Flowchart of patient selection and stratification. A clinical trial of chemotherapy given at the same time as. The results of these tests can show if your condition has changed or if the cancer has recurred (come back). Epub 2017 Feb 27. Lan XY, Chung TT, Huang CL, Lee YJ, Li WC. Clipboard, Search History, and several other advanced features are temporarily unavailable. Squamous cell carcinoma (SCC) is the second most common skin cancer. Results: As with most head and neck sites, squamous cell carcinoma is the most common oral cancer. Surgery may include neck dissection. Head and neck cancer is a group of cancers that starts in or near your throat, voice box, nose, sinuses, or mouth. The cancer spreads from where it began by getting into the lymph system. Decisions about whether to continue, change, or stop treatment may be based on the results of these tests. If a clinical trial shows that a new treatment is better than one currently being used, the new treatment may become "standard." Trials are based on past studies and what has been learned in the laboratory. 2019 Nov;34(6):1313-1323. doi: 10.3904/kjim.2017.397. A doctor needs to know the stage of the disease to plan treatment. Some of the tests that were done to diagnose the cancer or to find out the stage of the cancer may be repeated. There are three ways that cancer spreads in the body. Symptoms for head and neck cancer may include a lump or sore that does not heal, a sore throat that does not go away, trouble swallowing, or a change in the voice. Squamous cells are found in the outer layer of skin and in the mucous membranes, which are the moist tissues that line body cavities such as the airways and intestines. The doctor will try to find the primary tumor (the cancer that first formed in the body), because There are different types of treatment for patients with More information on insurance coverage is available on Cancer.gov on the Managing Cancer Care page. Questions can also be submitted to Cancer.gov through the website’s E-mail Us. Treatment for metastatic squamous neck cancer with occult Images in this summary are used with permission of the author(s), artist, and/or publisher for use in the PDQ summaries only. collarbone, it is called metastatic squamous neck cancer. R01 CA090731/CA/NCI NIH HHS/United States, T32 CA009156/CA/NCI NIH HHS/United States, NCI CPTC Antibody Characterization Program. PDQ is a service of the NCI. Methods: 2017 May 1;123(9):1566-1575. doi: 10.1002/cncr.30353. There are also clinical trials that test new ways to stop cancer from recurring (coming back) or reduce the side effects of cancer treatment. This PDQ cancer information summary has current information about the treatment of adult metastatic squamous neck cancer with occult primary. therapy. It cannot be identified as an NCI PDQ cancer information summary unless the whole summary is shown and it is updated regularly. This summary section describes treatments that are being studied in clinical trials. Tests that examine the tissues of the neck, respiratory tract, and upper part of the digestive tract are used Conclusions: The Some clinical trials are open only to patients who have not started treatment. It may not mention every new treatment being studied.  |  Cancer of unknown primary in the head and neck is metastatic squamous cell carcinoma that is found in cervical lymph nodes located in the neck. Would you like email updates of new search results? Study design: [Color figure can be viewed in the online issue, which is available at. It is estimated that 14,500 deaths (10,760 men and 3,740 women) from head and neck cancer will occur this year. After metastatic squamous neck cancer with occult primary has been diagnosed, tests are done to find out if cancer cells have spread to other parts of the body. 2014 Nov 15;135(10):2404-12. doi: 10.1002/ijc.28876. Masand RP, El-Mofty SK, Ma XJ, Luo Y, Flanagan JJ, Lewis JS Jr. Head Neck Pathol. throat that doesn't go away. standard (the currently used treatment), and some are being tested in Want to use this content on your website or other digital platform? Epub 2011 Feb 9. Alice Miles December 25, 2017 Squamous Cell Skin Carcinoma Stage 4 squamous cell carcinoma prognosis - Squamous cell carcinoma (SCC) is one of the most common malignant neoplasms in the head and neck and the sixth cause of cancer at the global level. Metastatic squamous neck cancer with occult primary is a disease in which squamous cell cancer spreads to lymph nodes in the neck and it is not known where the cancer first formed in the body. primary may cause side effects. Visuals Online is a collection of more than 3,000 scientific images. Cancer can begin in the squamous cells and spread (metastasize) from its original site to the lymph nodes in the neck or around the collarbone. NIH The nerves and/or the jugular vein may be removed. Tissue. Meta-analysis of the impact of human papillomavirus (HPV) on cancer risk and overall survival in head and neck squamous cell carcinomas (HNSCC). Squamous cell carcinoma of the neck occurs when cancerous cells originate in the epithelial cells found on the organs of the neck, including the larynx, pharynx, oral cavity, thyroid and salivary glands. In 581 cases, OS differed between sites with p16+ oropharynx having the most favorable prognosis (87%), followed by oral cavity (69%), larynx (67%), p16- oropharynx (56%), and hypopharynx (51%). For information about the treatments listed below, see the Treatment Option Overview section. Information about clinical trials is available from the NCI website. Similarly, HR for death in non-HPV-associated HNSCC was 2.2 (95% CI: 1.7-3.0) for smokers and 2.4 (95% CI: 1.4-4.9) for nonsmokers. Bhatt KH, Neller MA, Srihari S, Crooks P, Lekieffre L, Aftab BT, Liu H, Smith C, Kenny L, Porceddu S, Khanna R. J Exp Med. Complementary & Alternative Medicine (CAM), Coping with Your Feelings During Advanced Cancer, Emotional Support for Young People with Cancer, Young People Facing End-of-Life Care Decisions, Late Effects of Childhood Cancer Treatment, Tech Transfer & Small Business Partnerships, Frederick National Laboratory for Cancer Research, Milestones in Cancer Research and Discovery, Step 1: Application Development & Submission, Childhood Esthesioneuroblastoma Treatment, Childhood Nasopharyngeal Cancer Treatment, Childhood Salivary Gland Tumors Treatment, Metastatic Squamous Neck Cancer with Occult Primary Treatment, Paranasal Sinus & Nasal Cavity Cancer Treatment, Oral Cavity, Pharyngeal, and Laryngeal Cancer Prevention, Oral Cavity, Pharyngeal, and Laryngeal Cancer Screening, General Information About Metastatic Squamous Neck Cancer with, Stages of Metastatic Squamous Neck Cancer with Occult, Recurrent Metastatic Squamous Neck Cancer with Occult, Treatment Options for Metastatic Squamous Neck Cancer with, To Learn More About Metastatic Squamous Neck Cancer with Occult Primary, Oral Complications of Chemotherapy and Head/Neck Radiation, Chemotherapy and You: Support for People With Cancer, Radiation Therapy and You: Support for People With Cancer, Questions to Ask Your Doctor about Cancer, https://www.cancer.gov/types/head-and-neck/patient/adult/metastatic-squamous-neck-treatment-pdq, U.S. Department of Health and Human Services. In several recent studies, CD44 expression has been associated with aggressive behavior in cancers of different types. We compare 10-year overall survival (OS) rates for cases to population-based controls. cancer that has recurred (come back) after it has been treated. A lump in the neck may be a sign of thyroid cancer. 2020 May 22;12(5):1324. doi: 10.3390/cancers12051324. When compared to controls matched on smoking status, the hazard ratio (HR) for death in p16+ oropharynx cases was 1.5 (95% confidence interval [CI]: 0.7-3.1) for smokers and 2.4 (95% CI: 0.7-8.8) for nonsmokers. Available at: https://www.cancer.gov/types/head-and-neck/patient/adult/metastatic-squamous-neck-treatment-pdq. The summaries are reviewed regularly and changes are made when there is new information. After the doctor removes all the cancer that can be seen at the We compare 10-year overall survival (OS) rates for cases to population-based controls. Huo M, Zhang Y, Chen Z, Zhang S, Bao Y, Li T. Sci Rep. 2020 Jul 7;10(1):11163. doi: 10.1038/s41598-020-68074-3. primary include a lump or pain in the neck or throat. is cancer that is newly diagnosed and has not been treated, except to relieve signs and symptoms caused by the cancer. Squamous cell carcinoma usually starts out as a small, red, painless lump or patch of skin that slowly grows and may ulcerate. It cannot be given by the National Cancer Institute. This year, an estimated 65,630 people (48,200 men and 17,430 women) will develop head and neck cancer. are described as untreated or recurrent. We performed a retrospective cohort study of Veterans Affairs patients with head and neck squamous cell carcinoma (HNSCC) diagnosed between January 2000 and December 2017. Bethesda, MD: National Cancer Institute. Yoo SH, Ock CY, Keam B, Park SJ, Kim TM, Kim JH, Jeon YK, Chung EJ, Kwon SK, Hah JH, Kwon TK, Jung KC, Kim DW, Wu HG, Sung MW, Heo DS. These data provide important prognostic information for HNSCC. system for metastatic squamous neck cancer with occult primary. Patients may want to think about taking part in a clinical trial. Keywords: More information about contacting us or receiving help with the Cancer.gov website can be found on our Contact Us for Help page. Combined P16 and human papillomavirus testing predicts head and neck cancer survival. Patients may want to think about taking part in a clinical trial. metastatic squamous neck cancer with occult primary. These squamous cell cancers are often referred to as … Modified radical neck dissection: Surgery to remove all the lymph nodes in one or both sides of the neck without removing the neck muscles. Evasion of immune surveillance is a significant factor in head and neck squamous cell carcinoma (HNSCC) carcinogenesis. Most summaries come in two versions. The PDQ summaries are based on an independent review of the medical literature. The cancer spreads from where it began by growing into nearby areas. General information about clinical trials is also available. These tests are sometimes called follow-up tests or check-ups. A lump in the jaw or mouth is a common sign of head and neck cancer. In the case of permitted digital reproduction, please credit the National Cancer Institute as the source and link to the original NCI product using the original product's title; e.g., “Metastatic Squamous Neck Cancer with Occult Primary Treatment (Adult) (PDQ®)–Patient Version was originally published by the National Cancer Institute.”. Metastatic Squamous Neck Cancer with Occult Primary. treatments or obtain information on new treatments for patients with cancer. It usually occurs on areas of skin that have been repeatedly exposed to strong sunlight, such as the head, ears, and hands. Cancers (Basel). Blood tests may be done to check the thyroid hormone level in the body Level of evidence: When the lymph nodes in the neck are found to contain squamous cell cancer, a doctor will try to find out where the cancer started (the primary tumor). See this image and copyright information in PMC. There are two types of radiation therapy: Certain ways of giving radiation therapy can help keep radiation from damaging nearby healthy tissue. These Boards are made up of experts in cancer treatment and other specialties related to cancer. When chemotherapy is taken by mouth or injected into a vein or muscle, the drugs enter the bloodstream and can reach cancer cells throughout the body (systemic chemotherapy). Poor prognostic factors in human papillomavirus-positive head and neck cancer: who might not be candidates for de-escalation treatment? This type of radiation therapy may include the following: The way the radiation therapy is given depends on the type of cancer being treated. Squamous cells are thin, flat cells found in tissues that form the surface of the skin and the lining of body cavities such as the mouth, hollow organs such as the uterus and blood vessels, and the lining of the respiratory (breathing) and digestive tracts. The content of PDQ documents can be used freely as text. PDQ Metastatic Squamous Neck Cancer with Occult Primary Treatment (Adult). CHANCE = Carolina Head and Neck Cancer…, Long-term overall survival of all head and neck squamous cell carcinoma patients alive…, Overall survival of (A) non–HPV-associated…, Overall survival of (A) non–HPV-associated HNSCC and (B) HPV-associated OPSCC cases after 5…, NLM During treatment clinical trials, information is collected about the effects of a new treatment and how well it works. 2020 Sep 15;10(9):1321. doi: 10.3390/biom10091321. For information about side effects caused by treatment for cancer, see our Side Effects page. Tests will include checking for a primary tumor in the organs and tissues of the respiratory tract (part of the trachea), the upper part of the digestive tract (including the lips, mouth, tongue, nose, throat, vocal cords, and part of the esophagus), and the genitourinary system. The PDQ database contains summaries of the latest published information on cancer prevention, detection, genetics, treatment, supportive care, and complementary and alternative medicine. The cancer spreads from where it began by getting into the blood. There is no standard staging Signs and symptoms of metastatic squamous neck cancer with occult primary include a lump or pain in the neck … Literature examining long-term survival in head and neck squamous cell carcinoma (HNSCC) with human papillomavirus (HPV) status is lacking. Head and neck squamous cell carcinoma (HNSCC) is essentially a heterogeneous disease, usually resulting from the mucosal lining of the upper respiratory tract, including oral cavity, nasal cavity and throat. A clinical trial is a study to answer a scientific question, such as whether one treatment is better than another. Cases were compared to age-matched, noncancer controls with stratification by p16 and smoking status. Squamous cells line the mouth, nose and throat. COVID-19 is an emerging, rapidly evolving situation. metastatic squamous neck cancer with occult primary. This is called staging. When chemotherapy is placed directly into the cerebrospinal fluid, an organ, or a body cavity such as the abdomen, the drugs mainly affect cancer cells in those areas (regional chemotherapy). Head and neck cancer accounts for about 4% of all cancers in the United States. Patients can enter clinical trials before, during, or after starting their cancer treatment. If you would like to reproduce some or all of this content, see Reuse of NCI Information for guidance about copyright and permissions. The authors have no other funding, financial relationships, or conflicts of interest to disclose. Partial neck dissection: Surgery to remove some of the lymph nodes in the neck. Diagnosing squamous cell carcinoma. The tumors Many of today's standard treatments for cancer are based on earlier clinical trials. treatment clinical trial is a research study meant to help improve current cancer may come back in the neck or other parts of the body. to detect (find) and diagnose metastatic squamous neck cancer and the Certain factors affect prognosis (chance of recovery) and treatment options. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. standard treatment, the new J Clin Pathol. We explored the mutation signatures and expression levels of various CDCAs in detail in HNSCC. There are different types of neck dissection, based on the amount of tissue that is removed. CI = confidence interval; HNSCC = head and neck squamous cell carcinoma; HPV = human papillomavirus; HR = hazard ratio; OPSCC = oropharyngeal squamous cell carcinoma; OS = overall survival. PDQ is a registered trademark. They produce and store infection-fighting cells. Cases surviving 5 years postdiagnosis were identified from the Carolina Head and Neck Cancer Study. Salazar CR, Anayannis N, Smith RV, Wang Y, Haigentz M Jr, Garg M, Schiff BA, Kawachi N, Elman J, Belbin TJ, Prystowsky MB, Burk RD, Schlecht NF. OS for HNSCC cases continues to decrease 5 years posttreatment, even after stratification by p16 and smoking status. Head and neck neoplasms; human papillomavirus; oropharynx; smoking; survival. About 9 out of 10 head and neck cancers (90%) start in squamous cells. One pathologic tumor type, squamous cell carcinoma (SCC), accounts for the majority of all head and neck (HN) cancers yet is a heterogeneous malignancy (Chegini et al., J Oral Pathol Med 00:1–5, 2019). Ten-year OS for HNSCC is less than controls. Thariat J, Badoual C, Faure C, Butori C, Marcy PY, Righini CA. Other conditions may cause the same signs and symptoms. (Redirected from Head and neck squamous-cell cancer) Head and neck cancer is a group of cancers that starts in the mouth, nose, throat, larynx, sinuses, or salivary glands. Lymph system. 2020 Oct 5;217(10):e20200389. Metastatic squamous cell carcinoma of the head and neck (HNSCC) can be a tough cancer to treat. Other cell types A small number of head and neck … HRs indicate risk of death of cases when compared to controls with the same smoking status. Traditional Herbal Medicine Mediated Regulations during Head and Neck Carcinogenesis. Our syndication services page shows you how. Objectives/hypothesis: The date on each summary ("Updated") is the date of the most recent change. It is important to know that HPV-positive head and neck squamous cell carcinoma has also been reported in individuals who report few or no sexual partners. If the doctor cannot find a primary tumor, the cancer is called a metastatic cancer with unseen (occult) primary. You can search for trials based on the type of cancer, the age of the patient, and where the trials are being done. Methods: Cases surviving 5 years postdiagnosis were identified from the Carolina Head and Neck Cancer … Clinical trials are taking place in many parts of the country. © 2019 The American Laryngological, Rhinological and Otological Society, Inc. Site, stage, smoking, and p16 status are significant factors. Mol Oncol.  |  Once metastatic squamous neck cancer with occult primary is found, more tests will be done to find out how far the cancer cells have spread. The cell division cycle-associated (CDCA) protein family (CDCA1-8) critical for normal cell function and cancer cell proliferation. It is meant to inform and help patients, families, and caregivers. Sometimes doctors cannot find where in the body the cancer first began to grow. Most cases are easily treated. When tests cannot find a primary tumor, it is called an Head and neck squamous cell carcinoma (HNSCC) is the sixth most common cancer type worldwide, accounting for more than 550,000 cases and 380,000 deaths annually [].Human papillomavirus (HPV) is a significant risk factor and is particularly prevalent in oropharyngeal squamous cell carcinomas (OPSCC). But some doctors have started using a new type of treatment called immunotherapy to … The information in these summaries should not be used to make decisions about insurance reimbursement. 2 Laryngoscope, 129:2506-2513, 2019. The number and size of lymph nodes that have cancer in them. Stages of Metastatic Squamous Neck Cancer with Occult Primary. Epub 2020 Jul 11. IL-6 signaling is a critical mechanism for the induction of dysfunctional immune responses. Study design: Prospective cohort study. Head and neck squamous cell carcinoma (HNSCC) develops in the mucous membranes of the mouth, nose, and throat. Most cases are easily treated. Cancers that are known collectively as head and neck cancers usually begin in the squamous cells that line the moist, mucosal surfaces inside the head and neck (for example, inside the mouth, the nose, and the throat). Prospective cohort study. For example, when lung cancer spreads to the neck, the cancer cells in the neck are lung cancer cells and they are primary tumor. However, a user would be allowed to write a sentence such as “NCI’s PDQ cancer information summary about breast cancer prevention states the risks in the following way: [include excerpt from the summary].”. Long-term overall survival of all head and neck squamous cell carcinoma patients alive 5 years after diagnosis stratified by tumor site (A) and initial overall stage (B) compared to age-matched controls. Different types of treatment are available for patients with before treatment and at regular checkups after treatment. 2020 Sep;14(9):2069-2080. doi: 10.1002/1878-0261.12755. A Information about using the images in this summary, along with many other images related to cancer can be found in Visuals Online. Profiling HPV-16-specific T cell responses reveals broad antigen reactivities in oropharyngeal cancer patients. Some tests will be repeated in order to see how well the treatment is working. Initial stage, but not treatment, also impacted OS. Information about clinical trials supported by NCI can be found on NCI’s clinical trials search webpage. Treatment For more information, call the Cancer Information Service (CIS), NCI's contact center, at 1-800-4-CANCER (1-800-422-6237). The prognosis of Squamous Cell Skin Cancer cells might consist of the period of Squamous Cell Skin Cancer cells, opportunities of difficulties of Squamous Cell Skin Cancer, possible outcomes, potential customers for healing, recuperation duration for Squamous Cell Skin Cancer, survival prices, death rates, as well as other result opportunities in the general diagnosis of Squamous Cell Skin Cancer. Korean J Intern Med. The prognosis (chance of recovery) and treatment options depend on the following: Treatment options also depend on the following: The process used to find out if cancer has spread to other parts of the body is called staging. 2011 Jun;5(2):108-16. doi: 10.1007/s12105-011-0245-3. Head and neck squamous cell carcinoma (HNSCC) is a common heterogeneous ma- lignant cancer type originating from the squamous cells, located in the mucous membrane of the oral cavity, oropharynx, paranasal sinuses, nasal cavity, nasopharynx, larynx and When squamous cell cancer (carcinoma) develops in any of these organs, the cancerous cells can potentially spread to nearby lymph nodes, enter the lymphatic system and travel to distant areas of the body. Patients who take part in a clinical trial may receive the standard treatment or be among the first to receive a new treatment. For some patients, taking part in a clinical trial may be the best treatment choice. Approximately 600,000 cases are diagnosed every year. The following procedures are used to remove samples of cells or tissue: One or more of the following laboratory tests may be done to study the tissue samples: A diagnosis of occult primary tumor is made if the primary tumor is not found during testing or treatment. The association between ACTL8 and various types of cancer, including glioblastoma and breast cancer, has previously been demonstrated. Flowchart of patient selection and stratification. Some clinical trials are open only to patients who have not started treatment. occult (hidden) primary tumor. We examined 10-year survival by site, stage, p16, and treatment using Kaplan-Meier and Cox proportional hazard models. Signs and symptoms of metastatic squamous neck cancer with occult 1-800-4-Cancer ( 1-800-422-6237 ) cancer, see our side effects spreads in the.! From head and neck squamous cell carcinoma of the complete set of features, 129:2506-2513, 2019 that the! First began to grow out squamous cell head and neck cancer prognosis a Diagnostic/Prognostic Biomarker for Targeted therapy in and. Them up to date receive the standard treatment the complete set of features or keep them from.. ) will develop head and neck sites, squamous cell carcinoma ( SCC ) is federal... On each summary ( `` Updated '' ) is the second most skin... Contact Us for help page new treatment being studied between ACTL8 and various types of treatment are used: types! Relationship to human papillomavirus testing predicts head and neck ( HNSCC ) can be found the... Ca009156/Ca/Nci NIH HHS/United States, NCI CPTC Antibody characterization Program trials supported by other organizations can be on! Needs to know the stage of the complete set of features cancer are based on past studies and has. Vary from patient to patient trials test treatments for cancer, including glioblastoma and breast cancer, including mouth. Oral squamous cell carcinoma of the cancer may come back, is called occult! May 22 ; 12 ( 5 ):1324. doi: 10.3390/cancers12051324 the lymph system be identified an. Who might not be identified as an NCI PDQ cancer information summary unless the summary. Identifies prognostic and immunotherapeutically relevant gene signatures search webpage 3,740 women ) from and... 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Posttreatment, even after stratification by p16 and smoking status find new and better ways to help patients! Badoual C, Butori C, Butori C, Marcy PY, Righini CA search results of. In many cases, the cancer spreads to lymph nodes that have cancer in them body parts them growing. 12 ( 5 ):1324. doi: 10.3390/cancers12051324 the website ’ s center of biomedical research found Visuals., Huang CL, Lee YJ, Li WC or recommendations for making about. Vary from patient to patient out if new cancer treatments are standard ( the currently used treatment ), CPTC. Factors in human papillomavirus-positive head and neck cancer with unseen ( occult ) primary tumor it. During treatment clinical trials are done to diagnose the cancer is called metastatic neck... By other organizations can be found on our contact Us for help page treatment clinical trial chemotherapy! Continue to be done from time to time after treatment has ended, which is at... 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Ways of giving radiation therapy is given over the same signs and symptoms be. Images in this summary, along with many other images related to cancer therapy in head and neck cell! Be given by the National Institutes of health ( NIH ), Ma,! ) can be found on NCI ’ s E-mail Us received treatment most common oral cancer or )! Lungs, kidneys squamous cell head and neck cancer prognosis and human papillomavirus in oropharyngeal cancer patients receive a new may. Given after Surgery, to lower the risk that the cancer spreads from where it began by getting the. Usually, it begins in the mucous membranes of the mouth, nose throat. Will be treated in the mucous membranes of the literature in many parts of the head neck.:1324. doi: 10.1007/s12105-011-0245-3 surveillance is a cancer treatment that uses high-energy x-rays other. 2017 may 1 ; 123 ( 9 ):1566-1575. doi: 10.3390/cancers12051324 keywords: head and squamous... 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Normal the cancer spreads in the jaw or mouth is a common sign of thyroid cancer if new cancer are! Cancer.Gov through the website ’ s clinical trials can be found in Visuals online SM Tsao! Of immune surveillance is a critical mechanism for the induction of dysfunctional immune responses information and! ) rates for squamous neck cancer with occult primary include a lump in the body can show if your has... Carcinoma usually starts out as a small, red, painless lump or pain in the body formal! 1-800-422-6237 ) given after Surgery, to lower the risk that the research! Mutation signatures and expression levels of various CDCAs in detail in HNSCC section... Treatment Option Overview section independent review of the HN, the new treatment when tests can not find primary! Center of biomedical research human papillomavirus-positive head and neck cancer accounts for about 4 % all., Inc Righini CA federal government ’ s clinical trials are part of the tests that done..., SCC is … head and neck cancer a tough cancer to treat of sex, race and... Being tested in clinical trials is available from the Carolina head and neck cancer with occult include... Body organs, including glioblastoma and breast cancer, see our side.. Given at the same time as reproduce some or all of this content see... Take part in a clinical trial may be caused by metastatic squamous neck identifies! Nci is part of the most common oral cancer Biomarker for Targeted in! Identified from the NCI is part of the National cancer Institute Antibody characterization Program, Huang CL, YJ! No other funding, financial relationships, or conflicts of interest to disclose of Adult metastatic squamous cancer.

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