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@ARTICLE{Dietz:303016,
author = {A. Dietz and K. Taylor and O. Bayer and S. Singer and M.
Follmann and M. Nothacker and T. Langer and P. Klussmann and
S. Lang and T. Hoffmann and G. Maschmeyer and S. Wiegand and
M. Fuchs and W. Weichert and J. Hess$^*$ and O.
Guntinas-Lichius and T. Waterboer$^*$ and M. Lell and J.
Büntzel and P. Balermpas and K. Schmidt and M. Steingräber
and G. Klautke and H. Hellmund and G. Kissinger and P.
Brossart and I. Maatouk and B. Lethaus and J. Raguse and K.
Zöphel and K. Lippach and F. Sterr and H. Christiansen and
C. Duncker and A. Keilmann and H. Cici and J. Yzer and A.
Relic and K. Paradies and W. Budach},
title = {{E}vidence-based guideline diagnosis, treatment, prevention
and aftercare of oropharyngeal and hypopharyngeal carcinoma.
= {GMS} {G}er {M}ed {S}ci},
journal = {GMS german medical science},
volume = {23},
issn = {1612-3174},
address = {Berlin},
publisher = {German Medical Science (GMS) gGmbH},
reportid = {DKFZ-2025-01463},
pages = {Doc03},
year = {2025},
note = {2025 Jun 24:23:Doc03},
abstract = {The guideline is being drawn up as a joint guideline for
oropharyngeal and hypopharyngeal carcinoma. Oropharyngeal
carcinoma in particular has experienced the greatest
increase in incidence among all head and neck carcinomas in
the last 20 years and is now the sixth most common cancer in
men in Germany. Together with hypopharyngeal carcinoma,
these tumors are currently the most common cancer entity in
the head and neck region. Due to the association with human
papillomavirus type 16 (HPV16), we now distinguish two
groups of oropharyngeal carcinomas in Germany:
HPV16-positive (approx. $35\%)$ and HPV-negative (approx.
$65\%).$ A HPV16 association with hypopharyngeal carcinoma
has not been described. The therapy covers the entire
spectrum of head and neck surgery, including diversified
reconstructive procedures, transoral and external
approaches, the options for primary and adjuvant
radiotherapy (possibly in combination with chemotherapy) and
the current recommendations for drug-based tumor therapy,
which range from classic chemotherapy to immuno-oncology. In
addition, measures for early detection and prevention are
carried out, with particular consideration of the
HPV16-associated genesis of oropharyngeal carcinoma, as well
as adequate rehabilitation after the primary treatment of
oropharyngeal and hypopharyngeal carcinomas. Finally, the
treatment options for recurrences or distant metastases that
cannot be cured in the further course of the disease are
shown and classified.},
subtyp = {Review Article},
keywords = {Humans / Male / Aftercare: standards / Combined Modality
Therapy / Evidence-Based Medicine / Germany / Human
papillomavirus 16 / Hypopharyngeal Neoplasms: therapy /
Hypopharyngeal Neoplasms: diagnosis / Hypopharyngeal
Neoplasms: prevention $\&$ control / Hypopharyngeal
Neoplasms: virology / Oropharyngeal Neoplasms: therapy /
Oropharyngeal Neoplasms: diagnosis / Oropharyngeal
Neoplasms: prevention $\&$ control / Oropharyngeal
Neoplasms: virology / Papillomavirus Infections: diagnosis /
Papillomavirus Infections: therapy / HPV16 (Other) / head
and neck cancer (Other) / hypopharynx carcinoma (Other) /
oropahyrnx carcinoma (Other) / p16 (Other)},
cin = {E220 / D320},
ddc = {310},
cid = {I:(DE-He78)E220-20160331 / I:(DE-He78)D320-20160331},
pnm = {314 - Immunologie und Krebs (POF4-314)},
pid = {G:(DE-HGF)POF4-314},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:40655928},
pmc = {pmc:PMC12247573},
doi = {10.3205/000339},
url = {https://inrepo02.dkfz.de/record/303016},
}