstrated
promise
early
phase
An
important
advance
2025
update
9th
version
TNM
staging
system,
which
introduced
key
changes,
including
downgrading
stage
groupings
localized
disease,
splitting
metastatic
into
IVA
IVB
based
on
number
lesions.
These
revisions
would
implications
design
future
relevant
evidence
inconclusive
whether
this
disease
responds
differently
current
treatments
compared
NPC.
Language: Английский
Comparative evaluation of machine learning models in predicting overall survival for nasopharyngeal carcinoma using 18F-FDG PET-CT parameters
Lin Duanyu,
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Wenxi Wu,
No information about this author
Zongwei Huang
No information about this author
et al.
Clinical & Translational Oncology,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Sept. 20, 2024
Language: Английский
Leveraging oncovirus-derived antigen against the viral malignancies in adoptive cell therapies
Biomarker Research,
Journal Year:
2024,
Volume and Issue:
12(1)
Published: July 29, 2024
Adoptive
cell
therapies
(ACTs)
have
revolutionized
cancer
immunotherapy,
prompting
exploration
into
their
application
against
oncoviruses.
Oncoviruses
such
as
human
papillomavirus
(HPV),
hepatitis
B
virus
(HBV),
C
(HCV),
and
Epstein-Barr
(EBV)
contribute
significantly
(12-25%)
to
malignancies
through
direct
or
indirect
oncogenic
mechanisms.
These
viruses
persistently
latently
infect
cells,
disrupt
cellular
homeostasis
pathways,
challenging
current
antiviral
treatment
paradigms.
Moreover,
viral
infections
pose
additional
risks
in
the
setting
of
long-term
therapy
lead
morbidity
mortality.
Virally
encoded
oncoproteins,
which
are
tumor-restricted,
immunologically
foreign,
even
uniformly
expressed,
represent
promising
targets
for
patient-tailored
ACTs.
This
review
elucidates
rationale
leveraging
antigen-specific
ACTs
combating
viral-associated
malignancies.
On
this
basis,
ongoing
preclinical
studies
consolidate
our
understanding
harnessing
malignancies,
underscoring
potential
eradicate
implicated
progression.
Furthermore,
we
scrutinize
landscape
clinical
trials
focusing
on
virus-specific
discuss
implications
therapeutic
advancement.
Language: Английский