Non-Cochrane · aetiology · PM41129372

Spatial evidence for carcinoma in situ (CIS) as an entity in human papillomavirus (HPV)-associated tonsillar squamous cell carcinoma (TSCC).

Näsman Tobias, Birgersson Madeleine, Marklund Linda, et al. · International journal of cancer · 2026 · PubMed · doi:10.1002/ijc.70207

Findings

Population Patients with HPV-associated tonsillar squamous cell carcinoma (TSCC)

3 findings

Tumor origin (anatomical site of origin within the tonsil)Crypt origin vs surface originOdds of cryptal origin
Pathology series of HPV-associated TSCC
OR 3.6 [3.2, 4.0]
GRADE not reported
4 studies · 396 participants
Tumor origin (anatomical site of origin within the tonsil)Crypt origin vs surface originProportion of tumors with surface origin
Pathology series of HPV-associated TSCC
Proportion (%) 14 [10, 17]
GRADE not reported
4 studies · 396 participants
Tumor origin (anatomical site of origin within the tonsil)Crypt origin vs surface originProportion of tumors with crypt origin
Pathology series of HPV-associated TSCC
Proportion (%) 87 [83, 90]
GRADE not reported
4 studies · 396 participants

Included primary studies 4

Open in Studies
StudyYearAlso included byOutcomes it informs hereTrial data
Begum 2005
Tissue distribution of human papillomavirus 16 DNA integration in patients with tonsillar carcinoma.
PMID:16115905
2005this review onlynot statednot extracted yet
Kim 2007
HPV integration begins in the tonsillar crypt and leads to the alteration of p16, EGFR and c-myc during tumor formation.
PMID:17205528
2007this review onlynot statednot extracted yet
Morbini 2015
Markers of squamocolumnar junction cells in normal tonsils and oropharyngeal cancer with and without HPV infection.
PMID:25644820
2015this review onlynot statednot extracted yet
Thompson 2020
Oropharyngeal Squamous Cell Carcinoma in 390 Patients: Analysis of Clinical and Histological Criteria Which Significantly Impact Outcome.
PMID:31741151
2020this review onlynot statednot extracted yet

Review question

ElementPlanned (methods)Found (results)
PopulationPatients with HPV-associated oropharyngeal/tonsillar squamous cell carcinomaHPV-associated tonsillar SCC (n=396 cases with extractable origin)
InterventionTumor origin site (crypt, surface)Crypt origin (n=343); surface origin (n=53)
ComparisonNot specifiedNot applicable
OutcomesTumor origin; presence and localization of dysplasia and tumor centerProportion cryptal 87% (83-90%); surface 14% (10-17%); OR cryptal 3.6 (3.2-4.0)
Study designsAll types of original studies in English, excluding reviews4 retrospective cohort studies
TimingNot specifiedNot specified