Abstract

Transoral robotic surgery (TORS) has been advocated as a means of de-escalating or “personalizing” adjuvant treatment of oropharyngeal squamous cell carcinoma (OSCC) based upon known histopathological risk factors. Despite its favorable prognosis, approximately 9-14% of patients with HPV-related OSCC will still fail conventional therapy. Accumulating evidence points to the importance of an ongoing antitumor T cell response and tumor infiltration by active effector T cells prior to conventional therapy like surgery, chemotherapy or radiotherapy that corresponds with clinical outcome.

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