Volume 44, Issue 8 pp. E25-E30
CASE REPORT

Assessing plasma circulating tumor human papillomavirus (HPV) DNA in determining treatment response in HPV-associated oropharyngeal cancer

Kevin K. Zarrabi MD

Kevin K. Zarrabi MD

Department of Medical Oncology, Fox Chase Cancer Center, Philadelphia, Pennsylvania, USA

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Thomas J. Galloway MD

Thomas J. Galloway MD

Department of Radiation Oncology, Fox Chase Cancer Center, Philadelphia, Pennsylvania, USA

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Douglas B. Flieder MD

Douglas B. Flieder MD

Department of Pathology, Fox Chase Cancer Center, Philadelphia, Pennsylvania, USA

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Sameera S. Kumar MD

Sameera S. Kumar MD

Department of Radiation Oncology, Fox Chase Cancer Center, Philadelphia, Pennsylvania, USA

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Julia Judd DO

Julia Judd DO

Department of Medical Oncology, Fox Chase Cancer Center, Philadelphia, Pennsylvania, USA

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Jessica R. Bauman MD

Corresponding Author

Jessica R. Bauman MD

Department of Medical Oncology, Fox Chase Cancer Center, Philadelphia, Pennsylvania, USA

Correspondence

Jessica R. Bauman, Department of Medical Oncology, Fox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111, USA.

Email: [email protected]

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First published: 12 May 2022
Citations: 1

Abstract

Background

Human papillomavirus (HPV)-mediated oropharyngeal squamous cell carcinoma is a subset of head and neck cancer with a unique mechanism of carcinogenesis. Local disease is treated definitively with a multimodal approach. Navigating recurrences can be challenging, as they are sometimes indiscernible from de novo primary malignancies. Identification of dynamic biomarkers that are specific to HPV-mediated disease may assist in disease monitoring. We present a 78-year-old man who developed a squamous cell carcinoma in the lung 7 years after completing definitive chemoradiation for his p16+ head and neck squamous cell carcinoma.

Methods

A novel assay for plasma circulating tumor HPV DNA was employed and provided a tool for longitudinal disease monitoring during therapy.

Conclusion

We bring attention to a novel assay and highlight its potential for use in the treatment paradigm of HPV-mediated oropharyngeal carcinoma.

DATA AVAILABILITY STATEMENT

Data sharing is not applicable to this article as no new data were created or analyzed in this study.

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