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Low-risk UP patients for potential treatment de-escalation

p16-positive status

Dixon et al, Head Neck (2016)

Can

HPV positivity or overexpression of p16

be used as

surrogate markers guiding the localization of the primary

tumor???

1. etiological association

2. ICH staining for HPV in every biopsy

Fotopoulos et al, Oral Oncology (2015)

…HPV is a probable causative agent

UP is a distinct pathologic entity,

similar to oropharyngeal and nasopharyngeal virus-related malignancy carcinoma

,

particularly when in the presence of a bulky IIA node in which high-risk HPV/EBV detection is 70%

Associated with

younger age

,

nonsmoker status

, and

lower disease burden at presentation

Bussu et al, Ann Surg Oncol (2015)

HPV AND NECK METASTASIS FROM UNKNOWN PRIMARY

mercoledì 29 giugno 16