11. Incidence of epstein-barr virus and human papiloma virus in nasopharyngeal cancer and initial treatment result

Pham Anh Tuan, Nguyen Dinh Phuc, Tran Van Khanh

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Abstract

This study was conducted to estimate the incidence of Epstein-Barr Virus (EBV) and Human Papiloma Virus (HPV) in Nasopharyngeal cancer (NPC) and evaluate initial treatment result. Between October 2019 and April 2024, there were 30 NPC patients treated with radiotherapy and chemotherapy at the ENT National hospital and the tissue samples were tested to determine EBV and HPV. The average age of the 30 patients was 52.03 ± 12.36 years old. Male/female ratio = 3.2. Smoking history was 46.7%. Stage T1 (20%), T2 (30%), T3 (13.7%), T4 (36.3%). Stage N0 (26.7%), N1 (26.7%), N2 (43.3%), N3 (3.3%). The rate of EBV infection was 63.3%, the rate of HPV infection was 16.7%. The overall 3-year survival rate was 73.3%. The 3-year disease-free survival rate was 69.7%. The EBV-/HPV+ group had a higher overall and disease-free survival rate than the three groups EBV+/HPV-, EBV+/HPV+, EBV-/HPV-, with statistical significance. Nasopharyngeal cancer in the current era is closely related to EBV and HPV virus infection. Nasopharyngeal cancer patients infected with HPV alone had better treatment and survival outcomes than patients without HPV, or with EBV, or with both viruses.

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References

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