Non keratinized squamous cancer of nasopharynx belongs to which category?
**Core Concept:** Squamous cell carcinoma (SCC) is a malignant tumor originating from squamous cells. Non-keratinized refers to a type of squamous cell where keratinization - a protective process in normal squamous cells - is absent. The nasopharynx is a part of the upper aerodigestive tract and is the area between the pharynx and the nasal cavity.
**Why the Correct Answer is Right:** Non-keratinized squamous cell carcinoma of the nasopharynx falls under the category of head and neck (HNSCC) cancers, specifically, the oropharyngeal subtype. This type of cancer is associated with human papillomavirus (HPV) infection, particularly HPV 16 and 18, which leads to dysplasia and ultimately carcinoma development.
**Why Each Wrong Option is Incorrect:**
A. Keratinized squamous cell carcinoma (keratinizing SCC) refers to the presence of keratinization in the squamous cells, which is not the case in the given question.
B. This option is incorrect as it does not specifically address non-keratinized squamous cell carcinoma of the nasopharynx.
C. This answer is incorrect as it focuses on a different site within the head and neck region, i.e., oropharynx, not nasopharynx.
D. HPV-negative SCC is not the correct answer as the question assumes HPV-positive SCC, which is the most common type in nasopharynx.
**Clinical Pearl:** HPV-associated SCC in the nasopharynx has distinct clinical features and prognosis compared to HPV-negative SCC. HPV-positive SCC tends to be younger patients, has a better prognosis, and is more responsive to chemoradiation therapy. On the other hand, HPV-negative SCC is typically older patients, has a poorer prognosis, and is less responsive to chemoradiation therapy.
**Correct Answer:** Non-keratinized squamous cell carcinoma HPV-positive (HPV+).