The New Strategy in Head and Neck Cancer-Changes in Diagnosis and Survival

A. Rapoport
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Abstract

The approach for Head and Neck Cancer (HNC) is directly related to the predominance (90%) of Squamous Cell Carcinoma (SCC), where the transition from pre-cancer status to neoplastic clinical lesion is related to stromal inflammation and immune deflection [1]. This focus explain the clinical evolution of the disease and the prognosis without interference of the therapy, where a serie of HPV mucosal viruses determine an oncogenic high risk [2]. Beside the large number of SCC, is mandatory the recognition of a phenothipics changes in these neoplasias, where a great variance of behavior must be considered [3].
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头颈部肿瘤的新策略——诊断和生存的变化
头颈癌(HNC)的入路与鳞状细胞癌(SCC)的优势(90%)直接相关,鳞状细胞癌从癌前状态向肿瘤临床病变的转变与间质炎症和免疫偏转有关[1]。这一重点解释了在不干扰治疗的情况下疾病的临床演变和预后,其中一系列HPV粘膜病毒确定了致癌高风险[2]。除了大量的SCC外,必须认识到这些肿瘤的表型变化,其中必须考虑到行为的巨大差异[3]。
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