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Human papillomavirus prevalence in invasive laryngeal cancer in the United States
Journal article   Open access   Peer reviewed

Human papillomavirus prevalence in invasive laryngeal cancer in the United States

Brenda Y Hernandez, Marc T Goodman, Charles F Lynch, Wendy Cozen, Elizabeth R Unger, Martin Steinau, Trevor Thompson, Maria Sibug Saber, Sean F Altekruse, Christopher Lyu, …
PloS one, Vol.9(12), pp.e115931-e115931
2014
DOI: 10.1371/journal.pone.0115931
PMCID: PMC4278830
PMID: 25546150
url
https://doi.org/10.1371/journal.pone.0115931View
Published (Version of record) Open Access

Abstract

Human papillomavirus (HPV) is a major risk factor for specific cancers of the head and neck, particularly malignancies of the tonsil and base of the tongue. However, the role of HPV in the development of laryngeal cancer has not been definitively established. We conducted a population-based, cancer registry study to evaluate and characterize the genotype-specific prevalence of HPV in invasive laryngeal cancer cases diagnosed in the U.S. The presence of genotype-specific HPV DNA was evaluated using the Linear Array HPV Genotyping Test and the INNO-LiPA HPV Genotyping Assay in formalin-fixed paraffin embedded tissue from 148 invasive laryngeal cancer cases diagnosed in 1993-2004 within the catchment area of three U.S. SEER cancer registries. HPV DNA was detected in 31 of 148 (21%) invasive laryngeal cancers. Thirteen different genotypes were detected. Overall, HPV 16 and HPV 33 were the most commonly detected types. HPV was detected in 33% (9/27) of women compared with 18% (22/121) of men (p = 0.08). After adjustment for age and year of diagnosis, female patients were more likely to have HPV-positive laryngeal tumors compared to males (adjusted OR 2.84, 95% CI 1.07-7.51). Viral genotype differences were also observed between the sexes. While HPV 16 and 18 constituted half of HPV-positive cases occurring in men, among women, only 1 was HPV 16 positive and none were positive for HPV 18. Overall 5-year survival did not vary by HPV status. HPV may be involved in the development of a subset of laryngeal cancers and its role may be more predominant in women compared to men.
Prevalence Neoplasm Invasiveness United States Humans Middle Aged Genotype Laryngeal Neoplasms - epidemiology Male Papillomaviridae - genetics Laryngeal Neoplasms - pathology Survival Analysis Female Aged Papillomaviridae - physiology Laryngeal Neoplasms - virology

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