Association between the standardized uptake value and high-risk HPV in hypopharyngeal squamous cell carcinoma

Abstract

Conclusion: Median ¹⁸F-FDG PET/CT maximum standardized uptake values (SUV_max) cut-off values of 7.9 or greater were associated with high-risk human papillomavirus (HPV) negativity in patients with hypopharyngeal squamous cell carcinoma (HPSCC). Furthermore, median ¹⁸F-FDG PET/CT SUV_max cut-off values of 7.9 or greater and high-risk HPV negativity were associated with adverse outcomes. Objectives: We studied the association and the potential prognostic significance of ¹⁸F-FDG PET/CT and high-risk HPV status in HPSCC. Methods: The medical records of 45 patients who underwent ¹⁸F-FDG PET/CT for HPSCC before surgery were reviewed. High-risk HPV in situ hybridization was performed to detect HPV infection. Results: The median SUV_max was 9.91 ± 4.91 (range 1.9–22.1) and the positive rate of high-risk HPV in situ hybridization was 11% (5 of 45). The SUV_max values of negativity for the high-risk HPV subtypes (10.47 ± 4.87) and positivity (5.48 ± 2.45) were found to be significantly different (p = 0.030). The SUV_max cut-off value for differentiating negativity for the high-risk HPV subtypes from positivity was 7.9, with a sensitivity of 65% and a specificity of 80%. The 5-year disease-specific survival rate (DSSR) in our cohort was 57%. Patients with an SUV_max value higher than 7.9 (p = 0.005) and high-risk HPV negativity (p = 0.047) had decreased 5-year DSSR.

Keywords::

• Hypopharyngeal neoplasms
• positron-emission tomography
• papillomaviridae
• treatment outcome

Acknowledgment

This work was supported by the Institute of Clinical Medicine Research of Bucheon St. Mary's Hospital, Research Fund, 2014.

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.