Christine H Chung1,2,3, Alexis Germain4, Rathan M Subramaniam5, Andreas M Heilmann4, Kyle Fedorchak4, Siraj M Ali4, Vincent A Miller4, Robert A Palermo6, Carole Fakhry2. 1. Department of Oncology, The Johns Hopkins University School of Medicine, Baltimore, Maryland. 2. Department of Otolaryngology-Head and Neck Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland. 3. Department of Head and Neck-Endocrine Oncology, Moffitt Cancer Center & Research Institute, Tampa, Florida. 4. Foundation Medicine, Cambridge, Massachusetts. 5. Department of Radiology, The Johns Hopkins University School of Medicine, Baltimore, Maryland. 6. Department of Pathology, Greater Baltimore Medical Center, Baltimore, Maryland.
Abstract
BACKGROUND: Despite recent advances, survival outcomes for those with metastatic or recurrent head and neck squamous cell carcinoma (HNSCC) have remained poor. Novel approaches should be investigated to improve outcomes. METHODS: A retrospective chart review was performed of a patient who presented with a TNM classification III HNSCC of the oropharynx, positive for human papillomavirus (HPV) who had a complete response to a human epidermal growth factor receptor 2 (HER2)-targeted therapy. Amplification rates of HER2 in the HNSCC Cancer Genome Atlas Network (TCGA) dataset and the FoundationOne genomic profiling dataset were evaluated. RESULTS: Comprehensive genomic profiling of the tumor obtained from the dermal metastasis identified amplification of HER2. Data from TCGA and FoundationOne showed that the frequency of HER2 alteration was not observed to vary significantly with HPV tumor status. CONCLUSION: This case demonstrates the application of genomic profiling to guide treatments in a patient with HNSCC with advanced metastatic disease refractory to standard of care therapies.
BACKGROUND: Despite recent advances, survival outcomes for those with metastatic or recurrent head and neck squamous cell carcinoma (HNSCC) have remained poor. Novel approaches should be investigated to improve outcomes. METHODS: A retrospective chart review was performed of a patient who presented with a TNM classification III HNSCC of the oropharynx, positive for human papillomavirus (HPV) who had a complete response to a human epidermal growth factor receptor 2 (HER2)-targeted therapy. Amplification rates of HER2 in the HNSCC Cancer Genome Atlas Network (TCGA) dataset and the FoundationOne genomic profiling dataset were evaluated. RESULTS: Comprehensive genomic profiling of the tumor obtained from the dermal metastasis identified amplification of HER2. Data from TCGA and FoundationOne showed that the frequency of HER2 alteration was not observed to vary significantly with HPV tumor status. CONCLUSION: This case demonstrates the application of genomic profiling to guide treatments in a patient with HNSCC with advanced metastatic disease refractory to standard of care therapies.
Authors: Chiara Focaccetti; Monica Benvenuto; Sara Ciuffa; Sara Fazi; Manuel Scimeca; Alessandra Nardi; Martino Tony Miele; Andrea Battisti; Elena Bonanno; Andrea Modesti; Laura Masuelli; Roberto Bei Journal: Nutrients Date: 2020-05-14 Impact factor: 5.717