Magnitude of benefit for adjuvant radiotherapy following minimally invasive surgery in intermediate to high risk HPV-positive oropharyngeal squamous cell carcinoma

The incidence of oropharyngeal squamous cell carcinoma (OPSCC) has steadily increased in recent years [1]. High-risk strains of human papillomavirus (HPV) are being recognized as a key driver in this change and are predicted to account for the majority of oropharyngeal carcinomas by 2030 [2 –4]. HPV-positive tumors have greater radio- and chemo-sensitivity which confer more favorable survival rates when compared to HPV-negative tumors [5,6]. Given the fundamental differences in the biology underlying HPV-positive OPSCC, a re-evaluation of traditional treatment algorithms is currently underway in a number of de-intensification treatment regimens [7].
Source: Oral Oncology - Category: Cancer & Oncology Authors: Source Type: research