Disease Site-Specific Outcomes in p16-Positive Non-Oropharyngeal Mucosal Head and Neck Cancer - Summary - MDSpire
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Outcomes Based on Disease Site in p16-Positive Non-Oropharyngeal Mucosal Head and Neck Squamous Cell Carcinoma

  • By

  • Revadhi C. Chelvarajah

  • Lessandra Y. S. Chee

  • Jie Su

  • Brian O'Sullivan

  • Christopher M. K. L. Yao

  • Enrique Sanz-Garcia

  • Stephen M. Smith

  • Ilan Weinreb

  • Scott Bratman

  • B. C. John Cho

  • Ezra Hahn

  • Andrew Hope

  • Ali Hosni

  • John Kim

  • Andrew McPartlin

  • Nauman Malik

  • Chiaojung Jillian Tsai

  • John de Almeida

  • Anna Spreafico

  • Li Tong

  • Shao Hui Huang

  • John N Waldron

  • March 12, 2026

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Objective:

To assess the prevalence and prognostic relevance of p16-positive status in non-oropharyngeal head and neck squamous cell carcinoma (HNSCC).

Approach:
  • Study Population: Identified newly diagnosed, non-metastatic mucosal HNSCC treated curatively between January 2009 and December 2021, excluding nasopharyngeal carcinoma.
  • Assessment of p16 Status: Implemented prospective p16 immunohistochemistry testing for oropharyngeal carcinomas and selected non-oropharyngeal cases, with p16-positivity defined by > 70% tumor cell staining.
  • Statistical Analysis: Compared clinical characteristics and outcomes using descriptive methods and multivariable analysis to evaluate the prognostic value of p16 status.
Key Findings:
  • Outf3061nrphaygelSCi5wdv9b2xm
Interpretation:

The study highlights the need for further investigation into the prognostic implications of p16-positive status in non-oropharyngeal HNSCC due to inconsistent outcomes reported in existing literature.

Limitations:
  • Retrospective design may introduce bias.
  • Limited sample size for p16-positive cases may affect the robustness of findings.
  • Variability in HPV detection methodologies across studies complicates comparisons.
Conclusion:

The study provides insights into the prevalence of p16-positive non-oropharyngeal HNSCC and its clinical characteristics.

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