2001
DOI: 10.1097/00005537-200107000-00029
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Variability of Genetic Alterations in Different Sites of Head and Neck Cancer

Abstract: These results suggest that cancers originating from different sites in the head and neck may have different tumor biology. Therefore, they should be considered as different entities.

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Cited by 40 publications
(30 citation statements)
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“…Given the physiological functions of HIF-1a, differences in the therapeutic modality (surgery or radiotherapy) [25,34] may explain those discrepancies as hypoxia notably influences the response to radiotherapy but probably not to surgery. On the other hand, most of the previous studies have been performed in groups of patients with HNSCC from different locations, which are known to have different disease course and prognosis, and carry distinct genetic alterations [35]. These limitations could make the HIF-1a studies in HNSCC susceptible to biases.…”
Section: Discussionmentioning
confidence: 99%
“…Given the physiological functions of HIF-1a, differences in the therapeutic modality (surgery or radiotherapy) [25,34] may explain those discrepancies as hypoxia notably influences the response to radiotherapy but probably not to surgery. On the other hand, most of the previous studies have been performed in groups of patients with HNSCC from different locations, which are known to have different disease course and prognosis, and carry distinct genetic alterations [35]. These limitations could make the HIF-1a studies in HNSCC susceptible to biases.…”
Section: Discussionmentioning
confidence: 99%
“…However, the majority of those studies were flawed, because they included heterogeneous groups of patients, various histologies, small numbers of patients, short follow-up, or varying treatment techniques (surgical approach, radiotherapy, chemoradiotherapy). 7,[11][12][13][14][15] Hence, it is not surprising that the results have been inconclusive. Nevertheless, the immunohistochemical determination of p53, in the primary tumor or in its lymph node metastases, continues to be an attractive tool in clinical practice.…”
Section: Discussionmentioning
confidence: 99%
“…This heterogeneity introduces a bias for a correct interpretation of their results, because it is recognized widely that some of the genetic alterations implicated in the development of HNSCC do not appear to be distributed equally among the different locations of this area. 3,6,7 In an attempt to shed more light on this subject, we examined samples from 107 patients with squamous cell carcinomas of a single site, the supraglottic larynx, for p53 expression using immunohistochemical techniques. We also analyzed p53 expression in 46 paired lymph node metastases.…”
mentioning
confidence: 99%
“…A number of studies have identified molecular distinctions among HNSCCs of varying anatomic origin (Rodrigo et al 2001;Belbin et al 2008;Kokko et al 2011;Lleras et al 2013). CD44 expression, for instance, was found to be predictive of 5-yr survival in primary pharyngeal and laryngeal tumors, but not in tumors arising in the oral cavity (Kokko et al 2011).…”
Section: A B Cmentioning
confidence: 99%