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Blood Test Flags HPV-Linked Throat Cancers Up to 10 Years Early

Researchers say larger blinded studies will determine its suitability for population screening.

Overview

  • In a Journal of the National Cancer Institute study, Mass General Brigham scientists report a liquid biopsy called HPV-DeepSeek detected HPV-associated oropharyngeal cancers years before diagnosis.
  • In a retrospective biobank set of 56 plasma samples, the assay found circulating tumor HPV DNA in 22 of 28 future cancer cases, while all 28 matched controls tested negative.
  • A machine-learning model increased case identification to 27 of 28 and included positives up to a decade prediagnosis, with the earliest non-ML positive at 7.8 years before diagnosis.
  • Earlier work by the same team showed about 99% sensitivity and 99% specificity for diagnosing these cancers at first clinical presentation.
  • NIH- and NCI-supported blinded validation using hundreds of PLCO trial samples is underway, and investigators note it remains uncertain whether early positives reflect existing cancer or a precancerous state.