tract, major salivary glands and nodes from the neck. The majority of tumors is of squamous cell origin and alcohol and tobacco abuse are the two most important etiological factors. Surgery and radiotherapy are standard treatment options with systemic therapy being added to irradiation of the patients with increased risk for disease recurrence. 1 To distinguish biologically more aggressive and less aggressive head and neck carcinomas within each traditional risk-category, numerous new prognostic factors were evaluated on genetic, mRNA or protein levels. Among the factors that promote tumor growth and invasion, several protease Radiol Oncol 2008; 42(2): 69-81. doi:10.2478/v10019-008-0006-4