## Abstract The association between human papillomavirus (HPV) infection and the development of head and neck cancer has been documented recently. In this study on 86 head and neck cancer patients and 124 controls, data regarding demographics, behavioral risk factors, and risks related to HPV expos
Risk of third and fourth tumors in patients with head and neck cancer
✍ Scribed by Xavier León; Vicenç Martínez; Montserrat López; Jacinto García; Miquel Quer
- Publisher
- John Wiley and Sons
- Year
- 2010
- Tongue
- English
- Weight
- 155 KB
- Volume
- 32
- Category
- Article
- ISSN
- 1043-3074
No coin nor oath required. For personal study only.
✦ Synopsis
Abstract
Background
The objective of our study was to analyze the incidence and location of second and subsequent tumors in patients after an index head and neck carcinoma.
Methods
A retrospective study was made by reviewing clinical data prospectively collected from 3631 patients with head and neck cancer. Incidence, location, and histology of the second, third, and fourth tumors was evaluated.
Results
During the follow‐up, 839 second tumors, 147 third tumors, and 35 fourth tumors were diagnosed. The annual hazard ratio was 3.8% for second tumors, 5.1% for third tumors, and 7.8% for fourth tumors. The risk of second and subsequent neoplasms remained constant throughout the follow‐up. There were significant differences in the risk of appearance between the second and third tumors (p < .0001), and between the third and fourth tumors (p = .005).
Conclusion
Patients with a second tumor after an index head and neck carcinoma have an increased risk for developing subsequent tumors. © 2010 Wiley Periodicals, Inc. Head Neck, 2010
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