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Application of high-risk human papillomavirus testing in women with cervical abnormal cytology |
ZHANG Xiaoyan1, DING Xiaoping1, YE Mei1, BIAN Meilu2, CHEN Qingyun2 |
1.Department of Obstetrics and Gynecology, The Second Artillery General Hospital of PLA, Beijing 100088, China; 2.Department of Obstetrics and Gynecology ,China-Japan Friendship Hospital, Beijing 100029,China |
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Abstract Objective To investigate the application value of HR-HPV testing in cervical lesion screening. Method 872 patients interpreted as having abnormal cervical cytology received HR-HPV testing and all patients underwent colposcopy and biopsy. The patients were divided into five groups of NILM, CINI, CINII, CINIII and ICC. Association between HR-HPV load and CINs were evaluated by Spearman rank correlation. Result The positive rates of HR-HPV in ASC-US, ASC-H, LSIL, HSIL were 31.6%, 59.7%, 50.3%, 89.6%, respectively(P<0.01). The positive rates of HR-HPV in NILM, CINI, CINII, CINIII and ICC were 25.2%, 53.4%, 86.7%, 96.4%, 100%, respectively(P<0.01). There was significant difference between the viral load in NILM and CINs or ICC,while no significant difference was observed among the viral load in CINI, CINII, CINIII and ICC. Conclusions The positive rate of HR-HPV increases with the gravity of cervical lesion. The HR-HPV viral load is significantly associated with the presence of CINs and ICC. HPV viral load does not increase with severity of cervical neoplasia.
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Received: 20 February 2014
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[4] |
Jarboe E A, Venkat P, Hirsch M S,et al. A weakly positive human papillomavirus Hybrid Capture II result correlates with a significantly lower risk of cervical intraepithelial neoplasia 2,3 after atypical squamous cells of undetermined significance cytology[J].J Low Genit Tract Dis,2010,14:174-178.
|
[1] |
Kanjanavirojkul N, Pairojkul C, Yuenyao P,et al. Risk factors and histological outcome of abnormal cervix with human papilloma infection in northeastern Thai-women[J].Asian Pac J Cancer Prev, 2006,7(4):567-570.
|
[2] |
Mesher D, Szarewski A, Cadman L,et al. Long-term follow-up of cervical disease in women screened by cytology and HPV testing: results from the HART study[J].Br J Cancer, 2010,102(9):1405-1410.
|
[3] |
Torres L M, Insaurralde A, Rodriguez M I,et al. Detection of high risk human papillomavirus cervical infections by the hybrid capture in Asuncion, Paraguay[J].Braz J Infect Dis, 2009,13(3):203-206.
|
[5] |
张小燕,卞美璐,陈庆云.HPV检测在“不典型鳞状细胞-不除外宫颈高度上皮内病变”中的意义[J].基础医学与临床杂志,2011,31(7):827-829.
|
[4] |
Jarboe E A, Venkat P, Hirsch M S,et al. A weakly positive human papillomavirus Hybrid Capture II result correlates with a significantly lower risk of cervical intraepithelial neoplasia 2,3 after atypical squamous cells of undetermined significance cytology[J].J Low Genit Tract Dis,2010,14:174-178.
|
[6] |
Onuma K,Saad R S,Kanbour-shakir A,et al.Clinical implications of the diagnosis "atypical squamous cells, cannot exclude high-grade squamous intraepithelial lesion" in pregnant women[J].Cancer,2006,108:282-287.
|
[5] |
张小燕,卞美璐,陈庆云.HPV检测在“不典型鳞状细胞-不除外宫颈高度上皮内病变”中的意义[J].基础医学与临床杂志,2011,31(7):827-829.
|
[7] |
赵方辉,马俊飞,乔友林,等.人乳头状瘤病毒DNA载量与子宫颈病变的关系[J].中华流行病学杂志,2004,25(11):921-924.
|
[8] |
Nielsen A, Kjaer S K, Munk C, et al.Persistence of high-risk human papillomavirus infection in a population-based cohort of Danish women[J].J Med Virol, 2010,82(4):616-623.
|
[6] |
Onuma K,Saad R S,Kanbour-shakir A,et al.Clinical implications of the diagnosis "atypical squamous cells, cannot exclude high-grade squamous intraepithelial lesion" in pregnant women[J].Cancer,2006,108:282-287.
|
[9] |
陈庆云,卞美璐,张小燕.流式荧光杂交法检测宫颈人乳头状瘤病毒多重感染的临床意义[J].中华医学杂志,2009, 89(13):901-904.
|
[7] |
赵方辉,马俊飞,乔友林,等.人乳头状瘤病毒DNA载量与子宫颈病变的关系[J].中华流行病学杂志,2004,25(11):921-924.
|
[10] |
张小燕,陈庆云,卞美璐.人乳头状瘤病毒感染生物状态与宫颈病变研究进展[J].中国妇产科临床杂志,2006,7(2):147-150.
|
[8] |
Nielsen A, Kjaer S K, Munk C, et al.Persistence of high-risk human papillomavirus infection in a population-based cohort of Danish women[J].J Med Virol, 2010,82(4):616-623.
|
[11] |
Williams C, Collins S I, Roberts S,et al. Is human papillomavirus viral load a clinically useful predictive marker? a longitudinal study[J].Cancer Epidemiol Biomarkers Prev,2010,19(3):832-837.
|
[9] |
陈庆云,卞美璐,张小燕.流式荧光杂交法检测宫颈人乳头状瘤病毒多重感染的临床意义[J].中华医学杂志,2009, 89(13):901-904.
|
[12] |
Badaracco G, Savarese A, Micheli A,et al. Persistence of HPV after radio-chemotherapy in locally advanced cervical cancer[J].Oncol Rep,2010,23(4):1093-1099.
|
[10] |
张小燕,陈庆云,卞美璐.人乳头状瘤病毒感染生物状态与宫颈病变研究进展[J].中国妇产科临床杂志,2006,7(2):147-150.
|
[11] |
Williams C, Collins S I, Roberts S,et al. Is human papillomavirus viral load a clinically useful predictive marker? a longitudinal study[J].Cancer Epidemiol Biomarkers Prev,2010,19(3):832-837.
|
[12] |
Badaracco G, Savarese A, Micheli A,et al. Persistence of HPV after radio-chemotherapy in locally advanced cervical cancer[J].Oncol Rep,2010,23(4):1093-1099.
|
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