Head and neck cancer on rise in young men

Source: www.healthcanal.com Author: staff “The head and neck cancers we have found in younger men with no known risk factors such as smoking are very frequently associated with the same HPV virus that causes cervical cancer in women." said Kerstin Stenson, MD, a head and neck cancer surgeon at Rush and a professor of otolaryngology at Rush University. The cancer develops from an HPV infection, likely acquired several years earlier from oral sex. "Men are more susceptible to these cancers because they don’t seem to have the same immune response as women and do not shed the virus like women do,” Stenson said. 'Epidemic proportions' According to the Centers for Disease Control and Prevention, cancers of the oropharynx (back of the throat, including the base of the tongue and tonsils) are usually caused by tobacco and alcohol, but recent studies show that about 72 percent of oropharyngeal cancers are caused by HPV. “There has been significant change in the last decade. Overall, head and neck cancers account for approximately 3 to 5 percent of all cancers, but what’s changed in the past decade is the HPV-associated oropharyngeal cancer. It has reached epidemic proportions,” said Stenson. The American Cancer Society estimates that 45,780 Americans will be diagnosed with cancer of the oral cavity and oropharynx in 2015. If this trend continues, the number of cases of HPV-positive oropharyngeal cancer will surpass the number of cervical cancer cases. Early detection is key The current vaccine has been shown to decrease the incidence [...]

Asia’s deadly secret: the scourge of the betel nut

Source: www.bbc.com Author: staff It is used by almost a tenth of the world's population. It gives people a buzz equivalent to six cups of coffee and is used variously as a symbol of love, marriage and a cure for indigestion and impotence. But it is also leading tens of thousands to an early grave. The culprit? The humble betel nut. Found across Asia, these nuts are harvested from the Areca palm and are chewed for their warming glow and stimulating properties. Such is its effectiveness, that alongside nicotine, alcohol and caffeine, betel nuts are believed to be one of the most popular mind-altering substances in the world. Although used by women and children, the nuts are especially popular among working-age men, who chew to stay awake through long hours of driving, fishing or working on construction sites. But the short-lived benefits come at a terrible cost. High rates of oral cancer are destroying the lives of many who buy betel nuts, often decades after their first taste. Now in Taiwan, where the nuts are affectionately known as 'Taiwan's chewing gum', the government is taking action to curb this centuries-old habit and reduce the thousands of lives lost each year. Dangerous combination Regular betel nut chewers stand out from the crowd with their red-stained lips and teeth The betel nut is a key part of many Asian cultures and can be consumed dried, fresh or wrapped up in a package known as a quid. Although the exact preparation [...]

Cure Possible for Some HPV-Positive Oropharyngeal Cancers

Source: www.medscape.com Author: Fran Lowry In a subset of patients with human papillomavirus (HPV)-related oropharyngeal cancer, the goal of achieving a "cure" is a realistic one, even in patients who have limited distant metastases, a prospective study has shown. Of the patients with HPV-positive oropharyngeal cancer and distant metastases, 10% survived more than 2 years after intensive treatment, which the researchers defined as a cure. The study was presented at the 5th International Conference on Innovative Approaches in Head and Neck Oncology (ICHNO) in Nice, France. The research was praised by Jean Bourhis, MD, head of the Department of Radiation Oncology at Centre Hospitalier Université Vaudois in Lucerne, Switzerland, and cochair of the ICHNO conference scientific committee. "This important piece of research adds substantially to what we know about the role and the importance of the human papillomavirus in oropharyngeal cancers and gives real hope of improvement in both diagnosis and treatment to those who are affected by the condition," he said in a statement. This study, from a world-leading group of head and neck cancer experts, is very interesting, and related to relevant clinical and interdisciplinary questions," said Daniel Zips, MD, professor of radiation oncology at the University of Tübingen in Germany. "HPV status is also important for the management of metastatic disease," he told Medscape Medical News. He agrees that for some patients with HPV-positive oropharyngeal cancer, using the researchers' definition, a cure is possible. "I also agree that the results from this study might begin to change [...]

Researchers propose new staging model for HPV+ oropharyngeal cancer

Source: www.drbicuspid.com Author: Donna Domino Researchers are proposing a new tumor-staging model for predicting the outcomes and guiding treatments for patients with human papillomavirus (HPV)-related oropharyngeal cancer (OPC), according to a new study in the Journal of Clinical Oncology. Since HPV-related cancer differs significantly from smoking-related cancer, less intensive treatment strategies may be more appropriate, the study authors concluded. Treatment regimens for oropharyngeal cancer have intensified over time and carry a toxicity burden, the Canadian researchers noted. In the last few years, research has found that oropharyngeal cancer caused by HPV behaves differently than OPC caused by smoking and alcohol, yet both cancers use the same tumor classification model. Therefore, regardless of whether the OPC was caused by HPV or smoking, the treatment and perceived prognosis based on tumor staging has remained the same, even though patient outcomes vary considerably, the study authors noted (Journal of Clinical Oncology, February 10, 2015, Vol. 31:5, pp. 543-550). A new tumor-staging model will help separate patients with promising prognoses from those with negative ones to design the most appropriate treatment strategies for each group, according to the researchers from Toronto's Princess Margaret Cancer Centre. The researchers analyzed 899 oropharyngeal cancer patients, including 505 (56%) patients with HPV who had been treated with radiotherapy or chemoradiotherapy from 2001 to 2009. The HPV-positive patients (382) had higher recurrence-free survival rates after about four years compared with HPV-negative patients (123). Disease recurrence was 16.7% (64) among HPV-positive patients; 38.2% among HPV-negative patients (47). The tumor staging [...]

2015-02-25T08:55:13-07:00February, 2015|Oral Cancer News|

New model proposed for predicting outcomes more accurately in HPV-related throat cancer patients

Source: www.news-medical.net Author: staff Researchers at the Princess Margaret Cancer Centre are proposing a new model to enable doctors to predict outcomes more accurately for patients with throat cancers specifically caused by Human Papillomavirus (HPV). The findings are published online today in the Journal of Clinical Oncology. Study investigators, Dr. Brian O'Sullivan, Lead, Head and Neck Cancer Site Group and Shao-Hui Huang, Research and Clinical Radiation Therapist at Princess Margaret Cancer Centre, have determined that a new model for classifying the most frequently seen throat cancers in our geographic location is needed. This classification incorporates individual patient factors including age and their smoking status with the traditional classification of the extent of disease, to offer a more personalized approach to predict outcomes and guide treatment. "Our study shows that the current model derived for smoking and alcohol related cancers is not suited for throat cancer caused by HPV, a burgeoning throat cancer population in the Western World, including Canada," says Huang. "This is the future of tumour staging. We need to consider the patient as a whole. Both individual factors, how extensive the disease is in the patient, and tumour biology should play a role in determining the best course of treatment." The purpose of a tumour staging system is to classify the disease into early, intermediate or advanced stage cancer. This classification helps determine treatment plans and can suggest what is likely to be the outcome. In recent years, it's been discovered that throat cancer caused by HPV behaves [...]

2015-02-11T07:56:14-07:00February, 2015|Oral Cancer News|

Inherited factors linked to head and neck cancers in young adults

Source: www.news-medical.net Author: Oxford University Press An article published online today in the International Journal of Epidemiology pools data from 25 case-control studies and conducts separate analyses to show that head and neck cancers (HNC) in young adults are more likely to be as a result of inherited factors, rather than lifestyle factors such as smoking or drinking alcohol. Approximately 550,000 new cases of HNC are diagnosed worldwide annually, with an increased incidence in young adults (YA) also being reported. In particular, reports indicate an increase in tumours affecting the tongue and oropharynx among young adults in Europe, the United States, India, and China. Dr Tatiana Natasha Toporcov and colleagues pooled data from 25 studies from the International Head and Neck Cancer Epidemiology (INHANCE) consortium to compare the role of major risk factors and family history in HNC for YA (45 years of age or younger) and older adults (over 45 years of age). Participants were surveyed about their history of cigarette smoking, alcohol drinking, and diet, as well as family history of cancer. In total, there were 2,010 cases and 4,042 controls in YA, and 17,700 cases and 22,704 controls in older adults. The attributable fraction (an estimate of the proportion of cases which could be avoided if the exposures were eliminated) for smoking on the risk of HNC was 20% in young women, 49% in older women, 46% in young men, and 64% in older men. The attributable fraction for drinking alcohol on the risk of HNC was [...]

Coupling head and neck cancer screening and lung cancer scans could improve early detection, survival

Source: www.medicalnewstoday.com Author: staff Adding head and neck cancer screenings to recommended lung cancer screenings would likely improve early detection and survival, according to a multidisciplinary team led by scientists affiliated with the University of Pittsburgh Cancer Institute (UPCI), a partner with UPMC CancerCenter. In an analysis published in the journal Cancer and funded by the National Institutes of Health (NIH), the team provides a rationale for a national clinical trial to assess the effectiveness of adding examination of the head and neck to lung cancer screening programs. People most at risk for lung cancer are also those most at risk for head and neck cancer. "When caught early, the five-year survival rate for head and neck cancer is over 83 percent," said senior author Brenda Diergaarde, Ph.D., assistant professor of epidemiology at Pitt's Graduate School of Public Health and member of the UPCI. "However, the majority of cases are diagnosed later when survival rates generally shrink below 50 percent. There is a strong need to develop strategies that will result in identification of the cancer when it can still be successfully treated." Screening patients for head and neck cancer and lung cancer could improve early detection and survival. Head and neck cancer is the world's sixth-most common type of cancer. Worldwide every year, 600,000 people are diagnosed with it and about 350,000 die. Tobacco use and alcohol consumption are the major risk factors for developing the cancer. The early symptoms are typically a lump or sore in [...]

Majority of public unaware of alcohol’s link with cancer

Source: www.cancerresearchuk.org Author: staff More than half of the British public are unaware of the link between alcohol consumption and cancer, according to a survey from the Alcohol Health Alliance UK (AHA) (link is external). The UK- wide poll found that just 47 per cent of people were aware of any connection between alcohol and the disease. But an overwhelming majority (83 per cent) would back further nutritional and health information on alcohol labelling. Sarah Williams, Cancer Research UK’s senior health information officer, said: “Alcohol has long been a scientifically established cause of cancer, but there is surprisingly low awareness among the public of this link. “And it isn't just a risk for heavy drinkers; regularly drinking alcohol puts you at greater risk of seven different types of cancer, including breast and mouth cancer” Alcohol is currently exempt from the EU legislation that makes it mandatory for food products and soft drinks to carry nutritional value information, despite alcohol being classed as a group 1 carcinogen by the World Health Organisation (link is external). The AHA's chair, Sir Ian Gilmore, says the lack of health information on many alcoholic products is "indefensible". “It’s not right that labelling is mandatory for a box of corn flakes but not for alcoholic products which can seriously harm health,” he said. Gilmore urges the Government to start listening to public opinion on this issue rather than the demands of big businesses. The results from the survey of 3077 people showed that nine in 10 [...]

Oral cancer on rise in young people

Source: www.wwltv.com Author: Jaclyn Kelley Alex Dupuy is like most 15-year-old boys, except for one very special talent. Last year he stole the headlines during a bowling tournament for bowling a perfect 300. But that high wouldn't last long. "My son came to us one day and said I have an ulcer, and we thought, OK, let's gargle with some salt water and we kept checking on it and it never went away," said Nancy Dupuy, Alex's mother. When the sore on Alex's tongue never cleared up, but instead started growing, his mother became concerned and took him to see the doctor. "It has grown so rapidly that I would really like to have the tumor or whatever it was removed," she said. Alex was taken to Children's Hospital for surgery, and doctors removed the sore and 30 percent of his tongue. Three days later test results came back confirming the Dupuy's worst fears: It was cancer. "The word aggressive stuck out to me," Nancy Dupuy said. "The type of cancer that my son presented with was an adult cancer. It's not usually diagnosed in young children." The doctors said Alex had a rapid form of squamous cell carcinoma of the tongue. Four days later he and his parents were on a plane to MD Anderson Cancer Center in Houston. Through it all, Alex managed to stay positive. "I felt nervous, I felt scared and I told myself, I'll be alright," Alex said. In Houston Alex would have yet another [...]

2014-12-31T06:23:34-07:00December, 2014|Oral Cancer News|

Red wine: Cancer causing or cancer protective? Researchers say both

Source: Medical News Today Author: David McNamee People who drink red wine have the lowest incidence of cancer caused by alcohol, and researchers think they know why that is. A new study published in the medical journal Advances in Experimental Medicine and Biology explains that while alcohol has cancer causing effects, red wine offers an anti-cancer quality that most other forms of alcohol do not offer. The study was completed by researchers at the University of Colorado Cancer Center. When people first begin to metabolize alcohol, it is converted to acetyl aldehyde, a known carcinogen. “With enough alcohol, the body can get behind and end up with a backlog of acetyl aldehyde,” Dr. Robert Sclafani, the author of the paper, said. As he looked at epidemiological studies of head and neck cancer, he noted that alcohol is a major factor. He explained that when he separated the data into the type of alcohol, it was clear that people who drank red wine seemed to be more protected from cancer. “In red wine, there’s something that’s blocking the cancer-causing effect of alcohol,” Sclafani said. Sclafani believed the resveratrol found in the skin of the grapes used to make red wine removes the most damaged cells from wine drinkers’ bodies. The most heavily damaged cells are also the cells most likely to turn cancerous, according to Medical News Today. “Alcohol bombards your genes,” Sclafani explained. “Your body has ways to repair this damage, but with enough alcohol eventually some damage isn’t fixed. [...]

2019-02-05T12:23:33-07:00December, 2014|Oral Cancer News|
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