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Head and neck cancer

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cancer secondary to chronic alcohol or tobacco use has been steadily declining as less of the population chronically smokes tobacco. However, HPV-associated oropharyngeal cancer is rising, particularly in younger people in westernized nations, which is thought to be reflective of changes in oral sexual practices, specifically with regard to the number of oral sexual partners. This increase since the 1970s has mostly affected wealthier nations and male populations. This is due to evidence suggesting that transmission rates of HPV from women to men are higher than from men to women, as women often have a higher immune response to infection.
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so for the first time. It is becoming increasingly apparent that caregivers (most often spouses, children, or close family members) might not be adequately informed about, prepared for, or trained for the tasks and roles they will encounter during the treatment and recovery phases of this unique patient population, which span both technical and emotional support. Of note, caregivers of patients who report lower quality of life demonstrate increased burden and fatigue that extend beyond the treatment phase.
1547: 1877:, which can deprive the body of vital fluids (although these may be obtained through intravenous fluids if necessary). Frequent vomiting can lead to an electrolyte imbalance, which has serious consequences for the proper functioning of the heart. Frequent vomiting can also upset the balance of stomach acids, which has a negative impact on the digestive system, especially the lining of the stomach and esophagus. 1504:
more extensive primary tumors or those with regional metastases (stage III or IV), planned combinations of pre- or postoperative radiation and complete surgical excision are generally used. More recently, as historical survival and control rates have been recognized as less than satisfactory, there has been an emphasis on the use of various induction or concomitant chemotherapy regimens.
739:. In addition, people who smoke have a worse prognosis than those who have never smoked. Furthermore, people who continue to smoke after diagnosis of head and neck cancer have the highest probability of dying compared to those who have never smoked. This effect is seen in patients with HPV-positive head and neck cancer as well. It has also been demonstrated that 345:, or a progressive worsening cough or sore throat. In the case of head and neck cancer, these symptoms will be notably persistent and become chronic. There may be a lump or a sore in the throat or neck that does not heal or go away. There may be difficulty or pain in swallowing. Speaking may become difficult. There may also be a persistent 1842:. The incidence of second primary tumors ranges in studies from 9% to 23% at 20 years. Second primary tumors are the major threat to long-term survival after successful therapy of early-stage head and neck cancer. Their high incidence results from the same carcinogenic exposure responsible for the initial primary process, called 1561:, and brachytherapy, which are commonly used in the treatment of cancers of the head and neck. Most people with head and neck cancer who are treated in the United States and Europe are treated with intensity-modulated radiation therapy using high-energy photons. At higher doses, head and neck radiation is associated with 2060:
Globally, head and neck cancer accounts for 650,000 new cases of cancer and 330,000 deaths annually on average. In 2018, it was the seventh most common cancer worldwide, with 890,000 new cases documented and 450,000 people dying from the disease. The risk of developing head and neck cancer increases
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A significant proportion of people with head and neck cancer will present to their physicians with an already advanced stage disease. This can either be down to patient factors (delays in seeking medical attention), or physician factors (such as delays in referral from primary care, or non-diagnostic
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In the United States, head and neck cancer makes up 3% of all cancer cases (averaging 53,000 new diagnoses per year) and 1.5% of cancer deaths. The 2017 worldwide figure cites head and neck cancers as representing 5.3% of all cancers (not including non-melanoma skin cancers). Notably, head and neck
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Over 20 different high-risk HPV subtypes have been implicated in causing head and neck cancer. In particular, HPV-16 is responsible for up to 90% of oropharyngeal cancer in North America. Approximately 15–25% of head and neck cancers contain genomic DNA from HPV, and the association varies based on
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There is thought to be a dose-dependent relationship between alcohol use and development of head and neck cancer where higher rates of alcohol consumption contribute to an increased risk of developing head and neck cancer. Alcohol use following a diagnosis of head and neck cancer also contributes to
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Surgery can include laser excision of small vocal cord lesions, partial laryngectomy (removal of part of the larynx), or total laryngectomy (removal of the whole larynx). If the whole larynx has been removed, the person is left with a permanent tracheostomy. Voice rehabilitation in such patients can
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Globally, head and neck cancer accounts for 650,000 new cases of cancer and 330,000 deaths annually on average. In 2018, it was the seventh most common cancer worldwide, with 890,000 new cases documented and 450,000 people dying from the disease. The usual age at diagnosis is between 55 and 65 years
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and poorer mental health compared to both the general population and those caring for non-head and neck cancer patients. The high symptom burden patients' experience necessitates complex caregiver roles, often requiring hospital staff training, which caregivers can find distressing when asked to do
1523:(TORS) is gaining popularity worldwide as the technology and training become more accessible. It now has an established role in the treatment of early stage oropharyngeal cancer. There is also a growing trend worldwide towards TORS for the surgical treatment of laryngeal and hypopharyngeal tumours. 1397:
or cell structure and are commonly referred to by their location in the oral cavity and neck. This is because where the cancer appears in the throat affects the prognosis; some throat cancers are more aggressive than others, depending on their location. The stage at which the cancer is diagnosed is
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is one of the main risk factors for head and neck cancer. Cigarette smokers have a lifetime increased risk for head and neck cancer that is 5 to 25 times higher than the general population. The ex-smoker's risk of developing head and neck cancer begins to approach the risk in the general population
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Symptoms predominantly include a sore on the face or oral cavity that does not heal, trouble swallowing, or a change in voice. In those with advanced disease, there may be unusual bleeding, facial pain, numbness or swelling, and visible lumps on the outside of the neck or oral cavity. Head and neck
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Programs to support the emotional and social well-being of people who have been diagnosed with head and neck cancer may be offered. There is no clear evidence on the effectiveness of these interventions or any particular type of psychosocial program or length of time that is most helpful for those
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Surgical resection and radiation therapy are the mainstays of treatment for most head and neck cancers and remain the standard of care in most cases. For small primary cancers without regional metastases (stage I or II), wide surgical excision alone or curative radiation therapy alone is used. For
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African Americans are disproportionately affected by head and neck cancer, with younger ages of incidence, increased mortality, and more advanced disease at presentation. Laryngeal cancer incidence is higher in African Americans relative to white, Asian, and Hispanic populations. There is a lower
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Examples of technically difficult caregiver duties include tube feeding, oral suctioning, wound maintenance, medication delivery safe for tube feeding, and troubleshooting home medical equipment. If the cancer affects the mouth or larynx, caregivers must also find a way to effectively communicate
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Cancer in the head or neck may impact a person's mental well-being and can sometimes lead to social isolation. This largely results from a decreased ability or inability to eat, speak, or effectively communicate. Physical appearance is often altered by the cancer itself and/or as a consequence of
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Although early-stage head and neck cancers (especially laryngeal and oral cavity) have high cure rates, up to 50% of people with head and neck cancer present with advanced disease. Cure rates decrease in locally advanced cases, whose probability of cure is inversely related to tumor size and even
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allows surgeons to remove tumors from the voice box with no external incisions. It also allows access to tumors that are not reachable with robotic surgery. During the surgery, the surgeon and pathologist work together to assess the adequacy of excision ("margin status"), minimizing the amount of
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After a histologic diagnosis has been established and tumor extent determined, such as with the use of PET-CT, the selection of appropriate treatment for a specific cancer depends on a complex array of variables, including tumor site, relative morbidity of various treatment options, concomitant
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The physician will undertake a thorough history to determine the nature of the symptoms and the presence or absence of any risk factors. The physician will also ask about other illnesses such as heart or lung diseases as they may impact their fitness for potentially curative treatment. Clinical
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of unknown primary should undergo testing for HPV status. This is essential to adequately stage the tumour and adequately plan treatment. Due to the different biology of HPV positive and negative cancers, differentiating HPV status is also important for ongoing research to determine the best
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Other symptoms can include: a lump in the lip, mouth, or gums; ulcers or mouth sores that do not heal; bleeding from the mouth or numbness; bad breath; discolored patches that persist in the mouth; a sore tongue; and slurring of speech if the cancer is affecting the tongue. There may also be
1334:) that have spread from elsewhere, but with no identifiable primary site on initial assessment. In such cases people will undergo additional testing to attempt to find the initial site of cancer, as this has significant implications for their treatment. These patients undergo MRI scanning, 1829:
classification system, where T is the size and configuration of the tumor, N is the presence or absence of lymph node metastases, and M is the presence or absence of distant metastases. The T, N, and M characteristics are combined to produce a "stage" of the cancer, from I to IVB.
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possibly promotes head and neck cancers. A 2019 meta-analysis did not conclude that marijuana was associated with head and neck cancer risk. Yet individuals with cannabis use disorder were more likely to be diagnosed with such cancers in a large study published 2024.
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In North America and Europe, the tumors usually arise from the oral cavity, oropharynx, or larynx, whereas nasopharyngeal cancer is more common in the Mediterranean countries and in the Far East. In Southeast China and Taiwan, head and neck cancer, specifically
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in the general population does not appear to be useful, screening high-risk groups by examination of the throat might be useful. Head and neck cancer is often curable if it is diagnosed early; however, outcomes are typically poor if it is diagnosed late.
1891:, may be necessary for some people. Further research is required to determine the most effective method of enteral feeding to ensure that people undergoing radiotherapy or chemoradiation treatment are able to stay nourished during their treatment. 1825:) have established staging systems for head and neck cancers. These staging systems attempt to standardize clinical trial criteria for research studies and define prognostic categories of disease. Head and neck cancers are staged according to the 1500:
health problems, social and logistic factors, previous primary tumors, and the person's preference. Treatment planning generally requires a multidisciplinary approach involving specialist surgeons, medical oncologists, and radiation oncologists.
940:) which specifically increase the chances of developing oral and pharyngeal cancer. Family history, that is having a first-degree relative with head and neck cancer, is also a risk factor. In addition, genetic variations in pathways involved in 7690:"Global, Regional, and National Cancer Incidence, Mortality, Years of Life Lost, Years Lived With Disability, and Disability-Adjusted Life-Years for 29 Cancer Groups, 1990 to 2017: A Systematic Analysis for the Global Burden of Disease Study" 1900:
treatment side effects. Psychological distress may occur, and feelings such as uncertainty and fear may arise. Some people may also have a changed physical appearance, differences in swallowing or breathing, and residual pain to manage.
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more so to the extent of regional node involvement. HPV-associated oropharyngeal cancer has been shown to respond better to chemoradiation and, subsequently, have a better prognosis compared to non-associated HPV head and neck cancer.
1429:. It accounts for over 90% of all head and neck cancers, including more than 90% of throat cancer. Squamous cell carcinoma is most likely to appear in males over 40 years of age with a history of heavy alcohol use coupled with smoking. 713:
other negative outcomes. These include physical effects such as an increased risk of developing a second primary cancer or other malignancies, cancer recurrence, and worse prognosis in addition to an increased chance of having a future
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Cooper JS, Pajak TF, Rubin P, Tupchong L, Brady LW, Leibel SA, et al. (September 1989). "Second malignancies in patients who have head and neck cancer: incidence, effect on survival and implications based on the RTOG experience".
1148:(HSCT) are at a higher risk for oral cancer. Post-HSCT oral cancer may have more aggressive behavior and a poorer prognosis when compared to oral cancer in non-HSCT patients. This effect is supposed to be due to continuous, lifelong 590:
includes the pyriform sinuses, the posterior pharyngeal wall, and the postcricoid area. Tumors of the hypopharynx frequently have an advanced stage at diagnosis and have the most adverse prognoses of pharyngeal tumors. They tend to
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Gillison ML, Castellsagué X, Chaturvedi A, Goodman MT, Snijders P, Tommasino M, et al. (February 2014). "Eurogin Roadmap: comparative epidemiology of HPV infection and associated cancers of the head and neck and cervix".
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is a type of treatment that activates the immune system to fight cancer. One type of immunotherapy, immune checkpoint blockade, binds to and blocks inhibitory signals on immune cells to release their anti-cancer activities.
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Lambin P, Ramaekers BL, van Mastrigt GA, Van den Ende P, de Jong J, De Ruysscher DK, Pijls-Johannesma M (July 2009). "Erythropoietin as an adjuvant treatment with (chemo) radiation therapy for head and neck cancer".
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of the head and neck is associated with an increased risk of cancer, particularly thyroid, salivary gland and squamous cell carcinomas, although there is a time-delay of many years and the overall risk is still low.
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the cancer as such. Instead, it is used to provide an inhospitable environment for metastases so that they will not establish themselves in other parts of the body. Typical chemotherapy agents are a combination of
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axis dysfunction. Radiation therapy for head and neck cancers can also cause acute skin reactions of varying severity, which can be treated and managed with topically applied creams or specialist films.
2254:"Global, regional, and national life expectancy, all-cause mortality, and cause-specific mortality for 249 causes of death, 1980-2015: a systematic analysis for the Global Burden of Disease Study 2015" 709:
use are major risk factors for head and neck cancer. 72% of head and neck cancer cases are caused by using both alcohol and tobacco. This rises to 89% when looking specifically at laryngeal cancer.
978:(HPV), and 70% of all head and neck cancer cases are related to HPV. Risk factors for HPV-positive oropharyngeal cancer include multiple sexual partners, anal and oral sex and a weak immune system. 2205:"Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015" 4931:
Lesseur C, Diergaarde B, Olshan AF, Wünsch-Filho V, Ness AR, Liu G, Lacko M, Eluf-Neto J, Franceschi S, Lagiou P, Macfarlane GJ, Richiardi L, Boccia S, Polesel J, Kjaerheim K (17 October 2016).
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as a treatment is frequently used for most types of head and neck cancer. Usually, the goal is to remove the cancerous cells entirely. This can be particularly tricky if the cancer is near the
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Leoncini E, Vukovic V, Cadoni G, Giraldi L, Pastorino R, Arzani D, Petrelli L, Wünsch-Filho V, Toporcov TN, Moyses RA, Matsuo K, Bosetti C, La Vecchia C, Serraino D, Simonato L (19 May 2018).
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be achieved in three important ways: esophageal speech, tracheoesophageal puncture, or electrolarynx. One would likely require intensive teaching, speech therapy, and/or an electronic device.
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connect with the upper part of the throat. While some nasopharyngeal cancers are biologically similar to the common head and neck cancers, "poorly differentiated" nasopharyngeal carcinoma is
7832:"EUROGIN 2014 roadmap: differences in human papillomavirus infection natural history, transmission and human papillomavirus-related cancer incidence by gender and anatomic site of infection" 3141:
Hashibe M, Brennan P, Chuang Sc, Boccia S, Castellsague X, Chen C, Curado MP, Dal Maso L, Daudt AW, Fabianova E, Fernandez L, Wünsch-Filho V, Franceschi S, Hayes RB, Herrero R (2009-02-01).
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E6 sequesters p53 to promote p53 degradation, while E7 inhibits pRb. Degradation of p53 results in cells being unable to respond to checkpoint signals that are normally present to activate
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where the use of smokeless tobacco is common. Smokeless tobacco is associated with a higher risk of developing head and neck cancer due to the presence of the tobacco-specific carcinogen
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Andre K, Schraub S, Mercier M, Bontemps P (September 1995). "Role of alcohol and tobacco in the aetiology of head and neck cancer: a case-control study in the Doubs region of France".
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Stransky N, Egloff AM, Tward AD, Kostic AD, Cibulskis K, Sivachenko A, Kryukov GV, Lawrence MS, Sougnez C, McKenna A, Shefler E, Ramos AH, Stojanov P, Carter SL, Voet D (2011-08-26).
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Suzuki T, Harashima H, Kamiya H (May 2010). "Effects of base excision repair proteins on mutagenesis by 8-oxo-7,8-dihydroguanine (8-hydroxyguanine) paired with cytosine and adenine".
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for the treatment of people with recurrent or metastatic head and neck cancer with disease progression on or after platinum-containing chemotherapy. Later that year, the FDA approved
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and can result in the person being unable to speak. Surgery is also commonly used to resect (remove) some or all of the cervical lymph nodes to prevent further spread of the disease.
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also a critical factor in the prognosis of throat cancer. Treatment guidelines recommend routine testing for the presence of HPV for all oropharyngeal squamous cell carcinoma tumors.
6757:"Mepitel Film is superior to Biafine cream in managing acute radiation-induced skin reactions in head and neck cancer patients: a randomised intra-patient controlled clinical trial" 3351:
Chuang SC, Scelo G, Tonita JM, Tamaro S, Jonasson JG, Kliewer EV, Hemminki K, Weiderpass E, Pukkala E, Tracey E, Friis S, Pompe-Kirn V, Brewster DH, Martos C, Chia KS (2008-11-15).
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The way in which alcohol contributes to cancer development is not fully understood. It is thought to be related to permanent damage of DNA strands by a metabolite of alcohol called
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Survival advantages provided by new treatment modalities have been undermined by the significant percentage of people cured of head and neck cancer who subsequently develop second
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Bagnardi V, Rota M, Botteri E, Tramacere I, Islami F, Fedirko V, Scotti L, Jenab M, Turati F, Pasquali E, Pelucchi C, Galeone C, Bellocco R, Negri E, Corrao G (25 November 2014).
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themselves ("glottic" cancer) or on tissues above and below the true cords ("supraglottic" and "subglottic" cancers, respectively). Laryngeal cancer is strongly associated with
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Wyss A, Hashibe M, Chuang SC, Lee YC, Zhang ZF, Yu GP, Winn DM, Wei Q, Talamini R, Szeszenia-Dabrowska N, Sturgis EM, Smith E, Shangina O, Schwartz SM, Schantz S (2013-09-01).
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Ang KK, Harris J, Wheeler R, Weber R, Rosenthal DI, Nguyen-Tân PF, Westra WH, Chung CH, Jordan RC, Lu C, Kim H, Axelrod R, Silverman CC, Redmond KP, Gillison ML (2010-06-07).
1664:, is "a type of treatment that uses drugs or other substances, such as monoclonal antibodies, to identify and attack specific cancer cells without harming normal cells." Some 1608:
approved by the FDA for head and neck cancer, in combination with cisplatin and fluorouracil for the induction treatment of inoperable, locally advanced head and neck cancer.
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generally has a better outcome than HPV-negative disease, with a 54% better survival rate, but this advantage for HPV-associated cancer applies only to oropharyngeal cancers.
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Lechien JR, Fakhry N, Saussez S, Chiesa-Estomba CM, Chekkoury-Idrissi Y, Cammaroto G, Melkane AE, Barillari MR, Crevier-Buchman L, Ayad T, Remacle M, Hans S (10 June 2020).
4070:"Genetic effects of oxidative DNA damages: comparative mutagenesis of the imidazole ring-opened formamidopyrimidines (Fapy lesions) and 8-oxo-purines in simian kidney cells" 6177:
Homer JJ, Winter SC, Abbey EC, Aga H, Agrawal R, ap Dafydd D, Arunjit T, Axon P, Aynsley E, Bagwan IN, Batra A, Begg D, Bernstein JM, Betts G, Bicknell C (14 March 2024).
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Schmitz M, Driesch C, Beer-Grondke K, Jansen L, Runnebaum IB, Dürst M (September 2012). "Loss of gene function as a consequence of human papillomavirus DNA integration".
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examination will involve examination of the neck for any masses, examining inside the mouth for any abnormalities and assessing the rest of the pharynx and larynx with a
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are also important risk factors for oral cancer. They have a dose dependent relationship with more consumption leading to higher chances of developing cancer. The use of
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Many people with head and neck cancer are also not able to eat sufficiently. A tumor may impair a person's ability to swallow and eat, and throat cancer may affect the
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is the most common form of treatment. There are different forms of radiation therapy, including 3D conformal radiation therapy, intensity-modulated radiation therapy,
1315:(accurately determine its size, association with nearby structures, and spread to distant sites). This is typically done by scanning the patient with a combination of 1267:
A person usually presents to the physician complaining of one or more of the typical symptoms. These symptoms may be site specific (such as a laryngeal cancer causing
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Cunningham FH, Fiebelkorn S, Johnson M, Meredith C (November 2011). "A novel application of the Margin of Exposure approach: segregation of tobacco smoke toxicants".
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Schache A, Kerawala C, Ahmed O, Brennan PA, Cook F, Garrett M, Homer J, Hughes C, Mayland C, Mihai R, Newbold K, O'Hara J, Roe J, Sibtain A, Smith M (3 March 2021).
3143:"Interaction between Tobacco and Alcohol Use and the Risk of Head and Neck Cancer: Pooled Analysis in the International Head and Neck Cancer Epidemiology Consortium" 313:
Head and neck cancers can cause a broad range of symptoms, many of which occur together. These can be categorised local (head and neck cancer-specific), general and
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Many dietary nutrients are associated with cancer protection and its development. Generally, foods with a protective effect with respect to oral cancer demonstrate
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Rodríguez-Molinero J, Migueláñez-Medrán Bd, Puente-Gutiérrez C, Delgado-Somolinos E, Martín Carreras-Presas C, Fernández-Farhall J, López-Sánchez AF (2021-04-15).
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Esteban-Lopez M, Perry MD, Garbinski LD, Manevski M, Andre M, Ceyhan Y, Caobi A, Paul P, Lau LS, Ramelow J, Owens F, Souchak J, Ales E, El-Hage N (23 June 2022).
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Descamps G, Karaca Y, Lechien JR, Kindt N, Decaestecker C, Remmelink M, Larsimont D, Andry G, Hassid S, Rodriguez A, Khalife M, Journe F, Saussez S (2016-07-01).
1009:, where HPV DNA is found in 45–67% of the cases, and it is less often in the hypopharynx (13–25%), and least often in the oral cavity (12–18%) and larynx (3–7%). 7598: 273:
Not using tobacco or alcohol can reduce the risk of head and neck cancer. Regular dental examinations may help to identify signs before the cancer develops. The
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Jeng JH, Chang MC, Hahn LJ (September 2001). "Role of areca nut in betel quid-associated chemical carcinogenesis: current awareness and future perspectives".
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Ralho A, Coelho A, Ribeiro M, Paula A, Amaro I, Sousa J, et al. (December 2019). "Effects of Electronic Cigarettes on Oral Cavity: A Systematic Review".
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for the treatment of recurrent or metastatic head and neck cancer with disease progression on or after platinum-based chemotherapy. In 2019, the FDA approved
4365:"Cigarette, Cigar, and Pipe Smoking and the Risk of Head and Neck Cancers: Pooled Analysis in the International Head and Neck Cancer Epidemiology Consortium" 833:, and metals contained therein, which can cause damage to the airways. Exposure to e-vapour has been shown to reduce cell viability and increase the rate of 3635:
La Vecchia C, Franceschi S, Bosetti C, Levi F, Talamini R, Negri E (April 1999). "Time since stopping smoking and the risk of oral and pharyngeal cancers".
8522: 1078:(protein retinoblastoma) are commonly inactivated by HPV oncoproteins E6 and E7 respectively. In addition, viral infections such as HPV can cause aberrant 7688:
Fitzmaurice C, Abate D, Abbasi N, Abbastabar H, Abd-Allah F, Abdel-Rahman O, et al. (Global Burden of Disease Cancer Collaboration) (December 2019).
6586:"Oncological and Functional Outcomes of Transoral Robotic Surgery and Endoscopic Laryngopharyngeal Surgery for Hypopharyngeal Cancer: A Systematic Review" 3768:"The Impact of Smoking Cessation and Continuation on Recurrence and Survival in Patients with Head and Neck Cancer: A Systematic Review of the Literature" 2203:
Vos T, Allen C, Arora M, Barber RM, Bhutta ZA, Brown A, et al. (GBD 2015 Disease and Injury Incidence and Prevalence Collaborators) (October 2016).
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is also related to a lower risk of cancer mortality and a reduced risk of developing multiple cancers including head and neck cancer. Elevated levels of
3296:"Tumour stage and gender predict recurrence and second primary malignancies in head and neck cancer: a multicentre study within the INHANCE consortium" 909:
might reduce the toxic effect of radiotherapy in people with head and neck cancer but they can also increase recurrence rates, especially in smokers.
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In 2008, there were 22,900 cases of oral cavity cancer, 12,250 cases of laryngeal cancer, and 12,410 cases of pharyngeal cancer in the United States.
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have been shown to increase the risk of nasopharyngeal cancer. Overall, a poor nutritional intake (often associated with alcoholism) with subsequent
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of any abnormal areas. If the scans and panendoscopy still do not identify a primary site for the cancer, affected people will undergo a bilateral
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during cancer development. HPV-positive head and neck cancers demonstrate higher levels of such DNA methylation compared to HPV-negative disease.
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Semple C, Parahoo K, Norman A, McCaughan E, Humphris G, Mills M (July 2013). "Psychosocial interventions for patients with head and neck cancer".
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Cadoni G, Giraldi L, Petrelli L, Pandolfini M, Giuliani M, Paludetti G, Pastorino R, Leoncini E, Arzani D, Almadori G, Boccia S (December 2017).
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being offered to adolescent boys between 12-13 (previously only offered to girls between this age due to cervical cancer risks) and men under 45
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as the leading HPV related cancer type. An increased incidence has particularly affected males. As a result, recent changes have resulted in the
5440: 8742: 7456:"Enteral feeding methods for nutritional management in patients with head and neck cancers being treated with radiotherapy and/or chemotherapy" 2252:
Wang H, Naghavi M, Allen C, Barber RM, Bhutta ZA, Carter A, et al. (GBD 2015 Mortality and Causes of Death Collaborators) (October 2016).
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among themselves and with their healthcare team. This is in addition to providing emotional support for the person undergoing cancer therapy.
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of the jaw. Negative social factors are also increased with sustained alcohol use after diagnosis including unemployment and work disability.
1327:(PET). Exactly which investigations are required will depend on a variety of factors such as the site of concern and the size of the tumour. 799:. Increased risk of oral cancer caused by smokeless tobacco is present in countries such as the United States but particularly prevalent in 293:. In the early stage head and neck cancers are often curable but 50% of people see their doctor when they already have an advanced disease. 7308: 7291: 7080:"Targeted next-generation sequencing of head and neck squamous cell carcinoma identifies novel genetic alterations in HPV+ and HPV- tumors" 6984:"Cetuximab in locally advanced head and neck squamous cell carcinoma: Biological mechanisms involved in efficacy, toxicity and resistance" 3682:"Influence of Smoking and Alcohol Drinking Behaviors on Treatment Outcomes of Patients With Squamous Cell Carcinomas of the Head and Neck" 1869:
The treatments for throat cancer can also be harmful to the digestive system as well as other body systems. Radiation therapy can lead to
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normal tissue removed or damaged. This technique helps give the person as much speech and swallowing function as possible after surgery.
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The incidence of HPV-related head and neck cancer is increasing, especially in the Western world. In the United States, the incidence of
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with or without nicotine. This area of study requires more research, however. Similarly, additional research is needed to understand how
7349: 7332: 5361:"Human papillomavirus (HPV) in head and neck cancer. An association of HPV 16 with squamous cell carcinoma of Waldeyer's tonsillar ring" 3142: 2755: 7555:
Sherrod AM, Murphy BA, Wells NL, Bond SM, Hertzog M, Gilbert J, et al. (2014-05-20). "Caregiving burden in head and neck cancer".
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Wang YX, Hu D, Yan X (September 2013). "Diagnostic accuracy of Cyfra 21-1 for head and neck squamous cell carcinoma: a meta-analysis".
5869:"Oral cancer in patients after hematopoietic stem-cell transplantation: long-term follow-up suggests an increased risk for recurrence" 1480:
When diagnosed early, oral, head, and neck cancers can be treated more easily, and the chances of survival increase tremendously. The
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Several other risk factors have been identified in the development of head and neck cancer. These include occupational environmental
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Karp EE, Yin LX, Moore EJ, Elias AJ, O'Byrne TJ, Glasgow AE, Habermann EB, Price DL, Kasperbauer JL, Van Abel KM (26 January 2021).
3460:"Heterogeneous impact of alcohol consumption according to treatment method on survival in head and neck cancer: A prospective study" 1753:
Depending on the treatment used, people with head and neck cancer may experience the following symptoms and treatment side effects:
5627:"Differences in methylation profiles between HPV-positive and HPV-negative oropharynx squamous cell carcinoma: A systematic review" 4808:"Salted fish and processed foods intake and nasopharyngeal carcinoma risk: a dose–response meta-analysis of observational studies" 2917:"Survival of squamous cell carcinoma of the head and neck in relation to human papillomavirus infection: review and meta-analysis" 1620: 6547:"Surgical, clinical and functional outcomes of transoral robotic surgery for supraglottic laryngeal cancers: A systematic review" 1145: 474: 465: 200: 3815:"Classical risk factors, but not HPV status, predict survival after chemoradiotherapy in advanced head and neck cancer patients" 2716: 1822: 1361:
Once a diagnosis is confirmed, a multidisciplinary discussion of the optimal treatment strategy will be undertaken between the
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Positive HPV16 status is associated with a improved prognosis over HPV-negative oropharyngeal cancer due to better response to
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than other head and neck cancers. Lip and oral cavity cancers are the most commonly encountered types of head and neck cancer.
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There are observed biological differences between HPV-positive and HPV-negative head and neck cancer, for example in terms of
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Distinct host genome methylation and expression patterns, produced even when the virus is not integrated into the host genome.
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is associated with an increased risk of head and neck cancer. When chewed with additional tobacco in its preparation (like in
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Marziliano A, Teckie S, Diefenbach MA (27 November 2019). "Alcohol-related head and neck cancer: Summary of the literature".
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Tramacere I, Negri E, Bagnardi V, Garavello W, Rota M, Scotti L, Islami F, Corrao G, Boffetta P, La Vecchia C (4 May 2010).
7901: 6178: 4990:"A Genome-Wide Association Study Identifies Two Novel Susceptible Regions for Squamous Cell Carcinoma of the Head and Neck" 469: 203:. Head and neck cancer can present a wide range of symptoms depending on where the cancer developed. These can include an 2843: 1718:+ and HPV- head and neck cancer have been reported, further demonstrating that they are fundamentally distinct diseases. 767: 7130: 5682:
Nakagawa T, Kurokawa T, Mima M, Imamoto S, Mizokami H, Kondo S, Okamoto Y, Misawa K, Hanazawa T, Kaneda A (2021-04-10).
1461:
characteristics. Several head and neck cancers are adenocarcinomas (either of intestinal or non-intestinal cell types).
9089: 9033: 8997: 8735: 8610: 7590: 2140: 1818: 1354:(as these are the most common subsites of cancer that spread to the neck). This procedure can be done with or without 9007: 8808: 4256:"Smokeless Tobacco Use and the Risk of Head and Neck Cancer: Pooled Analysis of US Studies in the INHANCE Consortium" 3200:"A meta-analysis of alcohol drinking and oral and pharyngeal cancers. Part 1: Overall results and dose-risk relation" 2958:"Synchronous primary cancers of the head and neck region and upper aero digestive tract: defining high-risk patients" 1002: 982: 566: 536: 278: 3353:"Risk of second primary cancer among patients with head and neck cancers: A pooled analysis of 13 cancer registries" 2091:
Men are 89% more likely than women to be diagnosed with these cancers and are almost twice as likely to die of them.
1282:
Further investigations will be directed by the symptoms discussed and any abnormalities identified during the exam.
9012: 8620: 8130: 7930:
Syn NL, Teng MW, Mok TS, Soo RA (December 2017). "De-novo and acquired resistance to immune checkpoint targeting".
5780: 1604:-based chemotherapy has shown a very good response in locally advanced head and neck cancer. Docetaxel is the only 7408:
Priante AV, Castilho EC, Kowalski LP (April 2011). "Second primary tumors in patients with head and neck cancer".
617:, or "voice box", and is the second most common type of head and neck cancer encountered. Cancer may occur on the 452:
The defect is typically covered or improved by using another part of the body and/or skin grafts and/or wearing a
8851: 7247:
Gourin CG, Podolsky RH (July 2006). "Racial disparities in patients with head and neck squamous cell carcinoma".
7149: 6874:"Cetuximab: A Review of its Use in Squamous Cell Carcinoma of the Head and Neck and Metastatic Colorectal Cancer" 6336:"Cancer of the upper aerodigestive tract: assessment and management in people aged 16 and over - Recommendations" 1783: 1208:, which is the appearance of white patches or spots in the mouth, can develop into cancer in about 1⁄3 of cases. 1125: 1112:. Nasopharyngeal cancer caused by EBV commonly occurs in some countries of the Mediterranean and Asia, where EBV 8507: 6362:"Standards and datasets for reporting cancers. Dataset for histopathology reporting of salivary gland neoplasms" 6042: 3721:"Why Oncologists Should Feel Directly Involved in Persuading Patients with Head and Neck Cancer to Quit Smoking" 254:, poor nutrition and workplace exposure to certain toxic substances. About 90% are pathologically classified as 8757: 3400:"Prognostic factors in head and neck cancer: a 10-year retrospective analysis in a single-institution in Italy" 1715: 239: 97: 63: 1446:
The tumor marker Cyfra 21-1 may be useful in diagnosing squamous cell carcinoma of the head and neck (SCCHN).
9079: 8728: 8445: 1686:
is used for treating people with advanced-stage cancer who cannot be treated with conventional chemotherapy (
1381:
will also be present to discuss the biopsy and imaging findings. Most (90%) cancers of the head and neck are
7292:"Evaluation of the newly updated TNM classification of head and neck carcinoma with data from 3247 patients" 1443:, or neck node metastases possibly arising from the nasopharynx will also be tested for Ebstein Barr virus. 9084: 1969: 1534: 1324: 1074:. In HPV-positive disease, these genes are less frequently mutated, and the tumour suppressor gene p53 and 572:
People with oropharyngeal carcinomas are at high risk of developing a second primary head and neck cancer.
7830:
Giuliano AR, Nyitray AG, Kreimer AR, Pierce Campbell CM, Goodman MT, Sudenga SL, et al. (June 2015).
6643:
Maxwell JH, Thompson LD, Brandwein-Gensler MS, Weiss BG, Canis M, Purgina B, et al. (December 2015).
5955:
Bosetti C, Carioli G, Santucci C, Bertuccio P, Gallus S, Garavello W, Negri E, La Vecchia C (2020-08-15).
5910:"Head and neck cancer due to heavy metal exposure via tobacco smoking and professional exposure: A review" 6982:
Muraro E, Fanetti G, Lupato V, Giacomarra V, Steffan A, Gobitti C, Vaccher E, Franchin G (10 July 2021).
5275:
Joseph AW, D'Souza G (August 2012). "Epidemiology of human papillomavirus-related head and neck cancer".
4933:"Genome-wide association analyses identify new susceptibility loci for oral cavity and pharyngeal cancer" 1957:
will prevent oxygen from being transported to all the cells of the body; and throat cancer can throw the
1862:
on their food in the early stages of digestion and interfere with the food's smooth travel down into the
1469:
Avoidance of risk factors (such as smoking and alcohol) is the single most effective form of prevention.
371: 175:
that can develop in the head and neck region. These include cancers of the mouth, tongue, gums and lips (
7882: 6273: 2997: 8476: 6645:"Early Oral Tongue Squamous Cell Carcinoma: Sampling of Margins From Tumor Bed and Worse Local Control" 4562: 3719:
Merlano MC, Denaro N, Galizia D, Abbona A, Paccagnella M, Minei S, Garrone O, Bossi P (20 April 2023).
3458:
Sawabe M, Ito H, Oze I, Hosono S, Kawakita D, Tanaka H, Hasegawa Y, Murakami S, Matsuo K (2017-01-26).
1316: 1221: 1093:
and apoptosis. Both mechanisms therefore leave cell proliferation unchecked and increase the chance of
882:
and fried food can increase the risk of developing head and neck cancer. An increased adherence to the
763: 75:
Lump or sore that does not heal, sore throat that does not go away, trouble swallowing, change in voice
4679:"An updated systematic review and meta-analysis on adherence to mediterranean diet and risk of cancer" 8270: 5401: 5236:"Human papillomavirus types in head and neck squamous cell carcinomas worldwide: a systematic review" 2456: 1661: 1649:
is showing good results in early clinical trials for the treatment of advanced head and neck cancer.
1520: 1232: 1153: 994: 4617: 41: 8846: 8600: 8595: 8305: 8263: 8067: 3872:"Tobacco Smoking-Associated Alterations in the Immune Microenvironment of Squamous Cell Carcinomas" 2871:"Human papillomavirus related head and neck cancer survival: a systematic review and meta-analysis" 2066: 1789: 1440: 1254: 1109: 668: 664: 184: 4988:
Shete S, Liu H, Wang J, Yu R, Sturgis EM, Li G, Dahlstrom KR, Liu Z, Amos CI, Wei Q (2020-06-15).
2451: 523:, biology, clinical behavior, and treatment and is treated as a separate disease by many experts. 317:
symptoms. Local symptoms include changes in taste and voice, inflammation of the mouth or throat (
8779: 8605: 8571: 8398: 8362: 8300: 6983: 6546: 6136: 6003: 5909: 5742: 3681: 3562: 3199: 2536:"The effectiveness of HPV vaccination on the incidence of oropharyngeal cancers in men: a review" 1496:, have led to improvements in quality of life and survival for people with head and neck cancer. 1406: 655:, clinical presentation, and therapy. Other uncommon tumors arising in the head and neck include 486: 298: 255: 6709:
Mahmood SS, Nohria A (July 2016). "Cardiovascular Complications of Cranial and Neck Radiation".
6335: 3239:"Alcohol consumption and site-specific cancer risk: a comprehensive dose–response meta-analysis" 2104:
Immunotherapy with immune checkpoint inhibitors is being investigated in head and neck cancers.
8403: 8357: 6137:"Cost Analysis of Channeled, Distal Chip Laryngoscope for In-office Laryngopharyngeal Biopsies" 6043:"Barriers to Obtaining a Timely Diagnosis in Human Papillomavirus–Associated Oropharynx Cancer" 1884: 1355: 1331: 1293: 1105: 1075: 933: 314: 243: 105: 7169:"FDA approves pembrolizumab for first-line treatment of head and neck squamous cell carcinoma" 6303: 9053: 8590: 8455: 8436: 7968: 6806: 6488:
Oliver JR, Persky MJ, Wang B, Duvvuri U, Gross ND, Vaezi AE, Morris LG, Givi B (2022-02-15).
4563:"Association Between Marijuana Use and Risk of Cancer: A Systematic Review and Meta-analysis" 4021:"Acrylonitrile-induced oxidative stress and oxidative DNA damage in male Sprague-Dawley rats" 3399: 2739: 1705: 1201: 1031: 945: 648: 581: 330: 196: 192: 6873: 3871: 2368:
Mathew A, Tirkey AJ, Li H, Steffen A, Lockwood MB, Patil CL, Doorenbos AZ (2 October 2021).
2061:
with age, especially after 50 years. Most people who do so are between 50 and 70 years old.
1271:), or not site specific (earache can be caused by multiple types of head and neck cancers). 8921: 8705: 8408: 8253: 8123: 6179:"Head and Neck Cancer: United Kingdom National Multidisciplinary Guidelines, Sixth Edition" 5921: 5573: 5049: 4854: 4479: 1745:
for the first-line treatment of metastatic or unresectable recurrent head and neck cancer.
1642: 1362: 1185: 975: 818: 804: 562: 542: 532: 423: 188: 8108: 7987: 4677:
Morze J, Danielewicz A, Przybyłowicz K, Zeng H, Hoffmann G, Schwingshackl L (April 2021).
3870:
Desrichard A, Kuo F, Chowell D, Lee KW, Riaz N, Wong RJ, Chan TA, Morris LG (2018-12-01).
3086:"Reviewing the epidemiology of head and neck cancer: definitions, trends and risk factors" 1304:. Lesions less readily available can be biopsied either with the patient awake or under a 8: 9028: 8640: 8295: 8227: 8052: 6691: 3040: 1843: 1616: 1472:
Regular dental examinations may identify pre-cancerous lesions in the oral cavity. While
1305: 1241:
Left inferior internal jugular node metastases with extranodal invasion, two years after
7568: 6458:"Nuclear Medicine PET/CT Head and Neck Cancer Assessment, Protocols, and Interpretation" 6089: 5956: 5925: 5625:
van Kempen PM, Noorlag R, Braunius WW, Stegeman I, Willems SM, Grolman W (29 Oct 2013).
5577: 4783: 4748: 4483: 4068:
Kalam MA, Haraguchi K, Chandani S, Loechler EL, Moriya M, Greenberg MM, Basu AK (2006).
3352: 2570: 2535: 8935: 8645: 8388: 7856: 7831: 7807: 7782: 7763: 7714: 7689: 7529: 7520: 7504: 7480: 7455: 7433: 7272: 7260: 7226: 7106: 7079: 7055: 7030: 7011: 6964: 6928: 6909: 6783: 6756: 6734: 6669: 6644: 6620: 6585: 6562: 6522: 6489: 6019: 5841: 5806: 5805:
Li W, Duan X, Chen X, Zhan M, Peng H, Meng Y, Li X, Li XY, Pang G, Dou X (2023-01-11).
5718: 5683: 5659: 5626: 5602: 5561: 5542: 5494: 5461: 5432: 5336: 5311: 5186: 5153: 5129: 5096: 5022: 4965: 4932: 4807: 4711: 4678: 4654: 4619: 4595: 4578: 4500: 4467: 4448: 4397: 4364: 4340: 4307: 4280: 4255: 4231: 4206: 4187: 4117:
Jena NR, Mishra PC (October 2013). "Is FapyG mutagenic?: Evidence from the DFT study".
4094: 4069: 4045: 4020: 3961: 3928: 3904: 3847: 3814: 3767: 3720: 3492: 3459: 3435: 3328: 3295: 3271: 3238: 3215: 3175: 3118: 3085: 2886: 2687: 2630: 2597: 2508: 2483: 2394: 2369: 2345: 2278: 2253: 2229: 2204: 1954: 1826: 1526: 1184:
and metal dusts. In addition, weakened immune systems, age greater than 55 years, poor
1090: 957: 941: 895: 883: 728:. Other suggested mechanisms include nutritional deficiencies and genetic variations. 718: 697: 498: 411:
use. Cancers of this region, particularly the tongue, are more frequently treated with
384: 251: 101: 70: 7943: 5758: 5402:"Human papillomavirus and head and neck cancer: a systematic review and meta-analysis" 4909: 4254:
Wyss AB, Hashibe M, Lee YA, Chuang SC, Muscat J, Chen C, et al. (November 2016).
2771:"Initial symptoms in patients with HPV-positive and HPV-negative oropharyngeal cancer" 2708: 2417: 2269: 2220: 2095:
survival rate for similar tumor states in African Americans with head and neck cancer.
1711:
to cells. It was approved in China in 2003 for the treatment of head and neck cancer.
974:
Some head and neck cancers, and in particular oropharyngeal cancer, are caused by the
329:). General symptoms include difficulty sleeping, tiredness, depression, nerve damage ( 9058: 8856: 8491: 8481: 8393: 8207: 7978: 7947: 7861: 7812: 7783:"Epidemiology of Human Papillomavirus-Positive Head and Neck Squamous Cell Carcinoma" 7755: 7719: 7670: 7629: 7572: 7534: 7485: 7437: 7425: 7390: 7386: 7354: 7313: 7264: 7218: 7111: 7060: 7015: 7003: 6999: 6968: 6956: 6948: 6913: 6901: 6893: 6889: 6845: 6788: 6726: 6674: 6625: 6607: 6566: 6527: 6509: 6490:"Transoral robotic surgery adoption and safety in treatment of oropharyngeal cancers" 6465: 6438: 6397: 6311: 6255: 6247: 6206: 6198: 6156: 6117: 6109: 6070: 6062: 6023: 5984: 5976: 5937: 5890: 5846: 5828: 5762: 5723: 5705: 5664: 5646: 5607: 5589: 5534: 5499: 5481: 5424: 5420: 5382: 5341: 5292: 5257: 5191: 5173: 5134: 5116: 5077: 5069: 5027: 5009: 4970: 4952: 4913: 4878: 4870: 4835: 4827: 4788: 4770: 4749:"Epidemiology, Risk Factors, and Prevention of Head and Neck Squamous Cell Carcinoma" 4716: 4698: 4659: 4641: 4600: 4582: 4543: 4505: 4452: 4440: 4402: 4384: 4345: 4327: 4285: 4236: 4191: 4179: 4134: 4099: 4050: 4001: 3966: 3948: 3909: 3891: 3852: 3834: 3795: 3787: 3748: 3740: 3701: 3662: 3617: 3613: 3582: 3543: 3535: 3497: 3479: 3440: 3422: 3380: 3372: 3333: 3315: 3276: 3258: 3219: 3180: 3162: 3123: 3105: 3051: 2979: 2938: 2890: 2870: 2825: 2815: 2792: 2745: 2691: 2679: 2635: 2617: 2575: 2557: 2513: 2399: 2349: 2337: 2283: 2234: 2183: 1554: 1366: 1013: 917: 863: 821:
may also lead to the development of head and neck cancers due to the substances like
788: 736: 516: 482: 302: 282: 247: 235: 136: 112: 93: 54: 8061: 8057: 7767: 7276: 7230: 6738: 6417:"Treatment of locally advanced head and neck cancer: historical and critical review" 5546: 5065: 4866: 4308:"Smokeless tobacco and cigarette smoking: chemical mechanisms and cancer prevention" 4222: 2370:"Symptom Clusters in Head and Neck Cancer: A Systematic Review and Conceptual Model" 337:
cancer often begins with benign signs and symptoms of the disease, like an enlarged
262:. The degree of surrounding tissue invasion and distant spread may be determined by 8380: 8258: 7939: 7851: 7843: 7802: 7794: 7747: 7709: 7701: 7660: 7564: 7524: 7516: 7475: 7471: 7467: 7417: 7382: 7344: 7303: 7256: 7208: 7204: 7200: 7101: 7091: 7050: 7042: 6995: 6940: 6885: 6841: 6837: 6778: 6768: 6718: 6664: 6656: 6615: 6597: 6558: 6517: 6501: 6428: 6237: 6190: 6148: 6101: 6054: 6015: 5968: 5929: 5880: 5836: 5818: 5754: 5713: 5695: 5654: 5638: 5597: 5581: 5526: 5489: 5473: 5436: 5416: 5400:
Hobbs CG, Sterne JA, Bailey M, Heyderman RS, Birchall MA, Thomas SJ (August 2006).
5372: 5331: 5323: 5284: 5247: 5181: 5165: 5124: 5108: 5061: 5017: 5001: 4960: 4944: 4905: 4862: 4819: 4778: 4760: 4706: 4690: 4649: 4631: 4590: 4574: 4535: 4495: 4487: 4432: 4392: 4376: 4335: 4319: 4275: 4267: 4226: 4218: 4169: 4161: 4126: 4089: 4081: 4040: 4032: 3993: 3956: 3940: 3899: 3883: 3842: 3826: 3779: 3732: 3693: 3652: 3644: 3609: 3574: 3527: 3487: 3471: 3430: 3414: 3364: 3323: 3307: 3266: 3250: 3211: 3170: 3154: 3113: 3097: 2969: 2928: 2882: 2782: 2671: 2625: 2609: 2565: 2547: 2503: 2495: 2389: 2381: 2329: 2273: 2265: 2224: 2216: 1946: 1909: 1888: 1855: 1665: 1657: 1493: 1473: 1370: 1301: 937: 822: 759: 608: 290: 180: 144: 5700: 5252: 5235: 5005: 3766:
von Kroge PR, Bokemeyer F, Ghandili S, Bokemeyer C, Seidel C (18 September 2020).
3158: 2869:
O'Rorke MA, Ellison MV, Murray LJ, Moran M, James J, Anderson LA (December 2012).
2844:"Paranasal Sinus and Nasal Cavity Cancer Treatment (Adult) (PDQ®)–Patient Version" 8942: 8774: 8537: 8496: 8471: 8116: 8072: 7888: 6697: 6152: 4491: 4165: 3697: 2333: 1934: 1880: 1566: 1426: 1330:
Some people will present with a neck lump containing cancer cells (identified by
1189: 1079: 986: 846: 792: 775: 740: 731: 693: 660: 622: 512: 439: 404: 400: 263: 8096: 7909: 7705: 7331:
Jones AS, Morar P, Phillips DE, Field JK, Husband D, Helliwell TR (March 1995).
7078:
Lechner M, Frampton GM, Fenton T, Feber A, Palmer G, Jay A, et al. (2013).
6862:"Inoperable cancers killed by new laser surgery" The Times. UK. 3-April-2010 p15 6457: 5885: 5868: 4436: 2596:
Johnson DE, Burtness B, Leemans CR, Lui VW, Bauman JE, Grandis JR (2020-11-26).
2385: 1645:
may have promise for treating mucosal dysplasia and small head and neck tumors.
924:), there is an even higher risk, especially for oral and oropharyngeal cancers. 8952: 8789: 8418: 8376: 7350:
10.1002/1097-0142(19950315)75:6<1343::AID-CNCR2820750617>3.0.CO;2-T
6944: 6433: 6416: 5933: 5823: 5209: 4823: 4694: 4323: 3578: 2613: 2552: 2499: 1973: 1958: 1942: 1769: 1631: 1624: 1558: 1454: 1374: 1312: 1113: 1094: 879: 800: 702: 652: 637: 408: 354: 227: 85: 7421: 7333:"Second primary tumors in patients with head and neck squamous cell carcinoma" 7309:
10.1002/(SICI)1097-0142(19981115)83:10<2201::AID-CNCR20>3.0.CO;2-7
6722: 6660: 6602: 6194: 6135:
Marcus S, Timen M, Dion GR, Fritz MA, Branski RC, Amin MR (19 February 2018).
5867:
Elad S, Zadik Y, Zeevi I, Miyazaki A, de Figueiredo MA, Or R (December 2010).
5477: 5288: 4539: 3997: 3830: 3311: 3101: 1690:). However, cetuximab's efficacy is still under investigation by researchers. 9073: 8967: 8947: 8841: 8799: 8794: 8222: 7982: 7798: 7576: 6952: 6897: 6611: 6513: 6251: 6202: 6113: 6066: 6058: 5980: 5832: 5709: 5650: 5593: 5485: 5177: 5120: 5073: 5013: 4956: 4874: 4831: 4774: 4702: 4645: 4586: 4547: 4388: 4331: 3952: 3895: 3838: 3791: 3744: 3648: 3539: 3483: 3426: 3376: 3319: 3262: 3166: 3109: 2974: 2957: 2829: 2787: 2770: 2621: 2561: 1950: 1839: 1742: 1734: 1726: 1414: 1382: 1347: 1276: 1242: 1204:) are also linked to an increased head and neck cancer risk. The presence of 1181: 1149: 751: 747: 117: 8042: 8038: 8034: 8030: 6226:"Diagnostic approaches to carcinoma of unknown primary of the head and neck" 5585: 5378:
10.1002/(SICI)1097-0142(19970201)79:3<595::AID-CNCR24>3.0.CO;2-Y
5327: 4527: 4468:"Health effects and known pathology associated with the use of E-cigarettes" 4207:"Variant base excision repair proteins: contributors to genomic instability" 4036: 3418: 1432:
All squamous cell carcinomas arising from the oropharynx, and all neck node
906: 8962: 8836: 8831: 8163: 7951: 7865: 7816: 7759: 7723: 7674: 7633: 7538: 7505:"Psychological functioning of caregivers for head and neck cancer patients" 7489: 7429: 7268: 7222: 7115: 7064: 7007: 6960: 6905: 6849: 6792: 6730: 6678: 6629: 6570: 6531: 6469: 6442: 6401: 6259: 6210: 6160: 6121: 6074: 6027: 5988: 5941: 5894: 5850: 5766: 5727: 5668: 5611: 5538: 5503: 5428: 5345: 5296: 5261: 5195: 5138: 5081: 5031: 4974: 4917: 4882: 4839: 4792: 4765: 4720: 4663: 4604: 4509: 4444: 4406: 4349: 4289: 4240: 4183: 4138: 4130: 4103: 4054: 4005: 3970: 3913: 3856: 3799: 3752: 3705: 3666: 3586: 3547: 3501: 3444: 3384: 3337: 3280: 3223: 3184: 3127: 2983: 2942: 2894: 2796: 2683: 2639: 2579: 2517: 2403: 2341: 2287: 2238: 1933:
affects many areas of the body as the cancer spreads from cell to cell and
1701: 1697: 1578: 1268: 1193: 1177: 1129: 1017: 814: 725: 714: 520: 508: 478: 445: 342: 286: 208: 140: 7394: 7358: 7317: 6929:"Nutritional prehabilitation in head and neck cancer: a systematic review" 5386: 5169: 4561:
Ghasemiesfe M, Barrow B, Leonard S, Keyhani S, Korenstein D (2019-11-27).
3944: 3887: 3621: 2675: 2320:
Aupérin A (May 2020). "Epidemiology of head and neck cancers: an update".
1300:
that are readily accessible (such as in the mouth) can be biopsied with a
8899: 8784: 8692: 8687: 8679: 8562: 8546: 8486: 8426: 8285: 8248: 8171: 7972: 7620:
Titcomb CP (2001). "High incidence of nasopharyngeal carcinoma in Asia".
7503:
Longacre ML, Ridge JA, Burtness BA, Galloway TJ, Fang CY (January 2012).
6090:"British Association of Head and Neck Oncologists (BAHNO) standards 2020" 5807:"Immunotherapeutic approaches in EBV-associated nasopharyngeal carcinoma" 5154:"'Jabs for the boys': time to deliver on HPV vaccination recommendations" 4855:"Nutritional Supplements and Cancer: Potential Benefits and Proven Harms" 4380: 4271: 4085: 3929:"Human Papillomavirus and Survival of Patients with Oropharyngeal Cancer" 3254: 2088:
More than 70% of throat cancers are at an advanced stage when discovered.
1938: 1773: 1673: 1591: 1481: 1351: 1246: 1205: 990: 891: 859: 830: 796: 782: 641: 618: 587: 550: 504: 432: 392: 366: 274: 216: 204: 176: 80: 8013: 7213: 5152:
Merriel SW, Nadarzynski T, Kesten JM, Flannagan C, Prue G (2018-08-30).
5097:"Epidemiology and incidence of HPV-related cancers of the head and neck" 1961:
into chaos, making it unable to properly regulate and control the body.
1883:, a method that adds nutrients directly into a person's stomach using a 743:, both at work and at home, increases the risk of head and neck cancer. 8979: 8720: 8665: 8431: 8280: 8217: 8181: 8091: 7665: 7648: 7166: 7147: 7128: 6830: 6755:
Yan J, Yuan L, Wang J, Li S, Yao M, Wang K, Herst PM (September 2020).
6505: 6274:"Routine HPV Testing in Head and Neck Squamous Cell Carcinoma. EBS 5-9" 4636: 3657: 3084:
Gormley M, Creaney G, Schache A, Ingarfield K, Conway DI (2022-11-11).
1930: 1778: 1612: 1587: 1433: 1418: 1308:
depending on local expertise and availability of specialist equipment.
1289: 1197: 1165: 834: 755: 592: 546: 453: 338: 322: 267: 7847: 7751: 7242: 7240: 7046: 6308:
Head & Neck Cancer: Current Perspectives, Advances, and Challenges
6242: 6225: 6105: 5972: 5642: 5530: 5112: 4174: 3783: 3736: 3531: 3475: 3368: 2933: 2916: 1484:
helps to prevent the development of HPV-related oropharyngeal cancer.
9002: 8989: 8861: 8450: 8336: 8321: 8202: 8186: 7829: 7736: 6773: 6642: 6304:"Pathology of Head and Neck Cancers I: Epithelial and Related Tumors" 5957:"Global trends in oral and pharyngeal cancer incidence and mortality" 5359:
Paz IB, Cook N, Odom-Maryon T, Xie Y, Wilczynski SP (February 1997).
2956:
Krishnatreya M, Rahman T, Kataki AC, Das A, Das AK, Lahkar K (2013).
1976:
death from oro-pharyngeal cancer per 100,000 inhabitants in 2004
1908:
Caregivers for people with head and neck cancer show higher rates of
1863: 1764: 1738: 1693: 1687: 1683: 1677: 1669: 1601: 1595: 1394: 1378: 1339: 1285: 1133: 1086: 902: 871: 838: 676: 672: 379:
Oral cancer affects the areas of the mouth, including the inner lip,
326: 318: 220: 212: 6584:
Lai KW, Lai R, Lorincz BB, Wang CC, Chan JY, Yeung DC (2022-04-07).
6004:"Global patterns and trends in cancers of the lip, tongue and mouth" 4948: 2484:"Epidemiologic trends in head and neck cancer and aids in diagnosis" 1058:
patterns. In HPV-negative disease, genes frequently mutated include
948:) have been associated with an increased head and neck cancer risk. 8929: 8909: 8904: 8878: 8538: 8440: 8331: 8290: 8275: 8148: 8140: 7237: 5562:"The Mutational Landscape of Head and Neck Squamous Cell Carcinoma" 5312:"Molecular biology of squamous cell carcinoma of the head and neck" 4930: 4465: 3983: 3765: 1874: 1646: 1169: 1089:
when DNA damage is signalled. Loss of pRb leads to deregulation of
1055: 1038: 875: 867: 842: 826: 656: 346: 59: 7781:
Gillison ML, Chaturvedi AK, Anderson WF, Fakhry C (October 2015).
7096: 6927:
Cantwell LA, Fahy E, Walters ER, Patterson JM (26 November 2020).
6544: 5050:"HPV vaccination for prevention of head and neck cancer among men" 4747:
Barsouk A, Aluru JS, Rawla P, Saginala K, Barsouk A (2023-06-13).
1070: 565:
infection than are cancers of other regions of the head and neck.
353:
congested sinuses, weight loss, and some numbness or paralysis of
8891: 8550: 8341: 8326: 5624: 5151: 3039:
Ridge JA, Glisson BS, Lango MN, Feigenberg S, Horwitz EM (2008).
1859: 1562: 1546: 1512: 1320: 1173: 1136:
can damage its lining and raise susceptibility to throat cancer.
1006: 887: 771: 706: 412: 396: 231: 89: 7780: 7687: 5516: 5234:
Kreimer AR, Clifford GM, Boyle P, Franceschi S (February 2005).
4676: 2741:
Radiation Therapy for Head and Neck Cancers: A Case-Based Review
2085:
In 2002, 7,400 Americans were projected to die of these cancers.
333:). Gastrointestinal symptoms are typically nausea and vomiting. 8212: 8144: 8025: 6224:
Ye W, Arnaud EH, Langerman A, Mannion K, Topf MC (1 May 2021).
5954: 5781:"Risks and causes | Nasopharyngeal cancer | Cancer Research UK" 4560: 3634: 3397: 3197: 3083: 2141:"Oropharyngeal Cancer Treatment (Adult) (PDQ®)–Patient Version" 1926: 1870: 1605: 1516: 1410: 1343: 1335: 1297: 1250: 1128:(GERD) or laryngeal reflux disease can also be a major factor. 1064: 770:
in DNA. (see image). Both 8-oxo-dG and formamidopyrimidine are
614: 596: 558: 554: 380: 259: 172: 5233: 4526:
Gallagher TJ, Chung RS, Lin ME, Kim I, Kokot NC (2024-08-08).
4067: 936:
for the condition. There are seven known genetic variations (
7502: 7375:
International Journal of Radiation Oncology, Biology, Physics
6981: 5309: 2868: 1458: 921: 810: 778: 226:
The majority of head and neck cancer is caused by the use of
7194: 6926: 3293: 3236: 3050:(11th ed.). Cmp United Business Media. pp. 39–86. 3046:. In Pazdur R, Wagman LD, Camphausen KA, Hoskins WJ (eds.). 2998:"Throat cancer | Head and neck cancers | Cancer Research UK" 2533: 8821: 8176: 8138: 6087: 5681: 5462:"Human papillomavirus as a driver of head and neck cancers" 3686:
International Journal of Radiation Oncology*Biology*Physics
3599: 3038: 2955: 1492:
Improvements in diagnosis and local management, as well as
1422: 1385:-derived, termed "head-and-neck squamous-cell carcinomas". 561:. Cancers of the tonsils are more strongly associated with 388: 7077: 6310:. Springer Science & Business Media. pp. 257–87. 5399: 3812: 3718: 3517: 3140: 1139: 901:
In terms of nutritional supplements, antioxidants such as
549:(throat), the middle part of the throat that includes the 49:
Parts of the head and neck that can be affected by cancer.
8542: 7453: 5684:"DNA Methylation and HPV-Associated Head and Neck Cancer" 5559: 4746: 2595: 2182:. World Health Organization. 2014. pp. Chapter 5.8. 1708: 1060: 7371: 6807:"FDA Approval for Docetaxel - National Cancer Institute" 6390:
European Review for Medical and Pharmacological Sciences
6223: 1623:
radiotherapy sessions. Amifostine protects the gums and
595:
early due to the extensive lymphatic network around the
7407: 7330: 6487: 4422: 3869: 3350: 2737: 2709:"SEER Stat Fact Sheets: Oral Cavity and Pharynx Cancer" 2488:
Oral and Maxillofacial Surgery Clinics of North America
1188:
such as lower incomes and occupational status, and low
874:. Conversely, pro-inflammatory food substances such as 785:
by 8-oxo-dG and removes formamidopyrimidines from DNA.
651:
differ from the common head and neck cancers in cause,
429:
Mandibulectomy (removal of the lower jaw or part of it)
7997: 7554: 7167:
Center for Drug Evaluation and Research (2019-06-11).
7148:
Center for Drug Evaluation and Research (2018-11-03).
7129:
Center for Drug Evaluation and Research (2019-02-09).
5866: 4859:
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4620:"Association between Oral Cancer and Diet: An Update" 4151: 3926: 2768: 2534:
Macilwraith P, Malsem E, Dushyanthen S (2023-04-24).
2367: 1858:. The difficulty in swallowing can cause a person to 1550:
Radiation mask used in the treatment of throat cancer
8003: 6711:
Current Treatment Options in Cardiovascular Medicine
6134: 4525: 4362: 4253: 3563:"Follow-up and Survivorship in Head and Neck Cancer" 2769:
McIlwain WR, Sood AJ, Nguyen SA, Day TA (May 2014).
1257:
was administered, shows some fluff around the tumor.
395:. Cancers of the mouth are strongly associated with 6176: 5907: 4018: 3679: 2481: 2202: 932:People who develop head and neck cancer may have a 238:). An increasing number of cases are caused by the 7028: 5047: 4204: 4019:Pu X, Kamendulis LM, Klaunig JE (September 2009). 3457: 2069:, is the most common cause of death in young men. 1119: 281:. Treatment may include a combination of surgery, 7646: 7454:Nugent B, Lewis S, O'Sullivan JM (January 2013). 6583: 6040: 6001: 5743:"The role of p53 and pRB in apoptosis and cancer" 5274: 4521: 4519: 2315: 2313: 2311: 2309: 2307: 2305: 2303: 2301: 2299: 2297: 1941:, it will prevent the body from producing enough 1733:In 2016, the FDA granted accelerated approval to 1393:Throat cancers are classified according to their 1116:can be measured to screen high-risk populations. 1044:Generating alternative nonfunctional transcripts. 9071: 6359: 5240:Cancer Epidemiology, Biomarkers & Prevention 4205:Nemec AA, Wallace SS, Sweasy JB (October 2010). 3819:Journal of Cancer Research and Clinical Oncology 3147:Cancer Epidemiology, Biomarkers & Prevention 2662:Chow LQ (January 2020). "Head and Neck Cancer". 1598:is also used in the treatment of throat cancer. 1253:scanning of a male in his 30s, 64 minutes after 435:(tongue removal; can be total, hemi, or partial) 6464:, Treasure Island (FL): StatPearls Publishing, 5459: 3048:Cancer management: a multidisciplinary approach 7908:. NCH Healthcare Systems. 1999. Archived from 7774: 7730: 7647:Siegel RL, Miller KD, Jemal A (January 2020). 7246: 6297: 6295: 5804: 4987: 4516: 4305: 3876:JNCI: Journal of the National Cancer Institute 2294: 1833: 1457:is a cancer of the epithelial tissue that has 632: 8736: 8523: 8124: 7929: 7823: 7681: 7401: 7289: 7029:Pearson S, Jia H, Kandachi K (January 2004). 6754: 6708: 5747:Current Opinion in Genetics & Development 5268: 5094: 4895: 4425:The Journal of Evidence-Based Dental Practice 4418: 4416: 3680:Fortin A, Wang CS, Vigneault É (2008-11-25). 1634:should be routinely given with radiotherapy. 1192:(<18.5 kg/m2) are also risk factors. Poor 1023:HPV can induce tumors by several mechanisms: 4198: 4145: 4110: 4061: 4012: 1937:to organ. For example, if it spreads to the 1037:High-level DNA amplifications, for example, 754:. Acrylonitrile appears to indirectly cause 7460:The Cochrane Database of Systematic Reviews 7197:The Cochrane Database of Systematic Reviews 6834:The Cochrane Database of Systematic Reviews 6649:JAMA Otolaryngology–Head & Neck Surgery 6455: 6292: 6002:Miranda-Filho A, Bray F (25 January 2020). 4532:JAMA Otolaryngology–Head & Neck Surgery 3560: 2914: 2812:Head and neck cancer: emerging perspectives 2775:JAMA Otolaryngology–Head & Neck Surgery 2703: 2701: 1581:for throat cancer is not generally used to 1296:(FNA, a type of needle biopsy). Concerning 898:is a risk factor for head and neck cancer. 8743: 8729: 8530: 8516: 8131: 8117: 7591:"WHO Disease and injury country estimates" 6871: 6301: 5095:Roman BR, Aragones A (23 September 2021). 5048:El Hussein MT, Dhaliwal S (October 2023). 4812:European Archives of Oto-Rhino-Laryngology 4413: 4116: 3977: 2738:Beyzadeoglu M, Ozyigit G, Selek U (2014). 1401: 422:Maxillectomy (can be done with or without 40: 9034:Loop electrical excision procedure (LEEP) 7855: 7806: 7713: 7664: 7528: 7479: 7348: 7307: 7212: 7105: 7095: 7054: 6782: 6772: 6668: 6619: 6601: 6521: 6432: 6414: 6387: 6241: 5884: 5840: 5822: 5717: 5699: 5658: 5601: 5493: 5376: 5335: 5251: 5185: 5128: 5021: 4964: 4782: 4764: 4710: 4653: 4635: 4594: 4499: 4396: 4339: 4306:Hecht SS, Hatsukami DK (3 January 2022). 4279: 4230: 4173: 4093: 4044: 3960: 3903: 3846: 3656: 3491: 3434: 3327: 3270: 3174: 3117: 2973: 2932: 2786: 2629: 2569: 2551: 2507: 2477: 2475: 2446: 2444: 2442: 2440: 2438: 2393: 2277: 2228: 2196: 2174: 2172: 2170: 2168: 2166: 2164: 2162: 1945:and affect the proper functioning of the 1748: 640:is a rare cancer usually classified as a 9008:Vaginal intraepithelial neoplasia (VAIN) 8998:Cervical intraepithelial neoplasia (CIN) 8750: 6360:Helliwell T, Woolgar J (November 2013). 6183:The Journal of Laryngology & Otology 6094:Journal of Oral Pathology & Medicine 5908:Khlifi R, Hamza-Chaffai A (2010-10-15). 5277:Otolaryngologic Clinics of North America 3637:Journal of the National Cancer Institute 3034: 3032: 3030: 3028: 3026: 3024: 3022: 3020: 3018: 2698: 2245: 1968: 1545: 370: 171:is a general term encompassing multiple 16:Cancer arises in the head or neck region 7877: 7875: 7619: 6988:Critical Reviews in Oncology/Hematology 5862: 5860: 5740: 4528:"Cannabis Use and Head and Neck Cancer" 2598:"Head and neck squamous cell carcinoma" 2482:Vigneswaran N, Williams MD (May 2014). 2319: 1637: 1611:While not specifically a chemotherapy, 1146:hematopoietic stem cell transplantation 1140:Hematopoietic stem cell transplantation 969: 475:Paranasal sinus and nasal cavity cancer 466:Paranasal sinus and nasal cavity cancer 9072: 9013:Vulvar intraepithelial neoplasia (VIN) 7550: 7548: 7449: 7447: 7190: 7188: 7186: 7184: 7182: 6750: 6748: 6280:from the original on 30 September 2016 6172: 6170: 5455: 5453: 4852: 2809: 2591: 2589: 2529: 2527: 2472: 2435: 2159: 1794:Radiation-induced acute skin reactions 1668:used in head and neck cancers include 1001:the site of the tumor. In the case of 687: 242:(HPV). Other risk factors include the 8724: 8616:Polymorphous low-grade adenocarcinoma 8511: 8112: 7992:American Society of Clinical Oncology 7290:Iro H, Waldfahrer F (November 1998). 7022: 6761:Journal of Medical Radiation Sciences 5460:Sabatini ME, Chiocca S (2020-02-04). 5043: 5041: 4742: 4740: 4738: 4736: 4734: 4732: 4730: 4301: 4299: 3513: 3511: 3079: 3077: 3075: 3073: 3071: 3069: 3067: 3015: 2836: 2719:from the original on 15 November 2016 2657: 2655: 2653: 2651: 2649: 2363: 2361: 2359: 2135: 2133: 2131: 2129: 2127: 2125: 2123: 2121: 2119: 2117: 1159: 1100: 1005:, the highest distribution is in the 791:(including products where tobacco is 444:Combinational (e.g., glossectomy and 308: 35:head and neck squamous cell carcinoma 7894: 7872: 6324:from the original on 7 January 2016. 6047:Otolaryngology–Head and Neck Surgery 5857: 4805: 2661: 1541: 503:Nasopharyngeal cancer arises in the 470:Sinonasal undifferentiated carcinoma 418:Surgeries for oral cancers include: 375:Squamous cell carcinoma of the mouth 7653:CA: A Cancer Journal for Clinicians 7569:10.1200/jco.2014.32.15_suppl.e20678 7545: 7444: 7179: 7031:"China approves first gene therapy" 6745: 6167: 5914:Toxicology and Applied Pharmacology 5450: 5158:British Journal of General Practice 2915:Ragin CC, Taioli E (October 2007). 2664:The New England Journal of Medicine 2586: 2524: 1849: 1652: 1533:is also another form of treatment. 1108:(EBV) infection is associated with 956:It is known that prior exposure to 13: 8611:Epithelial-myoepithelial carcinoma 7521:10.1016/j.oraloncology.2011.11.012 7261:10.1097/01.mlg.0000224939.61503.83 6563:10.1016/j.oraloncology.2020.104848 6020:10.1016/j.oraloncology.2019.104551 5038: 4727: 4579:10.1001/jamanetworkopen.2019.16318 4296: 3602:European Journal of Cancer, Part B 3508: 3407:Acta Otorhinolaryngologica Italica 3216:10.1016/j.oraloncology.2010.03.024 3064: 2887:10.1016/j.oraloncology.2012.06.019 2646: 2356: 2114: 1619:by a chemotherapy clinic prior to 1288:typically undergo assessment with 679:of the upper aerodigestive tract. 258:. The diagnosis is confirmed by a 154:5.5 million (affected during 2015) 14: 9101: 8809:HPV-positive oropharyngeal cancer 7962: 1449: 1388: 1003:HPV-positive oropharyngeal cancer 983:HPV-positive oropharyngeal cancer 762:, leading to increased levels of 746:A major carcinogenic compound in 567:HPV-positive oropharyngeal cancer 537:HPV-positive oropharyngeal cancer 217:red or white patches in the mouth 8621:Hyalinizing clear cell carcinoma 7923: 7640: 7613: 7583: 7496: 7365: 7324: 7283: 7160: 7141: 7122: 7071: 7000:10.1016/j.critrevonc.2021.103424 6975: 6920: 6890:10.2165/00003495-200767170-00008 6865: 6856: 6824: 6799: 6702: 5446:from the original on 2017-08-11. 5421:10.1111/j.1749-4486.2006.01246.x 4369:American Journal of Epidemiology 4260:American Journal of Epidemiology 3561:Simcock R, Simo R (2016-04-16). 3300:European Journal of Epidemiology 2904:from the original on 2017-09-10. 2758:from the original on 2017-09-10. 2072: 1894: 1721: 1311:The cancer will also need to be 1231: 1220: 1047:Interchromosomal rearrangements. 279:HPV-related oropharyngeal cancer 8852:Epidermodysplasia verruciformis 7891:, American Cancer Society 2002. 7836:International Journal of Cancer 7740:International Journal of Cancer 7601:from the original on 2009-11-11 6813:from the original on 2014-09-01 6685: 6636: 6577: 6538: 6481: 6449: 6408: 6381: 6353: 6328: 6266: 6230:European Journal of Cancer Care 6217: 6128: 6081: 6034: 5995: 5961:International Journal of Cancer 5948: 5901: 5798: 5773: 5734: 5675: 5618: 5553: 5519:International Journal of Cancer 5510: 5393: 5352: 5303: 5227: 5202: 5145: 5088: 5066:10.1097/01.NPR.0000000000000099 4981: 4924: 4889: 4867:10.14694/EdBook_AM.2014.34.e478 4846: 4799: 4670: 4611: 4554: 4459: 4356: 4247: 4223:10.1016/j.semcancer.2010.10.010 3933:New England Journal of Medicine 3920: 3863: 3806: 3772:Oncology Research and Treatment 3759: 3712: 3673: 3628: 3593: 3554: 3451: 3391: 3357:International Journal of Cancer 3344: 3287: 3230: 3191: 3134: 2990: 2949: 2921:International Journal of Cancer 2908: 2862: 2803: 2762: 2731: 1964: 1799: 1627:from the effects of radiation. 1573: 1126:gastroesophageal reflux disease 1120:Gastroesophageal reflux disease 613:Laryngeal cancer begins in the 104:, certain workplace exposures, 7979:Head and Neck Cancer Treatment 7975:(National Library of Medicine) 7472:10.1002/14651858.CD007904.pub3 7205:10.1002/14651858.CD009441.pub2 6842:10.1002/14651858.CD006158.pub2 2602:Nature Reviews Disease Primers 2410: 575: 492: 341:on the outside of the neck, a 325:), and difficulty swallowing ( 64:oral and maxillofacial surgery 1: 8446:Clonally transmissible cancer 7944:10.1016/s1470-2045(17)30607-1 7622:Journal of Insurance Medicine 6369:Royal College of Pathologists 6302:Haines III GK (24 May 2013). 5759:10.1016/S0959-437X(01)00265-9 5701:10.3390/microorganisms9040801 5316:Journal of Clinical Pathology 5253:10.1158/1055-9965.EPI-04-0551 5006:10.1158/0008-5472.CAN-19-2360 4910:10.1016/S1368-8375(01)00003-3 4683:European Journal of Nutrition 3159:10.1158/1055-9965.EPI-08-0347 2814:. Amsterdam: Academic Press. 2270:10.1016/s0140-6736(16)31012-1 2221:10.1016/S0140-6736(16)31678-6 2107: 1817:Consensus panels in America ( 1487: 1464: 1152:suppression and chronic oral 1027:E6 and E7 oncogenic proteins. 649:tumors of the salivary glands 8857:Focal epithelial hyperplasia 7906:Patient information web page 7787:Journal of Clinical Oncology 7557:Journal of Clinical Oncology 7387:10.1016/0360-3016(89)90094-1 6153:10.1016/j.jvoice.2018.01.011 5101:Journal of Surgical Oncology 4492:10.1016/j.toxrep.2022.06.006 4166:10.1016/j.dnarep.2010.02.004 3986:Food and Chemical Toxicology 3698:10.1016/j.ijrobp.2008.09.021 3614:10.1016/0964-1955(95)00041-0 2540:Infectious Agents and Cancer 2374:Seminars in Oncology Nursing 2334:10.1097/CCO.0000000000000629 1808: 1761:Pain associated with lesions 1535:Transoral laser microsurgery 1325:positron emission tomography 1211: 964: 951: 912: 866:such as fruits, vegetables, 485:. Most of these cancers are 127:Not using tobacco or alcohol 7: 8582:malignant epithelial tumors 7706:10.1001/jamaoncol.2019.2996 6872:Blick SK, Scott LJ (2007). 5886:10.1097/TP.0b013e3181f9caaa 4437:10.1016/j.jebdp.2019.04.002 2386:10.1016/j.soncn.2021.151215 2322:Current Opinion in Oncology 2099: 1834:Problem of second primaries 1805:with head and neck cancer. 1714:The mutational profiles of 985:has overtaken HPV-positive 927: 633:Trachea and salivary glands 519:, which is distinct in its 399:use, especially the use of 301:following diagnosis in the 10: 9106: 8477:Index of oncology articles 7881:Cancer Facts and Figures, 7131:"pembrolizumab (KEYTRUDA)" 6945:10.1007/s00520-022-07239-4 6456:Eyassu E, Young M (2023), 6434:10.1177/107327480200900504 6306:. In Radosevich JA (ed.). 5934:10.1016/j.taap.2010.08.003 5824:10.3389/fimmu.2022.1079515 4824:10.1007/s00405-021-07210-9 4806:Lian M (30 January 2022). 4695:10.1007/s00394-020-02346-6 4324:10.1038/s41568-021-00423-4 4211:Seminars in Cancer Biology 3579:10.1016/j.clon.2016.03.004 2614:10.1038/s41572-020-00224-3 2553:10.1186/s13027-022-00479-3 2500:10.1016/j.coms.2014.01.001 1630:There is no evidence that 1507: 1317:magnetic resonance imaging 1200:(for example secondary to 691: 606: 579: 530: 507:, the region in which the 496: 463: 364: 9090:Health effects of tobacco 9046: 9021: 8987: 8978: 8959:Experimental techniques: 8920: 8890: 8872: 8820: 8767: 8756: 8701: 8678: 8654: 8629: 8579: 8570: 8561: 8464: 8417: 8375: 8350: 8314: 8236: 8195: 8162: 8155: 8082: 8007: 7649:"Cancer statistics, 2020" 7595:World Health Organization 7422:10.1007/s11912-010-0147-7 6933:Supportive Care in Cancer 6723:10.1007/s11936-016-0468-4 6661:10.1001/jamaoto.2015.1351 6603:10.3389/fsurg.2021.810581 6195:10.1017/S0022215123001615 5478:10.1038/s41416-019-0602-7 5466:British Journal of Cancer 5289:10.1016/j.otc.2012.04.003 4540:10.1001/jamaoto.2024.2419 3998:10.1016/j.fct.2011.07.019 3831:10.1007/s00432-016-2203-7 3312:10.1007/s10654-018-0409-5 3243:British Journal of Cancer 3102:10.1038/s41415-022-5166-x 2848:National Cancer Institute 2145:National Cancer Institute 1920: 1662:National Cancer Institute 1521:Transoral robotic surgery 1441:Nasopharyngeal carcinomas 1154:graft-versus-host disease 1132:that flow up through the 864:anti-inflammatory effects 801:Southeast Asian countries 682: 669:mucoepidermoid carcinomas 665:adenoid cystic carcinomas 602: 526: 158: 150: 131: 123: 111: 79: 69: 53: 48: 39: 31: 26: 8847:Laryngeal papillomatosis 8632:benign epithelial tumors 8601:Adenoid cystic carcinoma 8596:Mucoepidermoid carcinoma 7799:10.1200/JCO.2015.61.6995 7410:Current Oncology Reports 6059:10.1177/0194599820982662 5785:www.cancerresearchuk.org 5741:Hickman E (2002-02-01). 3002:www.cancerresearchuk.org 2975:10.4103/0019-509x.123610 2962:Indian Journal of Cancer 2788:10.1001/jamaoto.2014.141 2744:. Springer. p. 18. 2180:World Cancer Report 2014 1790:osteonecrosis of the jaw 1264:investigation results). 1202:chronic gum inflammation 1198:oral cavity inflammation 487:squamous cell carcinomas 360: 8606:Salivary duct carcinoma 8399:Prostate cancer staging 8363:Paraneoplastic syndrome 7998:Head and Neck Cancer UK 5811:Frontiers in Immunology 5586:10.1126/science.1208130 5409:Clinical Otolaryngology 5328:10.1136/jcp.2003.007641 4853:Harvie M (2014-05-30). 3419:10.14639/0392-100X-1246 3041:"Head and neck tumors." 2452:"Head and Neck Cancers" 1784:Gastroesophageal reflux 1421:cell found in both the 1407:Squamous-cell carcinoma 1402:Squamous-cell carcinoma 890:in preserved meats and 853: 764:8-oxo-2'-deoxyguanosine 459: 8437:Tumor suppressor genes 8404:Gleason grading system 8358:Precancerous condition 6696:March 5, 2012, at the 5054:The Nurse Practitioner 4766:10.3390/medsci11020042 4131:10.1002/cphc.201300535 4074:Nucleic Acids Research 4025:Toxicological Sciences 3649:10.1093/jnci/91.8.726a 3090:British Dental Journal 2418:"Head and neck cancer" 2057: 1749:Treatment side effects 1615:is often administered 1551: 1294:fine-needle aspiration 1032:tumor suppressor genes 934:genetic predisposition 376: 9054:Georgios Papanikolaou 8591:Acinic cell carcinoma 8456:Carcinogenic bacteria 8196:Malignant progression 7150:"Nivolumab for SCCHN" 5170:10.3399/bjgp18X698429 4312:Nature Reviews Cancer 4037:10.1093/toxsci/kfp133 3945:10.1056/NEJMoa0912217 2676:10.1056/nejmra1715715 2067:nasopharyngeal cancer 1972: 1706:tumor suppressor gene 1559:particle beam therapy 1549: 1186:socioeconomic factors 1110:nasopharyngeal cancer 995:who have sex with men 946:alcohol dehydrogenase 819:electronic cigarettes 805:N'-nitrosonornicotine 638:Cancer of the trachea 582:Hypopharyngeal cancer 543:oropharyngeal cancers 374: 343:hoarse-sounding voice 331:peripheral neuropathy 256:squamous cell cancers 213:difficulty swallowing 9080:Head and neck cancer 8805:Head and neck cancer 8751:Human papillomavirus 8555:head and neck cancer 8409:Dukes classification 8097:Head and neck cancer 7988:Head and Neck Cancer 7969:Head and Neck Cancer 7932:The Lancet. Oncology 7563:(15_suppl): e20678. 7035:Nature Biotechnology 6590:Frontiers in Surgery 6415:Al-Sarraf M (2002). 3255:10.1038/bjc.2014.579 2264:(10053): 1459–1544. 2215:(10053): 1545–1602. 1643:Photodynamic therapy 1638:Photodynamic therapy 1363:radiation oncologist 976:human papillomavirus 970:Human papillomavirus 896:vitamin deficiencies 563:human papillomavirus 533:Oropharyngeal cancer 424:orbital exenteration 240:human papillomavirus 209:changes in the voice 207:that does not heal, 169:Head and neck cancer 98:human papillomavirus 27:Head and neck cancer 9085:Otorhinolaryngology 9029:Cervical conization 8641:Pleomorphic adenoma 8228:Sentinel lymph node 5926:2010ToxAP.248...71K 5578:2011Sci...333.1157S 5572:(6046): 1157–1160. 4484:2022ToxR....9.1357E 3888:10.1093/jnci/djy060 1953:; spreading to the 1844:field cancerization 1660:, according to the 1367:surgical oncologist 1321:computed tomography 1306:general anaesthetic 1255:fludeoxyglucose (F) 1182:sulfuric acid mists 768:formamidopyrimidine 688:Alcohol and tobacco 407:, as well as heavy 8276:Respiratory system 8083:External resources 7887:2007-09-29 at the 7666:10.3322/caac.21590 6506:10.1002/cncr.33995 4637:10.3390/nu13041299 4472:Toxicology Reports 4381:10.1093/aje/kwt029 4272:10.1093/aje/kww075 4086:10.1093/nar/gkl099 2810:Ensley JF (2003). 2147:. 22 November 2019 2058: 2054: more than 25 1955:circulatory system 1887:feeding tube or a 1788:Radiation-induced 1666:targeted therapies 1552: 1371:medical oncologist 1356:robotic assistance 1160:Other risk factors 1106:Epstein–Barr virus 1101:Epstein–Barr virus 1091:cell proliferation 942:alcohol metabolism 884:Mediterranean diet 719:osteoradionecrosis 698:Alcohol and cancer 671:. Rarer still are 553:, the base of the 499:Nasopharynx cancer 385:floor of the mouth 377: 309:Signs and symptoms 252:radiation exposure 244:Epstein–Barr virus 205:ulcer in the mouth 106:Epstein–Barr virus 102:radiation exposure 9067: 9066: 9059:Harald zur Hausen 9042: 9041: 8886: 8885: 8718: 8717: 8714: 8713: 8674: 8673: 8505: 8504: 8492:Cancer and nausea 8371: 8370: 8208:Carcinoma in situ 8106: 8105: 7938:(12): e731–e741. 7848:10.1002/ijc.29082 7842:(12): 2752–2760. 7793:(29): 3235–3242. 7752:10.1002/ijc.28201 7700:(12): 1749–1768. 7302:(10): 2201–2207. 7047:10.1038/nbt0104-3 6939:(11): 8831–8843. 6884:(17): 2585–2607. 6655:(12): 1104–1110. 6396:(17): 2383–2389. 6317:978-94-007-5827-8 6243:10.1111/ecc.13459 6106:10.1111/jop.13161 5973:10.1002/ijc.32871 5879:(11): 1243–1244. 5643:10.4161/epi.26881 5531:10.1002/ijc.27433 5113:10.1002/jso.26687 5000:(12): 2451–2460. 4943:(12): 1544–1550. 4861:(34): e478–e486. 4567:JAMA Network Open 4125:(14): 3263–3270. 3992:(11): 2921–2933. 3882:(12): 1386–1392. 3825:(10): 2185–2196. 3784:10.1159/000509427 3737:10.1159/000528345 3567:Clinical Oncology 3532:10.1002/hed.26023 3476:10.1111/cas.13115 3369:10.1002/ijc.23798 3363:(10): 2390–2396. 3306:(12): 1205–1218. 3057:978-1-891483-62-2 2934:10.1002/ijc.22851 2881:(12): 1191–1201. 2850:. 8 November 2019 2821:978-0-08-053384-1 2751:978-3-319-10413-3 2189:978-92-832-0429-9 1988: less than 2 1947:white blood cells 1555:Radiation therapy 1542:Radiation therapy 1302:local anaesthetic 1168:exposure such as 918:Betel nut chewing 789:Smokeless tobacco 737:smoking cessation 517:lymphoepithelioma 483:paranasal sinuses 297:old. The average 283:radiation therapy 277:helps to prevent 236:smokeless tobacco 166: 165: 137:radiation therapy 113:Diagnostic method 21:Medical condition 9097: 8985: 8984: 8765: 8764: 8745: 8738: 8731: 8722: 8721: 8659: 8634: 8584: 8577: 8576: 8568: 8567: 8532: 8525: 8518: 8509: 8508: 8306:Endocrine system 8271:Digestive system 8160: 8159: 8133: 8126: 8119: 8110: 8109: 8005: 8004: 7956: 7955: 7927: 7921: 7920: 7918: 7917: 7898: 7892: 7879: 7870: 7869: 7859: 7827: 7821: 7820: 7810: 7778: 7772: 7771: 7734: 7728: 7727: 7717: 7685: 7679: 7678: 7668: 7644: 7638: 7637: 7617: 7611: 7610: 7608: 7606: 7587: 7581: 7580: 7552: 7543: 7542: 7532: 7500: 7494: 7493: 7483: 7451: 7442: 7441: 7405: 7399: 7398: 7369: 7363: 7362: 7352: 7343:(6): 1343–1353. 7328: 7322: 7321: 7311: 7287: 7281: 7280: 7255:(7): 1093–1106. 7249:The Laryngoscope 7244: 7235: 7234: 7216: 7192: 7177: 7176: 7164: 7158: 7157: 7145: 7139: 7138: 7126: 7120: 7119: 7109: 7099: 7075: 7069: 7068: 7058: 7026: 7020: 7019: 6979: 6973: 6972: 6924: 6918: 6917: 6869: 6863: 6860: 6854: 6853: 6828: 6822: 6821: 6819: 6818: 6803: 6797: 6796: 6786: 6776: 6774:10.1002/jmrs.397 6752: 6743: 6742: 6706: 6700: 6689: 6683: 6682: 6672: 6640: 6634: 6633: 6623: 6605: 6581: 6575: 6574: 6542: 6536: 6535: 6525: 6485: 6479: 6478: 6477: 6476: 6453: 6447: 6446: 6436: 6412: 6406: 6405: 6385: 6379: 6378: 6376: 6375: 6366: 6357: 6351: 6350: 6348: 6347: 6332: 6326: 6325: 6299: 6290: 6289: 6287: 6285: 6270: 6264: 6263: 6245: 6221: 6215: 6214: 6174: 6165: 6164: 6141:Journal of Voice 6132: 6126: 6125: 6085: 6079: 6078: 6038: 6032: 6031: 5999: 5993: 5992: 5967:(4): 1040–1049. 5952: 5946: 5945: 5905: 5899: 5898: 5888: 5864: 5855: 5854: 5844: 5826: 5802: 5796: 5795: 5793: 5791: 5777: 5771: 5770: 5738: 5732: 5731: 5721: 5703: 5679: 5673: 5672: 5662: 5622: 5616: 5615: 5605: 5557: 5551: 5550: 5525:(5): E593–E602. 5514: 5508: 5507: 5497: 5457: 5448: 5447: 5445: 5406: 5397: 5391: 5390: 5380: 5356: 5350: 5349: 5339: 5307: 5301: 5300: 5272: 5266: 5265: 5255: 5231: 5225: 5224: 5222: 5221: 5206: 5200: 5199: 5189: 5164:(674): 406–407. 5149: 5143: 5142: 5132: 5092: 5086: 5085: 5045: 5036: 5035: 5025: 4985: 4979: 4978: 4968: 4928: 4922: 4921: 4893: 4887: 4886: 4850: 4844: 4843: 4818:(5): 2501–2509. 4803: 4797: 4796: 4786: 4768: 4753:Medical Sciences 4744: 4725: 4724: 4714: 4689:(3): 1561–1586. 4674: 4668: 4667: 4657: 4639: 4615: 4609: 4608: 4598: 4573:(11): e1916318. 4558: 4552: 4551: 4523: 4514: 4513: 4503: 4463: 4457: 4456: 4420: 4411: 4410: 4400: 4360: 4354: 4353: 4343: 4303: 4294: 4293: 4283: 4251: 4245: 4244: 4234: 4202: 4196: 4195: 4177: 4149: 4143: 4142: 4114: 4108: 4107: 4097: 4080:(8): 2305–2315. 4065: 4059: 4058: 4048: 4016: 4010: 4009: 3981: 3975: 3974: 3964: 3924: 3918: 3917: 3907: 3867: 3861: 3860: 3850: 3810: 3804: 3803: 3763: 3757: 3756: 3716: 3710: 3709: 3692:(4): 1062–1069. 3677: 3671: 3670: 3660: 3632: 3626: 3625: 3597: 3591: 3590: 3558: 3552: 3551: 3515: 3506: 3505: 3495: 3455: 3449: 3448: 3438: 3404: 3395: 3389: 3388: 3348: 3342: 3341: 3331: 3291: 3285: 3284: 3274: 3234: 3228: 3227: 3195: 3189: 3188: 3178: 3138: 3132: 3131: 3121: 3081: 3062: 3061: 3045: 3036: 3013: 3012: 3010: 3008: 2994: 2988: 2987: 2977: 2953: 2947: 2946: 2936: 2927:(8): 1813–1820. 2912: 2906: 2905: 2903: 2866: 2860: 2859: 2857: 2855: 2840: 2834: 2833: 2807: 2801: 2800: 2790: 2766: 2760: 2759: 2735: 2729: 2728: 2726: 2724: 2705: 2696: 2695: 2659: 2644: 2643: 2633: 2593: 2584: 2583: 2573: 2555: 2531: 2522: 2521: 2511: 2479: 2470: 2469: 2467: 2465: 2448: 2433: 2432: 2430: 2429: 2414: 2408: 2407: 2397: 2365: 2354: 2353: 2317: 2292: 2291: 2281: 2249: 2243: 2242: 2232: 2200: 2194: 2193: 2176: 2157: 2156: 2154: 2152: 2137: 2053: 2047: 2041: 2035: 2029: 2023: 2017: 2011: 2005: 1999: 1993: 1987: 1981: 1974:Age-standardized 1910:caregiver stress 1904:Caregiver stress 1889:gastrostomy tube 1856:digestive system 1850:Digestive system 1700:that employs an 1658:Targeted therapy 1653:Targeted therapy 1565:dysfunction and 1494:targeted therapy 1427:mucous membranes 1375:histopathologist 1350:and tongue base 1235: 1224: 1124:The presence of 823:propylene glycol 795:) is a cause of 760:oxidative stress 609:Laryngeal cancer 513:Eustachian tubes 315:gastrointestinal 291:targeted therapy 201:nose and sinuses 145:targeted therapy 44: 24: 23: 9105: 9104: 9100: 9099: 9098: 9096: 9095: 9094: 9070: 9069: 9068: 9063: 9038: 9017: 8974: 8943:Bethesda system 8916: 8882: 8868: 8816: 8775:Cervical cancer 8759: 8752: 8749: 8719: 8710: 8697: 8670: 8655: 8650: 8646:Warthin's tumor 8630: 8625: 8580: 8557: 8536: 8506: 8501: 8460: 8413: 8367: 8346: 8310: 8232: 8191: 8151: 8137: 8107: 8102: 8101: 8078: 8077: 8037: 8016: 7990:at Cancer.net ( 7965: 7960: 7959: 7928: 7924: 7915: 7913: 7902:"Throat Cancer" 7900: 7899: 7895: 7889:Wayback Machine 7880: 7873: 7828: 7824: 7779: 7775: 7735: 7731: 7686: 7682: 7645: 7641: 7618: 7614: 7604: 7602: 7589: 7588: 7584: 7553: 7546: 7501: 7497: 7466:(1): CD007904. 7452: 7445: 7406: 7402: 7370: 7366: 7329: 7325: 7288: 7284: 7245: 7238: 7199:(7): CD009441. 7193: 7180: 7165: 7161: 7146: 7142: 7127: 7123: 7084:Genome Medicine 7076: 7072: 7027: 7023: 6980: 6976: 6925: 6921: 6870: 6866: 6861: 6857: 6836:(3): CD006158. 6829: 6825: 6816: 6814: 6805: 6804: 6800: 6753: 6746: 6707: 6703: 6698:Wayback Machine 6690: 6686: 6641: 6637: 6582: 6578: 6543: 6539: 6486: 6482: 6474: 6472: 6454: 6450: 6413: 6409: 6386: 6382: 6373: 6371: 6364: 6358: 6354: 6345: 6343: 6334: 6333: 6329: 6318: 6300: 6293: 6283: 6281: 6272: 6271: 6267: 6222: 6218: 6189:(S1): S1–S224. 6175: 6168: 6133: 6129: 6086: 6082: 6039: 6035: 6000: 5996: 5953: 5949: 5906: 5902: 5873:Transplantation 5865: 5858: 5803: 5799: 5789: 5787: 5779: 5778: 5774: 5739: 5735: 5680: 5676: 5623: 5619: 5558: 5554: 5515: 5511: 5458: 5451: 5443: 5404: 5398: 5394: 5357: 5353: 5308: 5304: 5273: 5269: 5232: 5228: 5219: 5217: 5208: 5207: 5203: 5150: 5146: 5093: 5089: 5046: 5039: 4994:Cancer Research 4986: 4982: 4949:10.1038/ng.3685 4937:Nature Genetics 4929: 4925: 4894: 4890: 4851: 4847: 4804: 4800: 4745: 4728: 4675: 4671: 4616: 4612: 4559: 4555: 4524: 4517: 4464: 4460: 4421: 4414: 4361: 4357: 4304: 4297: 4266:(10): 703–716. 4252: 4248: 4203: 4199: 4150: 4146: 4115: 4111: 4066: 4062: 4017: 4013: 3982: 3978: 3925: 3921: 3868: 3864: 3811: 3807: 3778:(10): 549–558. 3764: 3760: 3717: 3713: 3678: 3674: 3633: 3629: 3598: 3594: 3559: 3555: 3520:Head & Neck 3516: 3509: 3456: 3452: 3402: 3396: 3392: 3349: 3345: 3292: 3288: 3235: 3231: 3196: 3192: 3139: 3135: 3082: 3065: 3058: 3043: 3037: 3016: 3006: 3004: 2996: 2995: 2991: 2954: 2950: 2913: 2909: 2901: 2867: 2863: 2853: 2851: 2842: 2841: 2837: 2822: 2808: 2804: 2767: 2763: 2752: 2736: 2732: 2722: 2720: 2707: 2706: 2699: 2660: 2647: 2594: 2587: 2532: 2525: 2480: 2473: 2463: 2461: 2460:. 29 March 2017 2450: 2449: 2436: 2427: 2425: 2416: 2415: 2411: 2366: 2357: 2318: 2295: 2250: 2246: 2201: 2197: 2190: 2178: 2177: 2160: 2150: 2148: 2139: 2138: 2115: 2110: 2102: 2075: 2056: 2055: 2051: 2049: 2045: 2043: 2039: 2037: 2033: 2031: 2027: 2025: 2021: 2019: 2015: 2013: 2009: 2007: 2003: 2001: 1997: 1995: 1991: 1989: 1985: 1983: 1979: 1967: 1949:and the body's 1943:red blood cells 1923: 1897: 1881:Enteral feeding 1852: 1836: 1811: 1802: 1797: 1758:Eating problems 1751: 1724: 1704:to deliver the 1655: 1640: 1625:salivary glands 1576: 1544: 1530: 1510: 1490: 1467: 1452: 1404: 1391: 1261: 1260: 1259: 1258: 1238: 1237: 1236: 1227: 1226: 1225: 1214: 1190:body mass index 1162: 1142: 1122: 1114:antibody titers 1103: 1080:DNA methylation 987:cervical cancer 972: 967: 954: 930: 915: 856: 776:DNA glycosylase 766:(8-oxo-dG) and 741:passive smoking 735:15 years after 732:Tobacco smoking 700: 694:Tobacco smoking 692:Main articles: 690: 685: 661:adenocarcinomas 635: 623:tobacco smoking 611: 605: 584: 578: 539: 531:Main articles: 529: 501: 495: 472: 464:Main articles: 462: 448:done together). 440:neck dissection 405:dipping tobacco 401:chewing tobacco 369: 363: 311: 303:developed world 299:5-year survival 264:medical imaging 197:salivary glands 22: 17: 12: 11: 5: 9103: 9093: 9092: 9087: 9082: 9065: 9064: 9062: 9061: 9056: 9050: 9048: 9044: 9043: 9040: 9039: 9037: 9036: 9031: 9025: 9023: 9019: 9018: 9016: 9015: 9010: 9005: 9000: 8994: 8992: 8982: 8976: 8975: 8973: 8972: 8971: 8970: 8965: 8957: 8956: 8955: 8953:Cytotechnology 8950: 8940: 8939: 8938: 8926: 8924: 8918: 8917: 8915: 8914: 8913: 8912: 8907: 8896: 8894: 8888: 8887: 8884: 8883: 8876: 8874: 8870: 8869: 8867: 8866: 8865: 8864: 8859: 8854: 8849: 8844: 8839: 8834: 8826: 8824: 8818: 8817: 8815: 8814: 8813: 8812: 8802: 8797: 8792: 8787: 8777: 8771: 8769: 8762: 8754: 8753: 8748: 8747: 8740: 8733: 8725: 8716: 8715: 8712: 8711: 8709: 8708: 8702: 8699: 8698: 8696: 8695: 8690: 8684: 8682: 8676: 8675: 8672: 8671: 8669: 8668: 8662: 8660: 8652: 8651: 8649: 8648: 8643: 8637: 8635: 8627: 8626: 8624: 8623: 8618: 8613: 8608: 8603: 8598: 8593: 8587: 8585: 8574: 8572:Salivary gland 8565: 8559: 8558: 8535: 8534: 8527: 8520: 8512: 8503: 8502: 8500: 8499: 8494: 8489: 8484: 8479: 8474: 8468: 8466: 8462: 8461: 8459: 8458: 8453: 8448: 8443: 8434: 8429: 8423: 8421: 8419:Carcinogenesis 8415: 8414: 8412: 8411: 8406: 8401: 8396: 8391: 8385: 8383: 8373: 8372: 8369: 8368: 8366: 8365: 8360: 8354: 8352: 8348: 8347: 8345: 8344: 8339: 8334: 8329: 8324: 8318: 8316: 8312: 8311: 8309: 8308: 8303: 8301:Nervous system 8298: 8293: 8288: 8283: 8278: 8273: 8268: 8267: 8266: 8264:nasopharyngeal 8261: 8256: 8251: 8240: 8238: 8234: 8233: 8231: 8230: 8225: 8220: 8215: 8210: 8205: 8199: 8197: 8193: 8192: 8190: 8189: 8184: 8179: 8174: 8168: 8166: 8157: 8153: 8152: 8136: 8135: 8128: 8121: 8113: 8104: 8103: 8100: 8099: 8087: 8086: 8084: 8080: 8079: 8076: 8075: 8064: 8045: 8017: 8012: 8011: 8009: 8008:Classification 8002: 8001: 7995: 7985: 7976: 7964: 7963:External links 7961: 7958: 7957: 7922: 7893: 7871: 7822: 7773: 7746:(3): 497–507. 7729: 7680: 7639: 7628:(3): 235–238. 7612: 7582: 7544: 7495: 7443: 7416:(2): 132–137. 7400: 7381:(3): 449–456. 7364: 7323: 7282: 7236: 7178: 7159: 7140: 7121: 7070: 7021: 6974: 6919: 6864: 6855: 6823: 6809:. Cancer.gov. 6798: 6767:(3): 208–216. 6744: 6701: 6684: 6635: 6576: 6537: 6500:(4): 685–696. 6480: 6448: 6427:(5): 387–399. 6421:Cancer Control 6407: 6380: 6352: 6327: 6316: 6291: 6265: 6216: 6166: 6147:(4): 575–579. 6127: 6100:(3): 262–273. 6080: 6053:(2): 300–308. 6033: 5994: 5947: 5900: 5856: 5797: 5772: 5733: 5688:Microorganisms 5674: 5637:(2): 194–203. 5617: 5552: 5509: 5472:(3): 306–314. 5449: 5415:(4): 259–266. 5392: 5371:(3): 595–604. 5351: 5322:(5): 445–453. 5302: 5283:(4): 739–764. 5267: 5246:(2): 467–475. 5226: 5201: 5144: 5107:(6): 920–922. 5087: 5037: 4980: 4923: 4904:(6): 477–492. 4888: 4845: 4798: 4726: 4669: 4610: 4553: 4515: 4458: 4412: 4375:(5): 679–690. 4355: 4318:(3): 143–155. 4295: 4246: 4217:(5): 320–328. 4197: 4160:(5): 542–550. 4144: 4109: 4060: 4011: 3976: 3919: 3862: 3805: 3758: 3731:(4): 252–256. 3711: 3672: 3643:(8): 726–728. 3627: 3608:(5): 301–309. 3592: 3573:(7): 451–458. 3553: 3526:(4): 732–738. 3507: 3464:Cancer Science 3450: 3413:(6): 458–466. 3390: 3343: 3286: 3249:(3): 580–593. 3229: 3210:(7): 497–503. 3190: 3153:(2): 541–550. 3133: 3096:(9): 780–786. 3063: 3056: 3014: 2989: 2968:(4): 322–326. 2948: 2907: 2861: 2835: 2820: 2802: 2781:(5): 441–447. 2761: 2750: 2730: 2715:. April 2016. 2697: 2645: 2585: 2523: 2494:(2): 123–141. 2471: 2434: 2409: 2355: 2328:(3): 178–186. 2293: 2244: 2195: 2188: 2158: 2112: 2111: 2109: 2106: 2101: 2098: 2097: 2096: 2092: 2089: 2086: 2083: 2074: 2071: 2050: 2044: 2038: 2032: 2026: 2020: 2014: 2008: 2002: 1996: 1990: 1984: 1978: 1977: 1966: 1963: 1959:nervous system 1922: 1919: 1896: 1893: 1851: 1848: 1840:primary tumors 1835: 1832: 1821:) and Europe ( 1810: 1807: 1801: 1798: 1796: 1795: 1792: 1786: 1781: 1776: 1770:Nephrotoxicity 1767: 1762: 1759: 1755: 1750: 1747: 1723: 1720: 1654: 1651: 1639: 1636: 1632:erythropoietin 1575: 1572: 1543: 1540: 1528: 1509: 1506: 1489: 1486: 1466: 1463: 1455:Adenocarcinoma 1451: 1450:Adenocarcinoma 1448: 1403: 1400: 1390: 1389:Histopathology 1387: 1240: 1239: 1230: 1229: 1228: 1219: 1218: 1217: 1216: 1215: 1213: 1210: 1161: 1158: 1141: 1138: 1121: 1118: 1102: 1099: 1095:carcinogenesis 1052: 1051: 1048: 1045: 1042: 1035: 1030:Disruption of 1028: 971: 968: 966: 963: 953: 950: 929: 926: 914: 911: 880:processed meat 855: 852: 758:by increasing 689: 686: 684: 681: 653:histopathology 634: 631: 607:Main article: 604: 601: 580:Main article: 577: 574: 528: 525: 509:nasal cavities 497:Main article: 494: 491: 461: 458: 450: 449: 442: 436: 430: 427: 365:Main article: 362: 359: 355:facial muscles 321:), dry mouth ( 310: 307: 193:hypopharyngeal 185:nasopharyngeal 179:), voice box ( 164: 163: 162:379,000 (2015) 160: 156: 155: 152: 148: 147: 133: 129: 128: 125: 121: 120: 115: 109: 108: 83: 77: 76: 73: 67: 66: 57: 51: 50: 46: 45: 37: 36: 33: 29: 28: 20: 15: 9: 6: 4: 3: 2: 9102: 9091: 9088: 9086: 9083: 9081: 9078: 9077: 9075: 9060: 9057: 9055: 9052: 9051: 9049: 9045: 9035: 9032: 9030: 9027: 9026: 9024: 9020: 9014: 9011: 9009: 9006: 9004: 9001: 8999: 8996: 8995: 8993: 8991: 8986: 8983: 8981: 8977: 8969: 8968:Cervicography 8966: 8964: 8961: 8960: 8958: 8954: 8951: 8949: 8948:Cytopathology 8946: 8945: 8944: 8941: 8937: 8934: 8933: 8931: 8928: 8927: 8925: 8923: 8919: 8911: 8908: 8906: 8903: 8902: 8901: 8898: 8897: 8895: 8893: 8889: 8880: 8877:Acrochordon ( 8875: 8871: 8863: 8860: 8858: 8855: 8853: 8850: 8848: 8845: 8843: 8840: 8838: 8835: 8833: 8830: 8829: 8828: 8827: 8825: 8823: 8819: 8810: 8806: 8803: 8801: 8798: 8796: 8793: 8791: 8788: 8786: 8783: 8782: 8781: 8778: 8776: 8773: 8772: 8770: 8766: 8763: 8761: 8755: 8746: 8741: 8739: 8734: 8732: 8727: 8726: 8723: 8707: 8704: 8703: 8700: 8694: 8691: 8689: 8686: 8685: 8683: 8681: 8677: 8667: 8664: 8663: 8661: 8658: 8653: 8647: 8644: 8642: 8639: 8638: 8636: 8633: 8628: 8622: 8619: 8617: 8614: 8612: 8609: 8607: 8604: 8602: 8599: 8597: 8594: 8592: 8589: 8588: 8586: 8583: 8578: 8575: 8573: 8569: 8566: 8564: 8560: 8556: 8552: 8548: 8544: 8540: 8533: 8528: 8526: 8521: 8519: 8514: 8513: 8510: 8498: 8495: 8493: 8490: 8488: 8485: 8483: 8480: 8478: 8475: 8473: 8470: 8469: 8467: 8463: 8457: 8454: 8452: 8449: 8447: 8444: 8442: 8438: 8435: 8433: 8430: 8428: 8425: 8424: 8422: 8420: 8416: 8410: 8407: 8405: 8402: 8400: 8397: 8395: 8392: 8390: 8387: 8386: 8384: 8382: 8378: 8374: 8364: 8361: 8359: 8356: 8355: 8353: 8349: 8343: 8340: 8338: 8335: 8333: 8330: 8328: 8325: 8323: 8320: 8319: 8317: 8313: 8307: 8304: 8302: 8299: 8297: 8294: 8292: 8289: 8287: 8284: 8282: 8279: 8277: 8274: 8272: 8269: 8265: 8262: 8260: 8257: 8255: 8254:oropharyngeal 8252: 8250: 8247: 8246: 8245: 8244:Head and neck 8242: 8241: 8239: 8235: 8229: 8226: 8224: 8223:Primary tumor 8221: 8219: 8216: 8214: 8211: 8209: 8206: 8204: 8201: 8200: 8198: 8194: 8188: 8185: 8183: 8180: 8178: 8175: 8173: 8170: 8169: 8167: 8165: 8164:Benign tumors 8161: 8158: 8154: 8150: 8146: 8142: 8134: 8129: 8127: 8122: 8120: 8115: 8114: 8111: 8098: 8094: 8093: 8089: 8088: 8085: 8081: 8074: 8070: 8069: 8065: 8063: 8059: 8055: 8054: 8050: 8046: 8044: 8040: 8036: 8032: 8028: 8027: 8023: 8019: 8018: 8015: 8010: 8006: 7999: 7996: 7993: 7989: 7986: 7984: 7983:RadiologyInfo 7980: 7977: 7974: 7970: 7967: 7966: 7953: 7949: 7945: 7941: 7937: 7933: 7926: 7912:on 2007-07-01 7911: 7907: 7903: 7897: 7890: 7886: 7883: 7878: 7876: 7867: 7863: 7858: 7853: 7849: 7845: 7841: 7837: 7833: 7826: 7818: 7814: 7809: 7804: 7800: 7796: 7792: 7788: 7784: 7777: 7769: 7765: 7761: 7757: 7753: 7749: 7745: 7741: 7733: 7725: 7721: 7716: 7711: 7707: 7703: 7699: 7695: 7694:JAMA Oncology 7691: 7684: 7676: 7672: 7667: 7662: 7658: 7654: 7650: 7643: 7635: 7631: 7627: 7623: 7616: 7600: 7596: 7592: 7586: 7578: 7574: 7570: 7566: 7562: 7558: 7551: 7549: 7540: 7536: 7531: 7526: 7522: 7518: 7514: 7510: 7509:Oral Oncology 7506: 7499: 7491: 7487: 7482: 7477: 7473: 7469: 7465: 7461: 7457: 7450: 7448: 7439: 7435: 7431: 7427: 7423: 7419: 7415: 7411: 7404: 7396: 7392: 7388: 7384: 7380: 7376: 7368: 7360: 7356: 7351: 7346: 7342: 7338: 7334: 7327: 7319: 7315: 7310: 7305: 7301: 7297: 7293: 7286: 7278: 7274: 7270: 7266: 7262: 7258: 7254: 7250: 7243: 7241: 7232: 7228: 7224: 7220: 7215: 7210: 7206: 7202: 7198: 7191: 7189: 7187: 7185: 7183: 7174: 7170: 7163: 7155: 7151: 7144: 7136: 7132: 7125: 7117: 7113: 7108: 7103: 7098: 7097:10.1186/gm453 7093: 7089: 7085: 7081: 7074: 7066: 7062: 7057: 7052: 7048: 7044: 7040: 7036: 7032: 7025: 7017: 7013: 7009: 7005: 7001: 6997: 6993: 6989: 6985: 6978: 6970: 6966: 6962: 6958: 6954: 6950: 6946: 6942: 6938: 6934: 6930: 6923: 6915: 6911: 6907: 6903: 6899: 6895: 6891: 6887: 6883: 6879: 6875: 6868: 6859: 6851: 6847: 6843: 6839: 6835: 6827: 6812: 6808: 6802: 6794: 6790: 6785: 6780: 6775: 6770: 6766: 6762: 6758: 6751: 6749: 6740: 6736: 6732: 6728: 6724: 6720: 6716: 6712: 6705: 6699: 6695: 6692: 6688: 6680: 6676: 6671: 6666: 6662: 6658: 6654: 6650: 6646: 6639: 6631: 6627: 6622: 6617: 6613: 6609: 6604: 6599: 6595: 6591: 6587: 6580: 6572: 6568: 6564: 6560: 6556: 6552: 6551:Oral Oncology 6548: 6541: 6533: 6529: 6524: 6519: 6515: 6511: 6507: 6503: 6499: 6495: 6491: 6484: 6471: 6467: 6463: 6459: 6452: 6444: 6440: 6435: 6430: 6426: 6422: 6418: 6411: 6403: 6399: 6395: 6391: 6384: 6370: 6363: 6356: 6341: 6337: 6331: 6323: 6319: 6313: 6309: 6305: 6298: 6296: 6279: 6275: 6269: 6261: 6257: 6253: 6249: 6244: 6239: 6236:(6): e13459. 6235: 6231: 6227: 6220: 6212: 6208: 6204: 6200: 6196: 6192: 6188: 6184: 6180: 6173: 6171: 6162: 6158: 6154: 6150: 6146: 6142: 6138: 6131: 6123: 6119: 6115: 6111: 6107: 6103: 6099: 6095: 6091: 6084: 6076: 6072: 6068: 6064: 6060: 6056: 6052: 6048: 6044: 6037: 6029: 6025: 6021: 6017: 6013: 6009: 6008:Oral Oncology 6005: 5998: 5990: 5986: 5982: 5978: 5974: 5970: 5966: 5962: 5958: 5951: 5943: 5939: 5935: 5931: 5927: 5923: 5919: 5915: 5911: 5904: 5896: 5892: 5887: 5882: 5878: 5874: 5870: 5863: 5861: 5852: 5848: 5843: 5838: 5834: 5830: 5825: 5820: 5816: 5812: 5808: 5801: 5786: 5782: 5776: 5768: 5764: 5760: 5756: 5752: 5748: 5744: 5737: 5729: 5725: 5720: 5715: 5711: 5707: 5702: 5697: 5693: 5689: 5685: 5678: 5670: 5666: 5661: 5656: 5652: 5648: 5644: 5640: 5636: 5632: 5628: 5621: 5613: 5609: 5604: 5599: 5595: 5591: 5587: 5583: 5579: 5575: 5571: 5567: 5563: 5556: 5548: 5544: 5540: 5536: 5532: 5528: 5524: 5520: 5513: 5505: 5501: 5496: 5491: 5487: 5483: 5479: 5475: 5471: 5467: 5463: 5456: 5454: 5442: 5438: 5434: 5430: 5426: 5422: 5418: 5414: 5410: 5403: 5396: 5388: 5384: 5379: 5374: 5370: 5366: 5362: 5355: 5347: 5343: 5338: 5333: 5329: 5325: 5321: 5317: 5313: 5306: 5298: 5294: 5290: 5286: 5282: 5278: 5271: 5263: 5259: 5254: 5249: 5245: 5241: 5237: 5230: 5215: 5211: 5210:"HPV vaccine" 5205: 5197: 5193: 5188: 5183: 5179: 5175: 5171: 5167: 5163: 5159: 5155: 5148: 5140: 5136: 5131: 5126: 5122: 5118: 5114: 5110: 5106: 5102: 5098: 5091: 5083: 5079: 5075: 5071: 5067: 5063: 5060:(10): 25–32. 5059: 5055: 5051: 5044: 5042: 5033: 5029: 5024: 5019: 5015: 5011: 5007: 5003: 4999: 4995: 4991: 4984: 4976: 4972: 4967: 4962: 4958: 4954: 4950: 4946: 4942: 4938: 4934: 4927: 4919: 4915: 4911: 4907: 4903: 4899: 4898:Oral Oncology 4892: 4884: 4880: 4876: 4872: 4868: 4864: 4860: 4856: 4849: 4841: 4837: 4833: 4829: 4825: 4821: 4817: 4813: 4809: 4802: 4794: 4790: 4785: 4780: 4776: 4772: 4767: 4762: 4758: 4754: 4750: 4743: 4741: 4739: 4737: 4735: 4733: 4731: 4722: 4718: 4713: 4708: 4704: 4700: 4696: 4692: 4688: 4684: 4680: 4673: 4665: 4661: 4656: 4651: 4647: 4643: 4638: 4633: 4629: 4625: 4621: 4614: 4606: 4602: 4597: 4592: 4588: 4584: 4580: 4576: 4572: 4568: 4564: 4557: 4549: 4545: 4541: 4537: 4533: 4529: 4522: 4520: 4511: 4507: 4502: 4497: 4493: 4489: 4485: 4481: 4478:: 1357–1368. 4477: 4473: 4469: 4462: 4454: 4450: 4446: 4442: 4438: 4434: 4431:(4): 101318. 4430: 4426: 4419: 4417: 4408: 4404: 4399: 4394: 4390: 4386: 4382: 4378: 4374: 4370: 4366: 4359: 4351: 4347: 4342: 4337: 4333: 4329: 4325: 4321: 4317: 4313: 4309: 4302: 4300: 4291: 4287: 4282: 4277: 4273: 4269: 4265: 4261: 4257: 4250: 4242: 4238: 4233: 4228: 4224: 4220: 4216: 4212: 4208: 4201: 4193: 4189: 4185: 4181: 4176: 4171: 4167: 4163: 4159: 4155: 4148: 4140: 4136: 4132: 4128: 4124: 4120: 4113: 4105: 4101: 4096: 4091: 4087: 4083: 4079: 4075: 4071: 4064: 4056: 4052: 4047: 4042: 4038: 4034: 4030: 4026: 4022: 4015: 4007: 4003: 3999: 3995: 3991: 3987: 3980: 3972: 3968: 3963: 3958: 3954: 3950: 3946: 3942: 3938: 3934: 3930: 3923: 3915: 3911: 3906: 3901: 3897: 3893: 3889: 3885: 3881: 3877: 3873: 3866: 3858: 3854: 3849: 3844: 3840: 3836: 3832: 3828: 3824: 3820: 3816: 3809: 3801: 3797: 3793: 3789: 3785: 3781: 3777: 3773: 3769: 3762: 3754: 3750: 3746: 3742: 3738: 3734: 3730: 3726: 3722: 3715: 3707: 3703: 3699: 3695: 3691: 3687: 3683: 3676: 3668: 3664: 3659: 3654: 3650: 3646: 3642: 3638: 3631: 3623: 3619: 3615: 3611: 3607: 3603: 3596: 3588: 3584: 3580: 3576: 3572: 3568: 3564: 3557: 3549: 3545: 3541: 3537: 3533: 3529: 3525: 3521: 3514: 3512: 3503: 3499: 3494: 3489: 3485: 3481: 3477: 3473: 3470:(1): 91–100. 3469: 3465: 3461: 3454: 3446: 3442: 3437: 3432: 3428: 3424: 3420: 3416: 3412: 3408: 3401: 3394: 3386: 3382: 3378: 3374: 3370: 3366: 3362: 3358: 3354: 3347: 3339: 3335: 3330: 3325: 3321: 3317: 3313: 3309: 3305: 3301: 3297: 3290: 3282: 3278: 3273: 3268: 3264: 3260: 3256: 3252: 3248: 3244: 3240: 3233: 3225: 3221: 3217: 3213: 3209: 3205: 3204:Oral Oncology 3201: 3194: 3186: 3182: 3177: 3172: 3168: 3164: 3160: 3156: 3152: 3148: 3144: 3137: 3129: 3125: 3120: 3115: 3111: 3107: 3103: 3099: 3095: 3091: 3087: 3080: 3078: 3076: 3074: 3072: 3070: 3068: 3059: 3053: 3049: 3042: 3035: 3033: 3031: 3029: 3027: 3025: 3023: 3021: 3019: 3003: 2999: 2993: 2985: 2981: 2976: 2971: 2967: 2963: 2959: 2952: 2944: 2940: 2935: 2930: 2926: 2922: 2918: 2911: 2900: 2896: 2892: 2888: 2884: 2880: 2876: 2875:Oral Oncology 2872: 2865: 2849: 2845: 2839: 2831: 2827: 2823: 2817: 2813: 2806: 2798: 2794: 2789: 2784: 2780: 2776: 2772: 2765: 2757: 2753: 2747: 2743: 2742: 2734: 2718: 2714: 2710: 2704: 2702: 2693: 2689: 2685: 2681: 2677: 2673: 2669: 2665: 2658: 2656: 2654: 2652: 2650: 2641: 2637: 2632: 2627: 2623: 2619: 2615: 2611: 2607: 2603: 2599: 2592: 2590: 2581: 2577: 2572: 2567: 2563: 2559: 2554: 2549: 2545: 2541: 2537: 2530: 2528: 2519: 2515: 2510: 2505: 2501: 2497: 2493: 2489: 2485: 2478: 2476: 2459: 2458: 2453: 2447: 2445: 2443: 2441: 2439: 2423: 2419: 2413: 2405: 2401: 2396: 2391: 2387: 2383: 2380:(5): 151215. 2379: 2375: 2371: 2364: 2362: 2360: 2351: 2347: 2343: 2339: 2335: 2331: 2327: 2323: 2316: 2314: 2312: 2310: 2308: 2306: 2304: 2302: 2300: 2298: 2289: 2285: 2280: 2275: 2271: 2267: 2263: 2259: 2255: 2248: 2240: 2236: 2231: 2226: 2222: 2218: 2214: 2210: 2206: 2199: 2191: 2185: 2181: 2175: 2173: 2171: 2169: 2167: 2165: 2163: 2146: 2142: 2136: 2134: 2132: 2130: 2128: 2126: 2124: 2122: 2120: 2118: 2113: 2105: 2093: 2090: 2087: 2084: 2081: 2080: 2079: 2073:United States 2070: 2068: 2062: 1982: no data 1975: 1971: 1962: 1960: 1956: 1952: 1951:immune system 1948: 1944: 1940: 1936: 1932: 1928: 1918: 1914: 1911: 1906: 1905: 1901: 1895:Mental health 1892: 1890: 1886: 1882: 1878: 1876: 1872: 1867: 1865: 1861: 1857: 1847: 1845: 1841: 1831: 1828: 1824: 1820: 1815: 1806: 1793: 1791: 1787: 1785: 1782: 1780: 1777: 1775: 1771: 1768: 1766: 1763: 1760: 1757: 1756: 1754: 1746: 1744: 1743:pembrolizumab 1740: 1736: 1735:pembrolizumab 1731: 1728: 1727:Immunotherapy 1722:Immunotherapy 1719: 1717: 1712: 1710: 1707: 1703: 1699: 1695: 1691: 1689: 1685: 1681: 1679: 1675: 1671: 1667: 1663: 1659: 1650: 1648: 1644: 1635: 1633: 1628: 1626: 1622: 1618: 1617:intravenously 1614: 1609: 1607: 1603: 1599: 1597: 1593: 1589: 1584: 1580: 1571: 1568: 1564: 1560: 1556: 1548: 1539: 1536: 1532: 1531:laser surgery 1524: 1522: 1518: 1514: 1505: 1501: 1497: 1495: 1485: 1483: 1478: 1475: 1470: 1462: 1460: 1456: 1447: 1444: 1442: 1438: 1435: 1430: 1428: 1424: 1420: 1416: 1415:squamous cell 1412: 1408: 1399: 1396: 1386: 1384: 1383:squamous cell 1380: 1376: 1372: 1368: 1364: 1359: 1357: 1353: 1349: 1348:tonsillectomy 1345: 1341: 1337: 1333: 1328: 1326: 1322: 1318: 1314: 1309: 1307: 1303: 1299: 1295: 1291: 1287: 1283: 1280: 1278: 1272: 1270: 1265: 1256: 1252: 1248: 1247:tongue cancer 1244: 1243:brachytherapy 1234: 1223: 1209: 1207: 1203: 1199: 1195: 1191: 1187: 1183: 1179: 1175: 1171: 1167: 1157: 1155: 1151: 1147: 1144:People after 1137: 1135: 1131: 1130:Stomach acids 1127: 1117: 1115: 1111: 1107: 1098: 1096: 1092: 1088: 1083: 1081: 1077: 1073: 1072: 1067: 1066: 1062: 1057: 1049: 1046: 1043: 1040: 1036: 1033: 1029: 1026: 1025: 1024: 1021: 1019: 1015: 1010: 1008: 1004: 998: 996: 992: 988: 984: 979: 977: 962: 959: 949: 947: 944:(for example 943: 939: 935: 925: 923: 919: 910: 908: 907:beta-carotene 904: 899: 897: 893: 889: 885: 881: 877: 873: 869: 865: 861: 851: 848: 844: 840: 836: 832: 828: 824: 820: 816: 812: 808: 806: 802: 798: 794: 790: 786: 784: 780: 777: 773: 769: 765: 761: 757: 753: 752:acrylonitrile 749: 748:tobacco smoke 744: 742: 738: 733: 729: 727: 722: 720: 716: 710: 708: 704: 699: 695: 680: 678: 674: 670: 666: 662: 658: 654: 650: 645: 643: 639: 630: 626: 624: 620: 616: 610: 600: 598: 594: 589: 583: 573: 570: 568: 564: 560: 556: 552: 548: 545:begin in the 544: 538: 534: 524: 522: 518: 514: 510: 506: 500: 490: 488: 484: 480: 476: 471: 467: 457: 455: 447: 443: 441: 437: 434: 431: 428: 425: 421: 420: 419: 416: 414: 410: 406: 402: 398: 394: 390: 386: 382: 373: 368: 358: 356: 350: 348: 344: 340: 334: 332: 328: 324: 320: 316: 306: 304: 300: 294: 292: 288: 284: 280: 276: 271: 269: 265: 261: 260:tissue biopsy 257: 253: 249: 245: 241: 237: 233: 229: 224: 222: 218: 214: 210: 206: 202: 198: 194: 190: 189:oropharyngeal 186: 182: 178: 174: 170: 161: 157: 153: 149: 146: 142: 138: 134: 130: 126: 122: 119: 118:Tissue biopsy 116: 114: 110: 107: 103: 99: 95: 91: 87: 84: 82: 78: 74: 72: 68: 65: 61: 58: 56: 52: 47: 43: 38: 34: 30: 25: 19: 8963:Speculoscopy 8900:HPV vaccines 8804: 8656: 8631: 8581: 8554: 8243: 8139:Overview of 8090: 8066: 8047: 8020: 7935: 7931: 7925: 7914:. Retrieved 7910:the original 7905: 7896: 7839: 7835: 7825: 7790: 7786: 7776: 7743: 7739: 7732: 7697: 7693: 7683: 7656: 7652: 7642: 7625: 7621: 7615: 7603:. Retrieved 7594: 7585: 7560: 7556: 7515:(1): 18–25. 7512: 7508: 7498: 7463: 7459: 7413: 7409: 7403: 7378: 7374: 7367: 7340: 7336: 7326: 7299: 7295: 7285: 7252: 7248: 7214:10026.1/3146 7196: 7172: 7162: 7153: 7143: 7134: 7124: 7087: 7083: 7073: 7038: 7034: 7024: 6991: 6987: 6977: 6936: 6932: 6922: 6881: 6877: 6867: 6858: 6833: 6826: 6815:. Retrieved 6801: 6764: 6760: 6714: 6710: 6704: 6687: 6652: 6648: 6638: 6593: 6589: 6579: 6554: 6550: 6540: 6497: 6493: 6483: 6473:, retrieved 6461: 6451: 6424: 6420: 6410: 6393: 6389: 6383: 6372:. Retrieved 6368: 6355: 6344:. Retrieved 6342:. 2016-02-10 6339: 6330: 6307: 6282:. Retrieved 6276:. May 2013. 6268: 6233: 6229: 6219: 6186: 6182: 6144: 6140: 6130: 6097: 6093: 6083: 6050: 6046: 6036: 6011: 6007: 5997: 5964: 5960: 5950: 5920:(2): 71–88. 5917: 5913: 5903: 5876: 5872: 5814: 5810: 5800: 5788:. Retrieved 5784: 5775: 5753:(1): 60–66. 5750: 5746: 5736: 5691: 5687: 5677: 5634: 5630: 5620: 5569: 5565: 5555: 5522: 5518: 5512: 5469: 5465: 5412: 5408: 5395: 5368: 5364: 5354: 5319: 5315: 5305: 5280: 5276: 5270: 5243: 5239: 5229: 5218:. 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