Which is the best prognosticator of survival from nasopharyngeal carcinoma?
Correct Answer: WHO type III histology
Description: WHO type PATHOLOGY Risk factor Other factors Survival/ Recurrence I 25% Keratinizing Squamous cell differentiated carcinoma Smoking Low risk population Older age Non familial factors 10% Survival II 12% Non keratinizing Squamous cell differentiated carcinoma EBV Preserved foods Familial factors 50% Survival III 60% Non keratinizing Squamous cell undifferentiated carcinoma EBV High risk population, Children Preserved foods Familial factors 60% Survival Best prognosis Type 3 NPC- Poorly differentiated, EBV Associated & Best prognosis The undifferentiated NPC havea higher local tumour control rate with therapy although theincidence of distant metastasis is also higher.
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