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The purpose of the Carolina Head and Neck Cancer Study (CHANCE-2) is to understand how the characteristics of a head and neck cancer patient and their tumor influence prognosis, treatment, and outcome.

Background

Traditionally associated with heavy smoking and alcohol consumption, it is estimated that approximately 60-70% of new oropharyngeal squamous cell carcinoma (OPSCC) cases are attributed to human papilloma virus (HPV).

To date, there are no population-based studies or tumor registries that incorporate HPV status in head and neck cancer. The Carolina Head and Neck Cancer Study, CHANCE-2, will provide the first comprehensive population-based resource to examine molecular heterogeneity among HPV+ and HPV- tumors from head and neck cancer patients and their outcomes.

 

Study Design

Within the six-year time span between 2018-2024, the CHANCE-2 team will:

CHANCE-2 46-county study area (click to enlarge)
  1. Interview up to 1,800 men and women with head and neck squamous cell carcinoma (HNSCC) living in 46 counties in North Carolina. From volunteers, researchers will collect demographic and risk factor data through telephone surveys.
  2. Collect medical records to obtain diagnosis, treatment, follow-up, and outcome information.
  3. Request tumor samples and test them to determine HPV status and molecular subtypes and mutational profile.
  4. Re-contact participants at one-year and three-years post-diagnosis to obtain updated treatment information.

For a full searchable list of counties included in the study area, click or select here

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County
Alamance
Brunswick
Cabarrus
Caswell
Catawba
Chatham
Craven
Cumberland
Davidson
Davie
Duplin
Durham
Edgecombe
Forsyth
Franklin
Gaston
Granville
Greene
Guilford
Halifax
Harnett
Iredell
Johnston
Lee
Lenoir
Lincoln
Mecklenburg
Montgomery
Moore
Nash
New Hanover
Onslow
Orange
Pender
Person
Pitt
Randolph
Rockingham
Rowan
Sampson
Stanly
Union
Vance
Wake
Wayne
Wilson