Human immunodeficiency disease in new diagnoses of head and neck squamous cell cancer: are we testing?

• Published in: Journal of laryngology and otology 2019-12, Vol.133 (12), p.1038-1040
• Main Authors: McNamara, K J, Fernandez, C, Saunders, T F C, Ahsan, F
• Format: Article
• Language: English
• Subjects: Acquired immune deficiency syndrome; Adult; AIDS; Clinical Protocols; Drug therapy; Electronic mail systems; England; Family medical history; Female; Head & neck cancer; Head and Neck Neoplasms - diagnosis; Head and Neck Neoplasms - virology; HIV; HIV Infections - complications; HIV Infections - diagnosis; Human immunodeficiency virus; Human papillomavirus; Humans; Infections; Lymphoma; Male; Mass Screening - statistics & numerical data; Medical diagnosis; Medical tests; Middle Aged; Morbidity; Mortality; Otolaryngology; Otolaryngology - statistics & numerical data; Patients; Practice Patterns, Physicians' - statistics & numerical data; Risk groups; Squamous cell carcinoma; Squamous Cell Carcinoma of Head and Neck - diagnosis; Squamous Cell Carcinoma of Head and Neck - virology
• ISSN: 0022-2151; 1748-5460
• DOI: 10.1017/S0022215119002019

Human immunodeficiency virus infected patients have a three-fold increased risk of head and neck squamous cell carcinoma. The British HIV Association recommends human immunodeficiency virus testing in all new diagnoses of head and neck squamous cell carcinoma. This observational study aimed to examine the current routine practice of human immunodeficiency virus testing in patients with newly diagnosed head and neck squamous cell carcinoma, and to address the importance of this test in promoting the early diagnosis and treatment of human immunodeficiency virus. All head and neck cancer multidisciplinary teams in England were questioned on their protocol for human immunodeficiency virus testing in new diagnoses of head and neck squamous cell carcinoma. Only 1 out of 30 hospitals leading head and neck multidisciplinary teams (3.3 per cent) routinely offered human immunodeficiency virus testing in this high-risk patient group. This observational study highlights that head and neck specialists are not aware of, and are consequently not complying with, routine human immunodeficiency virus testing as recommended by the British HIV Association guidelines.