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Erschienen in: Head and Neck Pathology 2/2023

15.05.2023 | Proceeding of the North American Society of Head and Neck Pathology Companion Meeting, March 12, 2023, New Orleans, LA

Proceedings of the North American Society of Head and Neck Pathology Companion Meeting, New Orleans, LA, March 12, 2023: Oral Cavity Dysplasia: Why Does Histologic Grading Continue to be Contentious?

verfasst von: Rachelle Wolk, Mark W. Lingen

Erschienen in: Head and Neck Pathology | Ausgabe 2/2023

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Abstract

Head and neck squamous cell carcinoma (HNSCC) is the world’s 6th most common malignancy. Oral cavity SCC (OCSCC) represents approximately one third of the HNSCC cases diagnosed annually in the United States. Despite therapeutic advances, OCSCC is frequently lethal, with a modest 5-year survival. Because OCSCC is often preceded by premalignant lesions, it is an ideal disease for screening initiatives. The conventional visual and tactile exam (CVTE), coupled with a tissue biopsy, remains the gold standard. However, CVTE alone cannot reliably differentiate between reactive/inflammatory and dysplastic lesions. Further, the histologic diagnosis of dysplasia is subjective in nature and a highly imperfect predictor of malignant transformation. This prognostic uncertainty creates a significant clinical management dilemma—watchful waiting with increased patient psychological and economic burdens versus unnecessary aggressive treatment. As such, the development and validation of novel diagnostic platforms such as Artificial Intelligence (AI) and prognostic molecular biomarkers may help address these critical unmet clinical needs.
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Metadaten
Titel
Proceedings of the North American Society of Head and Neck Pathology Companion Meeting, New Orleans, LA, March 12, 2023: Oral Cavity Dysplasia: Why Does Histologic Grading Continue to be Contentious?
verfasst von
Rachelle Wolk
Mark W. Lingen
Publikationsdatum
15.05.2023
Verlag
Springer US
Erschienen in
Head and Neck Pathology / Ausgabe 2/2023
Elektronische ISSN: 1936-0568
DOI
https://doi.org/10.1007/s12105-023-01544-y

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