Head and neck squamous cell carcinoma (HNSCC) is the sixth most common cancer, with more than 900 000 cases diagnosed each year, and is one of the major causes of cancer death worldwide.
1 In the United States alone, 50 000 new cases and 8000 deaths are reported each year.
2 It affects the oral cavity, the oropharynx, the larynx, and the hypopharynx. The most important etiologic agents in HNSCC are tobacco and alcohol.
3 A large-scale prospective study determined that the relative risk of death due to cancer among smokers vs nonsmokers older than 35 years was 27.5 for oral and pharyngeal cancer and 10.5 for laryngeal cancer.
4