Circulating Tumor HPV-DNA in the Management of HPV-Positive Oropharyngeal Carcinoma: A Systematic Review

IF 2.2 3区 医学 Q1 OTORHINOLARYNGOLOGY Head and Neck-Journal for the Sciences and Specialties of the Head and Neck Pub Date : 2025-01-23 DOI:10.1002/hed.28057
Allen M. Chen, Tjoson Tjoa, William B. Armstrong
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Abstract

Purpose

Blood-borne, cell-free DNA has been proposed as a means of individualizing the management of human papillomavirus (HPV)-positive oropharyngeal carcinoma.

Methods and Materials

This study was designed based on the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P) statement. A comprehensive literature search of peer-reviewed publications from January 2013 to January 2024 was undertaken to identify prospective studies pertaining to the use of circulating HPV-DNA for oropharyngeal carcinoma.

Results

A total of 11 prospective studies were identified and differed in their clinical design, methods, and endpoints. Five included patients treated by chemoradiation; 3 by surgery; 2 by both; and 1 not specified. The timing and frequency of HPV-DNA draws was highly variable. The sample size ranged from 16 to 262 (mean, 99 patients).

Conclusions

While interest is growing with integrating circulating HPV-DNA into clinical practice, the supporting evidence is limited by the heterogeneity of the evidence.

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循环肿瘤HPV-DNA在hpv阳性口咽癌治疗中的应用:系统综述。
目的:血源性、无细胞DNA已被提出作为个体化治疗人乳头瘤病毒(HPV)阳性口咽癌的手段。方法和材料:本研究是根据系统评价和荟萃分析方案的首选报告项目(PRISMA-P)声明设计的。对2013年1月至2024年1月的同行评审出版物进行了全面的文献检索,以确定与使用循环HPV-DNA治疗口咽癌有关的前瞻性研究。结果:共确定了11项前瞻性研究,这些研究在临床设计、方法和终点方面存在差异。5例患者接受放化疗;3手术;两个都有;1没有指定。HPV-DNA提取的时间和频率变化很大。样本量从16例到262例不等(平均99例)。结论:虽然人们对将循环HPV-DNA整合到临床实践的兴趣越来越大,但证据的异质性限制了支持证据。
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来源期刊
CiteScore
7.00
自引率
6.90%
发文量
278
审稿时长
1.6 months
期刊介绍: Head & Neck is an international multidisciplinary publication of original contributions concerning the diagnosis and management of diseases of the head and neck. This area involves the overlapping interests and expertise of several surgical and medical specialties, including general surgery, neurosurgery, otolaryngology, plastic surgery, oral surgery, dermatology, ophthalmology, pathology, radiotherapy, medical oncology, and the corresponding basic sciences.
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