Head and Neck Cancers

Oncology section

Head and neck cancers encompass a group of malignancies that develop in the tissues and organs of the head and neck region, including the oral cavity, pharynx, larynx, nasal cavity, paranasal sinuses, salivary glands, and thyroid gland. These cancers can arise from various cell types within these structures and can have different clinical presentations, treatment approaches, and prognoses. The prevalence of head and neck cancers varies worldwide and depends on factors such as

geographical location, socioeconomic status, lifestyle habits, access to healthcare, and prevalence of risk factors such as tobacco and alcohol use. Head and neck cancers account for a significant proportion of cancer cases worldwide. According to the International Agency for Research on Cancer (IARC), approximately 890,000 new cases of head and neck cancers were diagnosed globally in 2020, with around 450,000 deaths attributed to these cancers.

ABOUT HEAD AND NECK CANCER

Understanding HEAD AND NECK CANCER

Varieties of Head and Neck Cancers: An Overview

Types of Head and Neck Cancers:

Oral Cavity Cancer: Cancer that develops in the lips, tongue, gums, floor of the mouth, and other parts of the oral cavity. Pharyngeal Cancer: Cancer that originates in the throat, specifically the nasopharynx, oropharynx, and hypopharynx. Laryngeal Cancer: Cancer that arises in the larynx (voice box). Nasal Cavity and Paranasal Sinus Cancer: Cancer that develops in the nasal cavity, sinuses, and adjacent structures. Salivary Gland Cancer: Cancer that originates in the salivary glands, including the parotid, submandibular, and sublingual glands. Thyroid Cancer: Cancer that arises in the thyroid gland, located in the neck. Head and Neck Skin Cancer: Skin cancers, such as squamous cell carcinoma, melanoma, and basal cell carcinoma, can also occur in the head and neck region.

Head and neck cancers can involve both germline and somatic genetic alterations that contribute to their development and progression. Germline mutations are inherited genetic changes present in all cells of an individual's body, while somatic mutations are acquired alterations that occur specifically in the cancerous cells of the head and neck tissues. 

Germline Genes:

TP53 (Tumor Protein p53):

Germline mutations in the TP53 gene are associated with Li-Fraumeni syndrome, a rare inherited cancer predisposition syndrome that increases the risk of developing various cancers, including head and neck cancers.
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CHEK2 (Checkpoint Kinase 2):

Certain germline mutations in the CHEK2 gene have been associated with an increased risk of head and neck cancers, particularly in individuals with a family history of the disease. CHEK2 is involved in DNA damage repair and cell cycle regulation.
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CDKN2A (Cyclin-Dependent Kinase Inhibitor 2A):

Germline mutations in the CDKN2A gene, which encodes for the p16 protein, have been implicated in familial melanoma syndrome, which also increases the risk of head and neck squamous cell carcinoma (HNSCC).
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MLH1, MSH2, MSH6, PMS2:

Germline mutations in genes involved in DNA mismatch repair, such as MLH1, MSH2, MSH6, and PMS2, are associated with Lynch syndrome (hereditary nonpolyposis colorectal cancer), which can increase the risk of developing various cancers, including head and neck cancers.
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Somatic Genes:

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Somatic mutations in RAS genes, including HRAS, KRAS, and NRAS, are frequently observed in head and neck squamous cell carcinoma (HNSCC). RAS mutations can activate downstream signaling pathways involved in cell growth and proliferation.

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