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Oncotarget. 2017 Aug 21;8(42):72342-72351. doi: 10.18632/oncotarget.20374. eCollection 2017 Sep 22.

Immunohistochemical biomarkers and volumetric parameters for predicting radiotherapy-based outcomes in patients with p16-negative pharyngeal cancer.

Oncotarget

Rui-Yun Chen, Ying-Chun Lin, Shang-Wen Chen, Tze-Yi Lin, Te-Chun Hsieh, Kuo-Yang Yen, Ji-An Liang, Shih-Neng Yang, Yao-Ching Wang, Ya-Huey Chen, Shu-Fen Chiang, Chia-Hung Kao

Affiliations

  1. Department of Pathology, China Medical University Hospital, Taichung, Taiwan.
  2. Department of Radiation Oncology, China Medical University Hospital, Taichung, Taiwan.
  3. The Ph.D. Program for Cancer Biology and Drug Discovery, China Medical University and Academia Sinica, Taichung, Taiwan.
  4. School of Medicine, China Medical University, Taichung, Taiwan.
  5. School of Medicine, Taipei Medical University, Taipei, Taiwan.
  6. Graduate Institute of Clinical Medical Science, School of Medicine, College of Medicine, China Medical University, Taichung, Taiwan.
  7. Department of Nuclear Medicine and PET Center, China Medical University Hospital, Taichung, Taiwan.
  8. Department of Biomedical Imaging and Radiological Science, China Medical University, Taichung, Taiwan.
  9. Graduate Institute of Cancer Biology, China Medical University, Taichung, Taiwan.
  10. Center for Molecular Medicine, China Medical University Hospital, Taichung, Taiwan.
  11. Cancer Center, China Medical University Hospital, Taichung, Taiwan.
  12. Department of Bioinformatics and Medical Engineering, Asia University, Taichung, Taiwan.

PMID: 29069791 PMCID: PMC5641134 DOI: 10.18632/oncotarget.20374

Abstract

BACKGROUND: This study determined the prognostic effects of immunohistochemical biomarkers and volumetric parameters predicting radiotherapy-based treatment in patients with p16-negative squamous cell carcinoma of the oropharynx or hypopharynx.

RESULTS: VEGF immunoreactivity > 2 and GLUT1 overexpression were prognostic factors for lower cause-specific survival. Moreover, both factors were associated with lower disease-free survival. The predictors of lower primary relapse-free survival were VEGF immunoreactivity > 2 and CT-based gross tumor volume > 16 mL.

MATERIALS AND METHODS: Immunohistochemical biomarkers in pretreatment biopsy specimens from 60 patients with p16-negative cancer were analyzed using tissue microarrays. Computed tomography (CT)-based and biological tumor volumes were retrieved through fluorodeoxyglucose positron emission tomography-CT. Correlations of cause-specific, disease-free, and primary relapse-free survival with volumetric parameters and the immunohistochemical biomarker score were investigated.

CONCLUSIONS: For patients with p16-negative pharyngeal cancer receiving radiotherapy, treatment outcomes can be stratified by VEGF and GLUT1 expression and CT-based gross tumor volume.

Keywords: biomarker; gross tumor volume; p16-negative pharyngeal cancer; positron emission tomography–computed tomography; squamous cell carcinoma

Conflict of interest statement

CONFLICTS OF INTEREST The authors declare no conflicts of interest.

References

  1. Int J Radiat Oncol Biol Phys. 2015 Apr 1;91(5):942-51 - PubMed
  2. Cancer. 2002 Feb 1;94(3):713-22 - PubMed
  3. Nat Rev Cancer. 2004 Jun;4(6):437-47 - PubMed
  4. J Clin Oncol. 2000 May;18(10):2046-52 - PubMed
  5. Eur J Cancer. 2014 Feb;50(3):570-81 - PubMed
  6. Int J Cancer. 2007 Oct 15;121(8):1813-20 - PubMed
  7. Br J Cancer. 2013 Oct 1;109 (7):1859-66 - PubMed
  8. Eur J Cancer. 2014 Oct;50(15):2636-48 - PubMed
  9. BMC Cancer. 2014 Nov 24;14 :876 - PubMed
  10. Oral Surg Oral Med Oral Pathol Oral Radiol. 2012 Apr;113(4):464-71 - PubMed
  11. Int J Radiat Oncol Biol Phys. 2011 May 1;80(1):249-57 - PubMed
  12. Oncotarget. 2017 Mar 7;8(10 ):16875-16886 - PubMed
  13. Head Neck. 2010 Dec;32(12):1712-9 - PubMed
  14. Nat Rev Cancer. 2003 Oct;3(10):721-32 - PubMed
  15. Radiother Oncol. 2010 Jan;94(1):30-5 - PubMed
  16. Head Neck. 2015 Nov;37(11):1665-71 - PubMed
  17. Pathology. 2007 Apr;39(2):217-22 - PubMed
  18. Jpn J Clin Oncol. 2007 Nov;37(11):812-9 - PubMed
  19. Clin Nucl Med. 2014 May;39(5):e296-300 - PubMed
  20. Eur J Cancer. 2007 Feb;43(3):520-6 - PubMed
  21. J Clin Oncol. 2008 Jul 1;26(19):3128-37 - PubMed
  22. J Clin Oncol. 2012 Jun 10;30(17):2102-11 - PubMed
  23. Laryngoscope. 2007 Dec;117(12):2115-28 - PubMed
  24. Clin Otolaryngol. 2017 Jun;42(3):608-619 - PubMed
  25. N Engl J Med. 2010 Jul 1;363(1):24-35 - PubMed
  26. J Cancer Res Clin Oncol. 2005 Sep;131(9):624-30 - PubMed
  27. Cancer. 2003 Feb 15;97(4):1015-24 - PubMed
  28. Oral Oncol. 2008 Feb;44(2):174-9 - PubMed
  29. Strahlenther Onkol. 2003 Dec;179(12):801-11 - PubMed
  30. J Natl Cancer Inst. 2008 Mar 19;100(6):407-20 - PubMed
  31. Eur J Cancer. 2010 Jul;46(11):2088-96 - PubMed

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