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termsTerm

HPV status (HPV-positive / HPV-negative)

aka HPV-positive, HPV positive, HPV-negative, HPV negative, HPV-driven, HPV-associated, HPV-related, high-risk HPV, HPV16, HPV 16, ctHPV, ctHPV DNA, HPV ctDNA, HPV DNA

Whether a cancer is caused by human papillomavirus. HPV-positive throat cancers are a different, far more curable disease than smoking-related ones, and the virus's DNA in blood can track the cancer.

Persistent high-risk HPV (types 16 and 18 mainly) causes virtually all cervical cancer and rising shares of oropharyngeal, anal, vulval and penile cancers; p16 immunohistochemistry is the surrogate marker in the oropharynx. HPV-positive oropharyngeal cancer has 3-year survival above 80% and its own AJCC staging, so trials test de-escalating radiotherapy dose or omitting chemotherapy, none of which has yet succeeded in a randomised trial. Circulating HPV DNA (ctHPV) detects recurrence months before imaging. HPV vaccination and HPV-based cervical screening are the route to eliminating cervical cancer.

Category
Pathology & biomarkers

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