Immunotherapy in head and neck squamous cell carcinoma and rare head and neck malignancies

Stefano Cavalieri1,2, Daria Maria Filippini1, Arianna Ottini1

  • 1Head and Neck Cancer Medical Department, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, via Venezian 1, 20133 Milan, Italy.

Insights

Immunotherapy, including immune checkpoint inhibitors (ICIs), offers new hope for recurrent/metastatic head and neck squamous cell carcinoma (HNSCC). This review summarizes current immunotherapy applications and future directions for HNSCC treatment.

Area of Science:

  • Oncology
  • Immunology

Background:

  • Recurrent/metastatic head and neck squamous cell carcinoma (HNSCC) has a poor prognosis.
  • Advances in understanding HNSCC genomics and immune responses have enabled novel therapeutic strategies.
  • Cytotoxic chemotherapy has limitations, driving the need for alternative treatments.

Purpose of the Study:

  • To review the current role of immunotherapy in managing R/M HNSCC.
  • To discuss future perspectives for immunotherapy in HNSCC.
  • To present updated immunotherapy data for other R/M head and neck cancers.

Main Methods:

  • Literature review of clinical practice and research data.
  • Analysis of immunotherapy outcomes in R/M HNSCC.
  • Inclusion of data from related head and neck malignancies.

Main Results:

  • Immune checkpoint inhibitors (ICIs) have significantly improved outcomes for R/M HNSCC patients.
  • ICIs represent a paradigm shift from traditional cytotoxic therapies.
  • Immunotherapy shows promise for early-stage HNSCC as well.

Conclusions:

  • Immunotherapy, particularly ICIs, is a vital treatment modality for R/M HNSCC.
  • Further research is needed to optimize immunotherapy strategies and explore its potential in earlier disease stages.
  • Expanding immunotherapy applications to other head and neck cancers is an active area of investigation.

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