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Updated: Jan 7, 2026

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Therapy Testing in a Spheroid-based 3D Cell Culture Model for Head and Neck Squamous Cell Carcinoma
Published on: April 20, 2018
10.2K
Head and Neck Cancer: A Review
Lara A Dunn1,2, Alan L Ho1,2, David G Pfister1,2
1Head and Neck Oncology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.
JAMA
|December 15, 2025
Summary
Head and neck cancer, a common malignancy, is often linked to tobacco, alcohol, and human papillomavirus (HPV). Treatment varies by stage, with immunotherapy emerging as a key option for advanced disease.
Area of Science:
- Oncology
- Cancer Research
Background:
- Head and neck cancer is the seventh most common cancer globally, affecting the upper aerodigestive tract.
- Squamous cell carcinomas constitute approximately 90% of these cancers, with tobacco and alcohol as primary risk factors.
- Human papillomavirus (HPV) infection is a significant cause of oropharynx cancers in the US and Europe.
Purpose of the Study:
- To outline the incidence, risk factors, staging, and current treatment modalities for head and neck cancers.
- To highlight the survival rates associated with different stages and treatment approaches.
- To emphasize the role of HPV in oropharynx cancer and the evolving treatment landscape, including immunotherapy.
Main Methods:
- Review of epidemiological data on head and neck cancer incidence and mortality.
- Analysis of risk factors, including tobacco, alcohol, and HPV infection.
- Description of standard treatment protocols based on cancer stage (localized, locoregionally advanced, metastatic).
- Summary of survival outcomes for various treatment strategies.
Main Results:
- Localized head and neck cancer treated with surgery or radiotherapy has a 5-year survival rate of 70-90%.
- Locoregionally advanced disease treatment yields 5-year survival rates of 25-60%, with over 80% for HPV-associated oropharynx cancer.
- Advanced or metastatic disease treated with immunotherapy shows a median survival of 12-15 months and <20% 5-year survival.
Conclusions:
- Treatment decisions for head and neck cancer require shared decision-making, considering functional and aesthetic outcomes.
- Immunotherapy, particularly PD-L1 inhibition, is the first-line treatment for incurable advanced or recurrent head and neck cancer.
- HPV-associated oropharynx cancers demonstrate better prognoses with appropriate treatment.
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