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Determinants of Circulating Tumor HPV DNA in Surgically Treated Oropharyngeal Cancer - PubMed

19 hours ago
  • #Oropharyngeal Cancer
  • #ctHPVDNA
  • #Biomarker
  • Higher estimated glomerular filtration rate (eGFR) and higher pathologic N stage were associated with higher preoperative ctHPVDNA levels.
  • Perineural invasion (PNI) and pathologic extranodal extension (pENE) were associated with lower preoperative ctHPVDNA levels.
  • Detectable postoperative ctHPVDNA was linked to factors like >4 positive lymph nodes, higher preoperative ctHPVDNA levels, PNI, and pENE.
  • Recurrence rates were 20.0% in patients with detectable postoperative ctHPVDNA and 13.6% in those with undetectable ctHPVDNA.
  • Some recurrences in patients with undetectable ctHPVDNA occurred due to refusal of guideline-concordant adjuvant therapy.