Sie befinden Sich nicht im Netzwerk der Universität Paderborn. Der Zugriff auf elektronische Ressourcen ist gegebenenfalls nur via VPN oder Shibboleth (DFN-AAI) möglich. mehr Informationen...
Morphologic and topographic radiologic features of human papillomavirus‐related and –unrelated oropharyngeal carcinoma
Ist Teil von
Head & neck, 2017-08, Vol.39 (8), p.1524-1534
Ort / Verlag
United States: Wiley Subscription Services, Inc
Erscheinungsjahr
2017
Quelle
Wiley Online Library - AutoHoldings Journals
Beschreibungen/Notizen
Background
The purpose of this study was to compare the clinicoradiologic characteristics of human papillomavirus (HPV)‐related (HPV‐positive) and HPV‐unrelated (HPV‐negative) oropharyngeal carcinoma (OPC).
Methods
Primary tumor and lymph node features of HPV‐positive and HPV‐negative OPCs from 2008 to 2013 were compared on pretreatment CT/MRI. Intrarater/interrater concordance was assessed. Multivariable analyses identified factors associated with HPV‐positivity to be used in nomogram construction.
Results
Compared to HPV‐negative (n = 194), HPV‐positive (n = 488) tumors were more exophytic (73% vs 63%; p = .02) with well‐defined border (58% vs 47%; p = .033) and smaller axial dimensions; lymph node involvement predominated (89% vs 69%; p < .001) with cystic appearance (45% vs 32%; p = .009) but similar topography. Intrarater/interrater concordance varied (fair to excellent). Nomograms combining clinical (age, sex, smoking pack‐years, subsite, T/N classification) and/or radiologic (nonnecrotic tumor and cystic lymph node) features were used to weigh the likelihood of HPV‐driven tumors (area under the curve [AUC] = 0.84).
Conclusion
HPV‐positive OPC has different radiologic tumor (exophytic/well‐defined border/smaller axial dimension) and lymph node (cystic) features but similar lymph node topography.