PMID- 21160525 OWN - NLM STAT- MEDLINE DCOM- 20110201 LR - 20220410 IS - 1474-1768 (Electronic) IS - 1474-175X (Linking) VI - 11 IP - 1 DP - 2011 Jan TI - The molecular biology of head and neck cancer. PG - 9-22 LID - 10.1038/nrc2982 [doi] AB - Head and neck squamous cell carcinomas (HNSCCs) are caused by tobacco and alcohol consumption and by infection with high-risk types of human papillomavirus (HPV). Tumours often develop within preneoplastic fields of genetically altered cells. The persistence of these fields after treatment presents a major challenge, because it might lead to local recurrences and second primary tumours that are responsible for a large proportion of deaths. Aberrant signalling pathways have been identified in HNSCCs and inhibition of epidermal growth factor receptor (EGFR) has proved a successful therapeutic strategy. In this Review, we discuss the recent literature on tumour heterogeneity, field cancerization, molecular pathogenesis and the underlying causative cancer genes that can be exploited for novel and personalized treatments of patients with HNSCC. FAU - Leemans, C Rene AU - Leemans CR AD - Department of Otolaryngology-Head and Neck Surgery, VU University Medical Center, Amsterdam, The Netherlands. cr.leemans@vumc.nl FAU - Braakhuis, Boudewijn J M AU - Braakhuis BJ FAU - Brakenhoff, Ruud H AU - Brakenhoff RH LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20101216 PL - England TA - Nat Rev Cancer JT - Nature reviews. Cancer JID - 101124168 SB - IM CIN - Nat Rev Cancer. 2011 May;11(5):382; author reply 382. PMID: 21455256 MH - Animals MH - Head and Neck Neoplasms/*genetics/*pathology MH - Humans MH - Molecular Biology EDAT- 2010/12/17 06:00 MHDA- 2011/02/02 06:00 CRDT- 2010/12/17 06:00 PHST- 2010/12/17 06:00 [entrez] PHST- 2010/12/17 06:00 [pubmed] PHST- 2011/02/02 06:00 [medline] AID - nrc2982 [pii] AID - 10.1038/nrc2982 [doi] PST - ppublish SO - Nat Rev Cancer. 2011 Jan;11(1):9-22. doi: 10.1038/nrc2982. Epub 2010 Dec 16.