Fiche publication


Date publication

août 2026

Journal

Bulletin du cancer

Auteurs

Membres identifiés du Cancéropôle Est :
Pr BORG Christophe


Tous les auteurs :
Prevost C, Vaflard P, Neuzillet C, Delaye M, Bièche I, Vasseur D, Vendrely V, Borg C, Smolenschi C

Résumé

Anal canal squamous cell carcinoma (ASCC) is a rare tumor, predominantly caused by HPV16 infection, with a rising incidence, highlighting the importance of optimizing primary prevention, particularly through vaccination. While management of localized disease is well-established, treatment strategies for advanced stages remain less standardized. With the advent of immunotherapy and the immunogenicity associated with HPV, immune checkpoint inhibitors are emerging as a promising therapeutic option. Recent results from the PODIUM trial suggest that combining immunotherapy with chemotherapy may become a new first-line standard in metastatic disease. ASCC also exhibits a complex molecular landscape, with potentially actionable genetic alterations, emphasizing the need to include these patients in dedicated clinical trials. Finally, monitoring HPV circulating tumor DNA (ctDNA) could help optimize patient management, better guide therapy, and prevent progression to advanced stages.

Mots clés

ADN tumoral circulant HPV, Anal canal cancer, Cancer du canal anal, Chemotherapy, Chimiothérapie, Circulating HPV tumor DNA, HPV vaccination, Immunotherapy, Immunothérapie, Vaccination HPV

Référence

Bull Cancer. 2026 08 31;: