Review Article

A Review of Carcinomas Arising in the Head and Neck Region in HIV-Positive Patients

Table 2

Incidence of head and neck carcinomas arising in patients with HIV and AIDS.

Ref #YearCountry# patients# CasesCancer site (Subtype)SIRs or RR (95% CI)HIV/AIDS

[4]2005Switzerland7304111 Lip, 4 tongue, 4 mouth, 1 pharynx, 1 NPC (?)SIR = 4.1 (2.1–7.4)not specified

[6]1999S. Europe52812SG (?)SIR = 33.6 (3.2–123.5)AIDS
1NPCSIR = 10.3 (0.0–58.8)AIDS

[7]2006Uganda12,6073ThyroidSIR = 5.7 (1.1–16.0)Not specified
6Conjunctiva (SCC)SIR = 4.0 (1.5–8.7)Not specified

[15]1996USA50,0504NPC (2 SCC + 2 LEC)RR = 2.4 (0.7–6.2)AIDS

[8]2002Australia81186Lip (SCC)SIR = ~6 (~2–9.5)*HIV
81186Lip (SCC)SIR = ~6.9 (~1.8–9.6)*HIV
70614Lip (SCC)SIR = ~3.0 (0.8–8.1)*HIV
21123Lip (SCC)SIR = ~9.0 (~3.0–>10)*AIDS

[16]2004UK864072 NPC; 3 oral cavity (SCC) 2 larynx (SCC)SIR = 1.66 (0.67–3.42)2 (AIDS); 5 (HIV)

[9]2000USA309,36529Tonsil (SCC)RR = 2.6 (1.8–3.8)HIV/AIDS
7Conjunctiva (SCC)RR = 14.6 (5.8–30.0)

[17]2003Scotland25741H&N (unspecified, not KS)SIR = 1.6 (0.04–8.8)Unknown

[10]2009USA499,23059Oropharynx (SCC)SIR = 1.6 (1.2 to 2.1)AIDS

[11]2005England33,1906Oral (?)SIR = 1.1 (0.4–2.3)HIV
4NPC (?)SIR = 5.0 (1.4–12.8)HIV
1Nasal Cavity (?)SIR = 1.7 (0.04–9.4)HIV
5Larynx (?)SIR = 2.0 (0.7–4.8)HIV
121265Oral (?)SIR = 3.8 (1.2–8.8)AIDS
1NPC (?)SIR = 5.8 (0.1–32.5)AIDS
1Nasal Cavity (?)SIR = 7.9 (0.2–44.0)AIDS
2Larynx (?)SIR = 3.2 (0.4–11.6)AIDS

[12]2008USA491,04815Conjunctiva (SCC)SIR = 12.2 (6.8–20.2)AIDS

[13]2002Australia13,06710Lip (?)SIR = 2.26 (1.08–4.16)Not specified
2Tongue (?)SIR = 1.66 (0.20–5.99)Not specified
2SG (?)SIR = 3.88 (0.47–14.0)Not specified
2Nasopharynx (?)SIR = 2.74 (0.33–9.89)Not specified
1Nose/sinuses/ear (?)SIR = 2.97 (0.08–16.5)Not specified
1Larynx (?)SIR = 0.60 (0.02–3.34)Not specified
1Eye (?)SIR = 1.73 (0.04–9.64)Not specified
1Thyroid (?)SIR = 0.56 (0.01–3.12)Not specified

[14]2009USA519,93443SG (All types)SIR = 1.8 (1.3–2.4)AIDS
12SG (SCC)SIR = 4.9 (2.5–8.6)AIDS
7SG (LEC)SIR = 39 (16–81)AIDS
6SG (Acinar cell ca)SIR = 1.9 (0.7–4.1)AIDS
5SG (MEC)SIR = 0.6 (0.2–1.5)AIDS
2SG (Adenoid Cystic Ca)SIR = 0.6 (0.1–2.0)AIDS
2SG (Adenoca)SIR = 0.7 (0.1–2.5)AIDS
39NPC (All types)SIR = 2.0 (1.4–2.7)AIDS
22NPC (Ker SCC)SIR = 2.4 (1.5–3.7)AIDS
10NPC (NK Carc)SIR = 2.4 (1.2–4.4)AIDS
5NPC (LEC)SIR = 2.1 (0.7–4.9)AIDS
5NPC (NK SCC)SIR = 2.8 (0.9–6.6)AIDS
7NPC (Other/?)SIR = 1.1 (0.5–2.3)AIDS

Bold values indicate cancer sites where the 95% confidence interval does not include one.
SIR: standardized incidence ratio, RR: relative risk, SG: salivary gland, SCC: squamous cell carcinoma, NK: nonkeratinizing, NPC: nasopharyngeal carcinoma, H&N: head and neck, Ker: keratinizing, LEC: lymphoepithelial carcinoma, Adenoca: Adenocarcinoma.