2003
DOI: 10.1016/s0959-8049(03)00367-8
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Nasopharyngeal carcinomas

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Cited by 188 publications
(164 citation statements)
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References 116 publications
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“…Over 50%-70% of NPC patients present with advanced disease (stages II b-IV) with lymph node invasion or metastasis at the time of diagnosis. The rate of distant metastasis in recurrent NPC patients is up to 37% (Chan et al, 2002;Hong et al, 2010;Isobe et al, 1998;Skinner et al, 1991;Spano et al, 2003). Because of the special location of NPC, radiotherapy Fig.…”
Section: Discussionmentioning
confidence: 99%
“…Over 50%-70% of NPC patients present with advanced disease (stages II b-IV) with lymph node invasion or metastasis at the time of diagnosis. The rate of distant metastasis in recurrent NPC patients is up to 37% (Chan et al, 2002;Hong et al, 2010;Isobe et al, 1998;Skinner et al, 1991;Spano et al, 2003). Because of the special location of NPC, radiotherapy Fig.…”
Section: Discussionmentioning
confidence: 99%
“…The progressive declines in more recent generations could be explained by the gradual reduction of population exposures to environmental risk factors. The association of keratinising tumours with Epstein -Barr virus (EBV) has long been controversial (Spano et al, 2003), but a relationship with tobacco smoking has been found in several studies (Vaughan et al, 1996;Spano et al, 2003;Sun et al, 2005). The overall smoking prevalence which has steadily decreased in Hong Kong since the mid-1970s for both genders among Hong Kong Chinese (Tobacco Control Office, 2006) could well explain the declining trend of keratinising tumours, allowing for a 10-year lag after exposure to cigarette smoking.…”
Section: Discussionmentioning
confidence: 99%
“…In addition, EBV also is present in premalignant lesions, and is believed to be important for the oncogenic process in NPC. [10][11][12][13][14][15][16][17][18][19] One strategy is to treat these tumors as immune targets and directly manipulate preexisting virusspecific cytotoxic T-lymphocytes (CTLs) to attack epitopes derived from viral proteins and presented by infected tumor cells. Prior studies have established the feasibility and safety of EBV-stimulated cytotoxic T-lymphocyte (EBV-CTL) immunotherapy in a variety of EBV-related neoplasms and proliferations, suggesting potential efficacy against NPC.…”
Section: Introductionmentioning
confidence: 99%