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This is known as discordant cancer. The five-year survival for people who test positive for HPV and p16 is 81%, for discordant cancer it is 53 – 55%, and 40% for those who test negative for p16 and HPV. [15] [16] The prognosis for people with oropharyngeal cancer depends on the age and health of the person and the stage of the disease. [1]
Some people can have elevated levels of p16 but test negative for HPV and vice versa. This is known as discordant cancer. The 5-year survival for people who test positive for HPV and p16 is 81%, for discordant cancer it is 53 – 55%, and 40% for those who test negative for p16 and HPV. [208] [209]
HPV-positive oropharyngeal cancer generally has a better outcome than HPV-negative disease, with a 54% better survival rate, [18] but this advantage for HPV-associated cancer applies only to oropharyngeal cancers. [19] People with oropharyngeal carcinomas are at high risk of developing a second primary head and neck cancer. [20]
Esophageal cancer (lower part) as a result of Barrettʼs esophagus. Male predominance is particularly strong in this type of esophageal cancer, which occurs about 7 to 10 times more frequently in men. [25] This imbalance may be related to the characteristics and interactions of other known risk factors, including acid reflux and obesity. [25]
However, some people can have elevated levels of p16 but test negative for HPV and vice versa. This is known as discordant cancer. The 5-year survival for people who test positive for HPV and p16 is 81%, for discordant cancer it is 53–55%, and 40% for those who test negative for p16 and HPV. [33] [34]
The most common type (indicated in about 90%) of oral and oropharyngeal cancer is squamous cell carcinoma. [5] Approximately 63% of oropharyngeal squamous cell carcinomas each year are associated with HPV infection. [1] Most cases of HPV go undetected and clear up on their own without the patient ever knowing they had contracted it. [1] [2 ...
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The stages of oropharyngeal cancer are as follows: [23] • Stage 0 (carcinoma in situ): This stage indicates a good prognosis as most patients with stage 0 survive for a long period without the requirement of an intensive treatment. Although, the patient must cease smoking as it can increase the risk of developing a new cancer.
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