Prognostic value of hypoxia-associated markers in advanced larynx and hypopharynx squamous cell carcinoma.

Jonathan M Bernstein, Timothy D Andrews, Nick J Slevin, Catharine M L West, Jarrod J Homer

    Research output: Contribution to journalArticlepeer-review

    Abstract

    OBJECTIVES/HYPOTHESIS: To determine the prognostic value of hypoxia-associated markers carbonic anhydrase-9 (CA-9) and hypoxia-inducible factor-1α (HIF-1α) in advanced larynx and hypopharynx squamous cell carcinoma (SCCa) treated by organ preservation strategies. STUDY DESIGN: Retrospective cohort study. METHODS: Pretreatment CA-9 and HIF-1α expression, clinicopathologic data, and tumor volume were analyzed in a series of 114 patients with T3-4 SCCa larynx or hypopharynx treated by (chemo)radiation. RESULTS: Adverse prognostic factors for locoregional control were T4 classification (P = 0.008), and for disease-specific survival were CA-9 positivity (P = 0.039), T4 classification (P = 0.001), larger tumor volume (P = 0.004), N1-3 classification (P = 0.002), and pretreatment hemoglobin 
    Original languageEnglish
    JournalThe Laryngoscope
    Volume125
    Issue number1
    DOIs
    Publication statusPublished - Jan 2015

    Keywords

    • CA-9
    • HIF-1α
    • Head and neck squamous cell carcinoma
    • biomarker
    • hypopharynx
    • larynx
    • tumor hypoxia
    • tumor volume

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