PMID- 30642220 OWN - NLM STAT- MEDLINE DCOM- 20200113 LR - 20210208 IS - 1097-6817 (Electronic) IS - 0194-5998 (Linking) VI - 160 IP - 6 DP - 2019 Jun TI - p16 Influence on Laryngeal Squamous Cell Carcinoma Relapse and Survival. PG - 1042-1047 LID - 10.1177/0194599818821910 [doi] AB - OBJECTIVE: (1) To identify p16 protein in laryngeal squamous cell carcinoma (LSCC) specimens and to correlate it with the presence of human papillomavirus (HPV) found in these specimens from a previous study. (2) To analyze p16 impact on 10-year overall and disease-free survival. STUDY DESIGN: Retrospective case series with oncologic database chart review. SETTING: Academic tertiary care hospital. SUBJECTS: A total of 123 samples of LSCC (taken from the glottis only) from patients treated with primary surgical resection between 1977 and 2005. METHODS: p16 protein expression was analyzed through immunohistochemistry and compared with the presence of HPV established in our previous studies. Results were compared with histologic, clinicopathologic, and survival parameters, with a 10-year follow-up. RESULTS: Of the samples, 39.02% were positive for p16, but only 11.38% were positive for both p16 and HPV. The p16+ cohort showed a significant improvement in disease-free survival ( P = .0022); statistical significance was not achieved for overall survival. p16+ cases had fewer relapses over time, with no relapses after a 2-year follow-up. Age at the time of diagnosis and tobacco consumption were the only epidemiologic factors that influenced overall survival. CONCLUSION: The expression of p16 protein was a beneficial prognostic factor for disease-free survival among patients with LSCC of the glottis, with no relapses after a 2-year follow-up. FAU - Sanchez Barrueco, Alvaro AU - Sanchez Barrueco A AD - 1 ENT and Cervicofacial Surgery Department, Hospital Universitario Fundacion Jimenez Diaz, Madrid, Spain. FAU - Gonzalez Galan, Fernando AU - Gonzalez Galan F AD - 1 ENT and Cervicofacial Surgery Department, Hospital Universitario Fundacion Jimenez Diaz, Madrid, Spain. FAU - Villacampa Auba, Jose Miguel AU - Villacampa Auba JM AD - 1 ENT and Cervicofacial Surgery Department, Hospital Universitario Fundacion Jimenez Diaz, Madrid, Spain. FAU - Diaz Tapia, Gonzalo AU - Diaz Tapia G AD - 1 ENT and Cervicofacial Surgery Department, Hospital Universitario Fundacion Jimenez Diaz, Madrid, Spain. FAU - Fernandez Hernandez, Sofia AU - Fernandez Hernandez S AD - 2 Pathology Department, Haugesund Sjukehus Helse Fonna, Haugesund, Norway. FAU - Martin-Arriscado Arroba, Cristina AU - Martin-Arriscado Arroba C AD - 3 Spanish Clinical Research Network, Hospital Universitario 12 de Octubre, Madrid, Spain. FAU - Cenjor Espanol, Carlos AU - Cenjor Espanol C AD - 1 ENT and Cervicofacial Surgery Department, Hospital Universitario Fundacion Jimenez Diaz, Madrid, Spain. FAU - Almodovar Alvarez, Carlos AU - Almodovar Alvarez C AD - 4 ENT and Cervicofacial Surgery Department. Hospital Universitario 12 de Octubre, Madrid, Spain. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20190115 PL - England TA - Otolaryngol Head Neck Surg JT - Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery JID - 8508176 RN - 0 (CDKN2A protein, human) RN - 0 (Cyclin-Dependent Kinase Inhibitor p16) SB - IM MH - Aged MH - Carcinoma, Squamous Cell/blood/*mortality/virology MH - Cyclin-Dependent Kinase Inhibitor p16/*blood MH - Disease-Free Survival MH - Female MH - *Glottis MH - Humans MH - Laryngeal Neoplasms/blood/*mortality/virology MH - Male MH - Middle Aged MH - *Papillomaviridae MH - Papillomavirus Infections/blood/complications/*mortality MH - Retrospective Studies MH - Survival Rate OTO - NOTNLM OT - disease-free survival OT - larynx OT - p16 OT - relapse OT - squamous cell carcinoma EDAT- 2019/01/16 06:00 MHDA- 2020/01/14 06:00 CRDT- 2019/01/16 06:00 PHST- 2019/01/16 06:00 [pubmed] PHST- 2020/01/14 06:00 [medline] PHST- 2019/01/16 06:00 [entrez] AID - 10.1177/0194599818821910 [doi] PST - ppublish SO - Otolaryngol Head Neck Surg. 2019 Jun;160(6):1042-1047. doi: 10.1177/0194599818821910. Epub 2019 Jan 15.