Medical Science | Open Access | DOI: https://doi.org/10.37547/tajmspr/Volume07Issue10-04

Comprehensive Perspectives on Oral Squamous Cell Carcinoma: HPV, Epidemiological Patterns, Diagnosis, Post-Treatment Challenges

Thy Uyen Pham , Independent Researcher, Ocean View High School 17071 Gothard St, Huntington Beach, CA 92647, USA

Abstract

Oral Squamous Cell Carcinoma (OSCC) is the most common type of head and neck cancer, with the highest mortality rate. Traditional causes include smoking, alcohol consumption, tobacco use and betel chewing, while human papillomavirus (HPV) has recently emerged as an additional significant cause. Current challenges include a rising incidence in younger patients, variations in tumor location and biology, and early lesions that often resemble benign conditions, making timely diagnosis difficult.

HPV-positive OSCC shows a better prognosis and treatment response due to the radiosensitivity of HPV-associated tumors. Researchers have developed an HPV-positive OSCC model to study the biological mechanisms of HPV-induced disease and to identify optimal treatment intensity with low toxicity and high efficiency. Furthermore, advances in medicine, such as the use of salivary biomarkers and artificial intelligence, promise to enhance diagnosis in the future.

In addition to treatment, the issues of post-treatment life of patients need to be considered because patients often face mental and physical side effects for a long time after treatment. This review summarizes the current understanding of the role of HPV in OSCC and examines factors such as age, gender, delayed diagnosis, emerging diagnostic methods, and the influence of post-treatment quality of life on OSCC overall.

Keywords

Oral Squamous Cell Carcinoma, Human Papillomavirus, Epidemiological Patterns, Early Signs and Diagnostic Delays, Saliva Biomarkers, Artificial Intelligence, Post-treatment Challenge

References

AlZoubi, I. A., Alam, M. K., Alkayid, R. B. S., Alruwaili, H. O., Alruwaili, E. O., Alsaleh, T. A., Alanazi, F. T. F., & Noor, N. F. B. M. (2025). Evaluation of Salivary Biomarkers in the Early Detection of Oral Squamous Cell Carcinoma. Journal of Pharmacy & Bioallied Sciences, 17(Suppl 2), S1276–S1278.

Badr, H., Lipnick, D., Gupta, V., & Miles, B. (2017). Survivorship Challenges and Information Needs after Radiotherapy for Oral Cancer. Journal of Cancer Education, 32(4), 799–807.

Baher, M. K., Moscowchi, A., & Atarbashi-Moghadam, S. (2025). Prevalence of oral HPV in healthy and lesion-bearing populations in Iran: A systematic review and meta-analysis. BMC Oral Health, 25(1), 699.

Chen, A. M. (2023). De-escalation treatment for human papillomavirus–related oropharyngeal cancer: Questions for practical consideration. Oncology (Williston Park), 37(7), 281–287.

González-Moles, M. Á., Aguilar-Ruiz, M., & Ramos-García, P. (2022). Challenges in the Early Diagnosis of Oral Cancer, Evidence Gaps and Strategies for Improvement: A Scoping Review of Systematic Reviews. Cancers, 14(19), 4967.

Hussain, S. F. J., Abullais, S. S., Bottu, K., Thirumani, L., Misbah, I., Madar, I. H., … & Karobari, M. I. (2025). Molecular analysis of HPV16 and HPV18 oncogenes in oral squamous cell carcinoma: Structural, transcriptomic and in vitro insights. Oncology Letters, 29(3), 115.

Khijmatgar, S., Yong, J., Rübsamen, N., Lorusso, F., Rai, P., Cenzato, N., Gaffuri, F., Del Fabbro, M., & Tartaglia, G. M. (2024). Salivary biomarkers for early detection of oral squamous cell carcinoma (OSCC) and head/neck squamous cell carcinoma (HNSCC): A systematic review and network meta-analysis. The Japanese Dental Science Review, 60, 32–39.

Ko, H. H., Wu, F. Y., Chen, Y. S., Lin, W., Fang, C. K., Bai, C. H., Lin, H. Y., Kao, H. F., & Cheng, S. J. (2025). Sex differences in prognostic factors and genomic variations in oral squamous cell carcinoma: A 5-year retrospective study. Journal of Dental Sciences, 20(2), 1086–1094.

Lenoci, D., Moresco, E., Cavalieri, S., Bergamini, C., Torchia, E., Botta, L., Canevari, S., Trama, A., Licitra, L., & De Cecco, L. (2024). Oral cancer in young adults: Incidence, risk factors, prognosis, and molecular biomarkers. Frontiers in Oncology, 14, 1452909.

Mauceri, R., Bazzano, M., Coppini, M., Tozzo, P., Panzarella, V., & Campisi, G. (2022). Diagnostic delay of oral squamous cell carcinoma and the fear of diagnosis: A scoping review. Frontiers in Psychology, 13, Article 1009080.

Modic, Z., Cemazar, M., Markelc, B., Cör, A., Sersa, G., Kranjc Brezar, S., & Jesenko, T. (2023). HPV-positive murine oral squamous cell carcinoma: Development and characterization of a new mouse tumor model for immunological studies. Journal of Translational Medicine, 21(1), 376.

Nuñez-Vera, V., Garcia-Perla-Garcia, A., Gonzalez-Cardero, E., Esteban, F., & Infante-Cossio, P. (2024). Impact of Treatment on Quality of Life in Oropharyngeal Cancer Survivors: A 3-Year Prospective Study. Cancers, 16(15), 2724.

Rutkowska, M., Hnitecka, S., Nahajowski, M., Dominiak, M., & Gerber, H. (2020). Oral cancer: The first symptoms and reasons for delaying correct diagnosis and appropriate treatment. Advances in Clinical and Experimental Medicine, 29(6), 735–743.

Sankar, V., & Xu, Y. (2023). Oral Complications from Oropharyngeal Cancer Therapy. Cancers, 15(18), Article 4548.

Shen, Y.-W., Wang, W.-C., Lin, N.-C., Ningrum, V., Shieh, T.-M., & Shih, Y.-H. (2024). The association of salivary flow rate and sleep quality among head and neck cancer survivors after radiotherapy. BMC Oral Health, 24, Article 251.

Štifanić, J., Štifanić, D., Anđelić, N., & Car, Z. (2025). Explainable AI for oral cancer diagnosis: Multiclass classification of histopathology images and Grad-CAM visualization. Biology, 14(8), 909.

Swaminathan, D., George, N. A., Thomas, S., & Iype, E. M. (2024). Factors associated with delay in diagnosis of oral cancers. Cancer Treatment and Research Communications, 40, Article 100831.

Warin, K., & Suebnukarn, S. (2024). Deep learning in oral cancer: A systematic review. BMC Oral Health, 24(1), 212.

Wolfer, S., Kunzler, A., Foos, T., Ernst, C., Leha, A., & Schultze-Mosgau, S. (2022). Gender and risk-taking behaviors influence the clinical presentation of oral squamous cell carcinoma. Clinical and Experimental Dental Research, 8(1), 141–151.

Yang, J., Guo, K., Zhang, A., Zhu, Y., Li, W., Yu, J., & Wang, P. (2023). Survival analysis of age-related oral squamous cell carcinoma: A population study based on SEER. European Journal of Medical Research, 28(1), 413.

Article Statistics

Copyright License

Download Citations

How to Cite

Thy Uyen Pham. (2025). Comprehensive Perspectives on Oral Squamous Cell Carcinoma: HPV, Epidemiological Patterns, Diagnosis, Post-Treatment Challenges. The American Journal of Medical Sciences and Pharmaceutical Research, 7(10), 24–28. https://doi.org/10.37547/tajmspr/Volume07Issue10-04