{"id":11891,"date":"2011-10-06T11:23:00","date_gmt":"2011-10-06T18:23:00","guid":{"rendered":"http:\/\/oralcancernews.org\/wp\/?p=11891"},"modified":"2011-10-15T07:37:14","modified_gmt":"2011-10-15T14:37:14","slug":"combo-hpv-diagnostic-test-for-head-and-neck-cancer-outperforms-other-tests","status":"publish","type":"post","link":"https:\/\/oralcancernews.org\/wp\/combo-hpv-diagnostic-test-for-head-and-neck-cancer-outperforms-other-tests\/","title":{"rendered":"Combo HPV Diagnostic Test for Head and Neck Cancer Outperforms Other Tests"},"content":{"rendered":"<p><span class=\"Apple-style-span\" style=\"font-family: 'arial';\">SOURCE: American Association for Cancer Research<\/span><\/p>\n<p><span><span style=\"font-family: 'arial';\"><span style=\"font-family: 'arial';\">PHILADELPHIA &#8212; October 3, 2011 &#8212; Researchers have determined that a combination of P16 immunohistochemistry and DNA qPCR to test for viral E6 can accurately determine the oropharyngeal squamous cell carcinomas which derive from human papillomavirus (HPV) type 16, according to a study published in <em>Clinical Cancer Research<\/em>.<\/span><\/span><\/span><\/p>\n<p><span style=\"font-family: 'arial';\">&#8220;This has immediate clinical applications as we consider recruitment to clinical trials designed to de-escalate the intensity of therapy based on HPV status&#8221; said lead researcher Andrew Schache, MD, University of Liverpool, Liverpool, United Kingdom.<\/span><\/p>\n<p><span style=\"font-family: 'arial';\">Dr. Schache said that the attention surrounding HPV, particularly in the last several years, has given rise to a number of diagnostic tests, but the evaluation of these tests has lagged behind.<\/span><\/p>\n<p><span style=\"font-family: 'arial';\">For the current study, researchers evaluated 8 possible combinations of known diagnostic tests on 108 cases of HPV16 derived oropharyngeal squamous cell carcinoma. They used viral gene expression as the standard marker.<\/span><\/p>\n<p><span style=\"font-family: 'arial';\">&#8220;Viral gene expression has 100% specificity and sensitivity, but it requires very high quality tissue that is often not available,&#8221; said Dr. Schache.<\/span><\/p>\n<p><span style=\"font-family: 'arial';\">After evaluating the tests, they found that a combination of DNA qPCR and P16 immunohistochemistry had 97% sensitivity and 94% specificity.<\/span><\/p>\n<p><span style=\"font-family: 'arial';\">Both of these assays are commercially available in proprietary and generic forms, so the combination test could be administered.<\/span><\/p>\n<p><span style=\"font-family: 'arial';\">&#8220;Getting the diagnosis right is extremely important because cases like this may receive less aggressive therapy based on a positive test,&#8221; added Dr. Schache. &#8220;You do not want to withhold treatment from a more aggressive case.&#8221;<\/span><\/p>\n<p><!--StartFragment--><span style=\"font-family: 'arial';\">This news story was resourced by the Oral Cancer Foundation, and vetted for appropriateness and accuracy.<\/span> <!--EndFragment--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>SOURCE: American Association for Cancer Research PHILADELPHIA &#8212; October 3, 2011 &#8212; Researchers have determined that a combination of P16 immunohistochemistry and DNA qPCR to test for viral E6 can accurately determine the oropharyngeal squamous cell carcinomas which derive from human papillomavirus (HPV) type 16, according to a study published in Clinical Cancer Research. &#8220;This has immediate clinical applications as we consider recruitment to clinical trials designed to de-escalate the intensity of therapy based on HPV status&#8221; said lead researcher Andrew Schache, MD, University of Liverpool, Liverpool, United Kingdom. Dr. Schache said that the attention surrounding HPV, particularly in the last several years, has given rise to a number of diagnostic tests, but the evaluation of these tests has lagged behind. For the current study, researchers evaluated 8 possible combinations of known diagnostic tests on 108 cases of HPV16 derived oropharyngeal squamous cell carcinoma. They used viral gene expression as the standard marker. &#8220;Viral gene expression has 100% specificity and sensitivity, but it requires very high quality tissue that is often not available,&#8221; said Dr. Schache. After evaluating the tests, they found that a combination of DNA qPCR and P16 immunohistochemistry had 97% sensitivity and 94% specificity. Both of these assays are commercially available in proprietary and generic forms, so the combination test could be administered. &#8220;Getting the diagnosis right is extremely important because cases like this may receive less aggressive therapy based on a positive test,&#8221; added Dr. Schache. &#8220;You do not want to withhold treatment from a more  [&#8230;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[3475,3480,91,708,3476],"class_list":["post-11891","post","type-post","status-publish","format-standard","hentry","category-oral_cancer_news","tag-clinical-cancer-research","tag-dna-qpcr","tag-hpv16","tag-oropharyngeal-squamous-cell-carcinomas","tag-p16-immunohistochemistry"],"_links":{"self":[{"href":"https:\/\/oralcancernews.org\/wp\/wp-json\/wp\/v2\/posts\/11891","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/oralcancernews.org\/wp\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/oralcancernews.org\/wp\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/oralcancernews.org\/wp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/oralcancernews.org\/wp\/wp-json\/wp\/v2\/comments?post=11891"}],"version-history":[{"count":5,"href":"https:\/\/oralcancernews.org\/wp\/wp-json\/wp\/v2\/posts\/11891\/revisions"}],"predecessor-version":[{"id":11933,"href":"https:\/\/oralcancernews.org\/wp\/wp-json\/wp\/v2\/posts\/11891\/revisions\/11933"}],"wp:attachment":[{"href":"https:\/\/oralcancernews.org\/wp\/wp-json\/wp\/v2\/media?parent=11891"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/oralcancernews.org\/wp\/wp-json\/wp\/v2\/categories?post=11891"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/oralcancernews.org\/wp\/wp-json\/wp\/v2\/tags?post=11891"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}