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Response to R-CHOP in HPV-related squamous cell carcinoma of base of tongue: a case report.


ABSTRACT: Background:Synchronous squamous cell carcinoma of the head and neck (HNSCC) and non-Hodgkin's lymphoma is a rare clinical scenario. It is unknown whether the R-CHOP chemotherapy for lymphoma would also be active against HNSCC. Herein, we present such a case and a review of the literature. Case presentation:A 64 year-old female presented with painless jaundice. CT demonstrated a retroperitoneal mass and pathology showed follicular lymphoma. A base-of-tongue HPV+ squamous cell carcinoma was found incidentally on staging CT. R-CHOP chemotherapy was initiated. After 3 cycles of R-CHOP the lymphoma had a complete metabolic response and, unexpectedly, the HNSCC also demonstrated excellent response. The patient received another 3 cycles followed by radiation to the HNSCC and to date is in remission for both cancers. Conclusions:This case highlights the exquisite sensitivity of HPV-related HNSCC, which should be taken into consideration in treatment prioritization of a concurrent diagnosis of a second cancer.

SUBMITTER: Ma TM 

PROVIDER: S-EPMC6460839 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature

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Response to R-CHOP in HPV-related squamous cell carcinoma of base of tongue: a case report.

Ma Ting Martin TM   Kang Hyunseok H   Rowe Steven P SP   Kiess Ana P AP  

Cancers of the head & neck 20180524


<h4>Background</h4>Synchronous squamous cell carcinoma of the head and neck (HNSCC) and non-Hodgkin's lymphoma is a rare clinical scenario. It is unknown whether the R-CHOP chemotherapy for lymphoma would also be active against HNSCC. Herein, we present such a case and a review of the literature.<h4>Case presentation</h4>A 64 year-old female presented with painless jaundice. CT demonstrated a retroperitoneal mass and pathology showed follicular lymphoma. A base-of-tongue HPV<sup>+</sup> squamous  ...[more]

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