Papillary squamous cell carcinomas of the upper aerodigestive tract: A clinicopathologic and molecular study

Background The limited studies and the small number of published cases of papillary squamous cell carcinoma have precluded accurate assessment of the biologic characteristics of this lesion. Methods Thirty‐eight of the carcinomas were studied. In‐situ hybridization and polymerase chain reaction were...

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Veröffentlicht in:Head & neck 2000-07, Vol.22 (4), p.360-368
Hauptverfasser: Suarez, Patricia A., Adler-Storthz, Karen, Luna, Mario A., El-Naggar, Adel K., Abdul-Karim, Fadi W., Batsakis, John G.
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container_end_page 368
container_issue 4
container_start_page 360
container_title Head & neck
container_volume 22
creator Suarez, Patricia A.
Adler-Storthz, Karen
Luna, Mario A.
El-Naggar, Adel K.
Abdul-Karim, Fadi W.
Batsakis, John G.
description Background The limited studies and the small number of published cases of papillary squamous cell carcinoma have precluded accurate assessment of the biologic characteristics of this lesion. Methods Thirty‐eight of the carcinomas were studied. In‐situ hybridization and polymerase chain reaction were performed to detect human papilloma virus (HPV) and p53 expression. Results HPV was found in 4 of 14 assessable carcinomas by in‐situ hybridization and in 5 of 14 by polymerase chain reaction. The most frequently identified HPVs were HPVs in 6/11 and 16/18 patients. In general, a reciprocal relationship was found between p53 and HPV prevalence. The most lethal site for this tumor was the sinonasal tract, whereas patients with papillary squamous cell carcinomas of the larynx had the best outlook. Eleven of 25 (44%) assessable patients died of disease (mean time interval, 2 year). Conclusions Papillary squamous cell carcinoma of the upper aerodigestive tract is a distinct variant of squamous cell carcinoma. As such and because of its putative association with HPV, papillary squamous cell carcinoma could be an informative model for defining how viral oncogenes cooperate with other factors in genomic instability, carcinogenesis, and tumor development. © 2000 John Wiley & Sons, Inc. Head Neck 22: 360–368, 2000.
doi_str_mv 10.1002/1097-0347(200007)22:4<360::AID-HED8>3.0.CO;2-W
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Methods Thirty‐eight of the carcinomas were studied. In‐situ hybridization and polymerase chain reaction were performed to detect human papilloma virus (HPV) and p53 expression. Results HPV was found in 4 of 14 assessable carcinomas by in‐situ hybridization and in 5 of 14 by polymerase chain reaction. The most frequently identified HPVs were HPVs in 6/11 and 16/18 patients. In general, a reciprocal relationship was found between p53 and HPV prevalence. The most lethal site for this tumor was the sinonasal tract, whereas patients with papillary squamous cell carcinomas of the larynx had the best outlook. Eleven of 25 (44%) assessable patients died of disease (mean time interval, 2 year). Conclusions Papillary squamous cell carcinoma of the upper aerodigestive tract is a distinct variant of squamous cell carcinoma. As such and because of its putative association with HPV, papillary squamous cell carcinoma could be an informative model for defining how viral oncogenes cooperate with other factors in genomic instability, carcinogenesis, and tumor development. © 2000 John Wiley &amp; Sons, Inc. Head Neck 22: 360–368, 2000.</description><identifier>ISSN: 1043-3074</identifier><identifier>EISSN: 1097-0347</identifier><identifier>DOI: 10.1002/1097-0347(200007)22:4&lt;360::AID-HED8&gt;3.0.CO;2-W</identifier><identifier>PMID: 10862019</identifier><language>eng</language><publisher>New York: John Wiley &amp; Sons, Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Biopsy, Needle ; Biotechnology ; Carcinoma, Squamous Cell - pathology ; Carcinoma, Squamous Cell - virology ; clinicopathologic study ; Diagnosis, Differential ; Female ; Fundamental and applied biological sciences. Psychology ; Genes, p53 - physiology ; Genetic engineering ; Genetic technics ; Head and Neck Neoplasms - pathology ; Head and Neck Neoplasms - virology ; Human papillomavirus ; Humans ; In Situ Hybridization ; In vitro gene amplification. Pcr technique ; Laryngeal Neoplasms - diagnosis ; Male ; Medical sciences ; Methods. Procedures. Technologies ; Middle Aged ; molecular study ; Otorhinolaryngology. 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Methods Thirty‐eight of the carcinomas were studied. In‐situ hybridization and polymerase chain reaction were performed to detect human papilloma virus (HPV) and p53 expression. Results HPV was found in 4 of 14 assessable carcinomas by in‐situ hybridization and in 5 of 14 by polymerase chain reaction. The most frequently identified HPVs were HPVs in 6/11 and 16/18 patients. In general, a reciprocal relationship was found between p53 and HPV prevalence. The most lethal site for this tumor was the sinonasal tract, whereas patients with papillary squamous cell carcinomas of the larynx had the best outlook. Eleven of 25 (44%) assessable patients died of disease (mean time interval, 2 year). Conclusions Papillary squamous cell carcinoma of the upper aerodigestive tract is a distinct variant of squamous cell carcinoma. As such and because of its putative association with HPV, papillary squamous cell carcinoma could be an informative model for defining how viral oncogenes cooperate with other factors in genomic instability, carcinogenesis, and tumor development. © 2000 John Wiley &amp; Sons, Inc. Head Neck 22: 360–368, 2000.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Biopsy, Needle</subject><subject>Biotechnology</subject><subject>Carcinoma, Squamous Cell - pathology</subject><subject>Carcinoma, Squamous Cell - virology</subject><subject>clinicopathologic study</subject><subject>Diagnosis, Differential</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Genes, p53 - physiology</subject><subject>Genetic engineering</subject><subject>Genetic technics</subject><subject>Head and Neck Neoplasms - pathology</subject><subject>Head and Neck Neoplasms - virology</subject><subject>Human papillomavirus</subject><subject>Humans</subject><subject>In Situ Hybridization</subject><subject>In vitro gene amplification. Pcr technique</subject><subject>Laryngeal Neoplasms - diagnosis</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Methods. Procedures. Technologies</subject><subject>Middle Aged</subject><subject>molecular study</subject><subject>Otorhinolaryngology. 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Psychology</topic><topic>Genes, p53 - physiology</topic><topic>Genetic engineering</topic><topic>Genetic technics</topic><topic>Head and Neck Neoplasms - pathology</topic><topic>Head and Neck Neoplasms - virology</topic><topic>Human papillomavirus</topic><topic>Humans</topic><topic>In Situ Hybridization</topic><topic>In vitro gene amplification. Pcr technique</topic><topic>Laryngeal Neoplasms - diagnosis</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Methods. Procedures. Technologies</topic><topic>Middle Aged</topic><topic>molecular study</topic><topic>Otorhinolaryngology. 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Methods Thirty‐eight of the carcinomas were studied. In‐situ hybridization and polymerase chain reaction were performed to detect human papilloma virus (HPV) and p53 expression. Results HPV was found in 4 of 14 assessable carcinomas by in‐situ hybridization and in 5 of 14 by polymerase chain reaction. The most frequently identified HPVs were HPVs in 6/11 and 16/18 patients. In general, a reciprocal relationship was found between p53 and HPV prevalence. The most lethal site for this tumor was the sinonasal tract, whereas patients with papillary squamous cell carcinomas of the larynx had the best outlook. Eleven of 25 (44%) assessable patients died of disease (mean time interval, 2 year). Conclusions Papillary squamous cell carcinoma of the upper aerodigestive tract is a distinct variant of squamous cell carcinoma. As such and because of its putative association with HPV, papillary squamous cell carcinoma could be an informative model for defining how viral oncogenes cooperate with other factors in genomic instability, carcinogenesis, and tumor development. © 2000 John Wiley &amp; Sons, Inc. Head Neck 22: 360–368, 2000.</abstract><cop>New York</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>10862019</pmid><doi>10.1002/1097-0347(200007)22:4&lt;360::AID-HED8&gt;3.0.CO;2-W</doi><tpages>9</tpages></addata></record>
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subjects Adult
Aged
Aged, 80 and over
Biological and medical sciences
Biopsy, Needle
Biotechnology
Carcinoma, Squamous Cell - pathology
Carcinoma, Squamous Cell - virology
clinicopathologic study
Diagnosis, Differential
Female
Fundamental and applied biological sciences. Psychology
Genes, p53 - physiology
Genetic engineering
Genetic technics
Head and Neck Neoplasms - pathology
Head and Neck Neoplasms - virology
Human papillomavirus
Humans
In Situ Hybridization
In vitro gene amplification. Pcr technique
Laryngeal Neoplasms - diagnosis
Male
Medical sciences
Methods. Procedures. Technologies
Middle Aged
molecular study
Otorhinolaryngology. Stomatology
papillary squamous cell carcinomas
Papillomaviridae - isolation & purification
Papillomavirus Infections - pathology
Papillomavirus Infections - virology
Polymerase Chain Reaction
Retrospective Studies
Sensitivity and Specificity
Tumor Virus Infections - pathology
Tumor Virus Infections - virology
Tumors
upper aerodigestive tract
Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology
title Papillary squamous cell carcinomas of the upper aerodigestive tract: A clinicopathologic and molecular study
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