2021
DOI: 10.1038/s41571-021-00524-x
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Nasopharyngeal carcinoma: an evolving paradigm

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Cited by 281 publications
(211 citation statements)
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“…Among all types of cancers, nasopharyngeal carcinoma (NPC) is endemic to southeast Asia, north Africa, and southern China. According to GLOBOCAN estimates, the age-standardized rate of NPC is 4–25 cases per 100,000 individuals in these regions ( 4 , 5 ). The tumorigenesis and progression of NPC are closely related to genetic factors, environmental effects, and Epstein–Barr virus (EBV) infection ( 6 ).…”
Section: Introductionmentioning
confidence: 99%
“…Among all types of cancers, nasopharyngeal carcinoma (NPC) is endemic to southeast Asia, north Africa, and southern China. According to GLOBOCAN estimates, the age-standardized rate of NPC is 4–25 cases per 100,000 individuals in these regions ( 4 , 5 ). The tumorigenesis and progression of NPC are closely related to genetic factors, environmental effects, and Epstein–Barr virus (EBV) infection ( 6 ).…”
Section: Introductionmentioning
confidence: 99%
“…Despite great progress in radiotherapy and chemoradiotherapy for NPC, the e cacy of locally advanced NPC remains suboptimal [26]. At present, efforts have been made to identify biomarkers that can diagnose the risk of NPC patients or novel targeted therapy that can improve the prognosis of patients [25]. Therefore, it is necessary to explore the mechanics of NPC progression in depth.…”
Section: Discussionmentioning
confidence: 99%
“…NPC is a high incidence of malignant squamous cell carcinoma in southern China, southeast Asia and north Africa, threatening the health of many people [25]. Despite great progress in radiotherapy and chemoradiotherapy for NPC, the e cacy of locally advanced NPC remains suboptimal [26].…”
Section: Discussionmentioning
confidence: 99%
“…Unfortunately, it is quite unclear under which circumstances EBV establishes growth-transforming latent infection in epithelial cells, because this cannot yet be modeled in vitro and the only non-malignant EBV infection in the oropharyngeal epithelium, termed hairy leukoplakia, is caused by lytic EBV infection (88). However, it is assumed that premalignant genetic lesions that are introduced into the respective epithelial cells by carcinogenic substances in the diet and/or possible chronic inflammation in the oropharyngeal cavity or stomach provide fertile grounds for epithelial cell transformation by EBV, resulting in latency II NPC or latency I GC (89). One such coinfection that promotes premalignant genetic lesion development in the gastric epithelium could be Helicobacter pylori infection whose coinfection with EBV has been reported in GC patients (90,91).…”
Section: Other Infections and Ebvmentioning
confidence: 99%