Human Papillomavirus-Related Carcinomas of the Sinonasal Tract

Diana C. Lopez, Austin T.K. Hoke, Lisa M. Rooper, Nyall R. London

Research output: Contribution to journalReview articlepeer-review


Purpose of Review: The sinonasal tract is home to a uniquely heterogenous collection of malignant tumors. Human papillomavirus (HPV) has been detected in a number of these, but the virus’ role as an oncogenic driver or coincidental finding remains unclear. We aim to highlight five sinonasal tumor types and synthesize the prevalence, etiologic role, and known clinicopathologic relevance of HPV in each. Recent Findings: The last decade has seen an expansion of investigation into HPV’s oncogenic and prognostic significance within sinonasal malignancies. The sinonasal tract poses challenges to HPV detection where p16 lacks value as an accurate surrogate. A growing body of data supports a potentially favorable clinical profile for certain sinonasal HPV-positive lesions. Summary: HPV represents a potential biologically and clinically relevant factor for some sinonasal malignancies. Definitive conclusions regarding HPV’s role as a potential oncogenic agent require routine testing using validated methodologies, genomic interrogation, and large-scale prospective studies.

Original languageEnglish (US)
Pages (from-to)291-302
Number of pages12
JournalCurrent Otorhinolaryngology Reports
Issue number3
StatePublished - Sep 2022


  • HPV-related multiphenotypic sinonasal carcinoma
  • Human papillomavirus and sinonasal malignancies
  • Inverted sinonasal papilloma
  • Nasopharyngeal carcinoma
  • Sinonasal squamous cell carcinoma
  • Sinonasal undifferentiated carcinoma

ASJC Scopus subject areas

  • Surgery
  • Immunology and Allergy
  • Otorhinolaryngology
  • Clinical Neurology


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