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Large contribution of human papillomavirus in vaginal neoplastic lesions: a worldwide study in 597 samples
L. Alemany, M. Saunier, L. Tinoco, B. Quirós, I. Alvarado-Cabrero, M. Alejo, EA. Joura, P. Maldonado, J. Klaustermeier, J. Salmerón, C. Bergeron, KU. Petry, N. Guimerà, O. Clavero, R. Murillo, C. Clavel, V. Wain, DT. Geraets, R. Jach, P. Cross,...
Language English Country England, Great Britain
Document type Journal Article, Research Support, Non-U.S. Gov't
- MeSH
- DNA, Viral analysis MeSH
- Immunoenzyme Techniques MeSH
- Papillomavirus Infections complications epidemiology virology MeSH
- Cyclin-Dependent Kinase Inhibitor p16 metabolism MeSH
- Middle Aged MeSH
- Humans MeSH
- Human papillomavirus 16 isolation & purification MeSH
- International Cooperation MeSH
- Vaginal Neoplasms complications epidemiology virology MeSH
- Papillomaviridae isolation & purification MeSH
- Poisson Distribution MeSH
- Precancerous Conditions epidemiology virology MeSH
- Prevalence MeSH
- Cross-Sectional Studies MeSH
- Regression Analysis MeSH
- Retrospective Studies MeSH
- Aged MeSH
- Carcinoma, Squamous Cell complications epidemiology virology MeSH
- Treatment Outcome MeSH
- Check Tag
- Middle Aged MeSH
- Humans MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Research Support, Non-U.S. Gov't MeSH
AIM: This work describes the human papillomavirus (HPV) prevalence and the HPV type distribution in a large series of vaginal intraepithelial neoplasia (VAIN) grades 2/3 and vaginal cancer worldwide. METHODS: We analysed 189 VAIN 2/3 and 408 invasive vaginal cancer cases collected from 31 countries from 1986 to 2011. After histopathological evaluation of sectioned formalin-fixed paraffin-embedded samples, HPV DNA detection and typing was performed using the SPF-10/DNA enzyme immunoassay (DEIA)/LiPA25 system (version 1). A subset of 146 vaginal cancers was tested for p16(INK4a) expression, a cellular surrogate marker for HPV transformation. Prevalence ratios were estimated using multivariate Poisson regression with robust variance. RESULTS: HPV DNA was detected in 74% (95% confidence interval (CI): 70-78%) of invasive cancers and in 96% (95% CI: 92-98%) of VAIN 2/3. Among cancers, the highest detection rates were observed in warty-basaloid subtype of squamous cell carcinomas, and in younger ages. Concerning the type-specific distribution, HPV16 was the most frequently type detected in both precancerous and cancerous lesions (59%). p16(INK4a) overexpression was found in 87% of HPV DNA positive vaginal cancer cases. CONCLUSIONS: HPV was identified in a large proportion of invasive vaginal cancers and in almost all VAIN 2/3. HPV16 was the most common type detected. A large impact in the reduction of the burden of vaginal neoplastic lesions is expected among vaccinated cohorts.
3rd Faculty of Medicine and Faculty Hospital King's Wineyards Prague Czech Republic
Cancer Institute of Colombia Colombia
Centro de Oncología Preventiva Universidad de Chile Santiago Chile
CHU Reims Hopital Maison Blanche Laboratoire Pol Bouin Reims France
CIBER en Epidemiología y Salud Pública Spain
DDL Diagnostic Laboratory Rijswijk The Netherlands
Faculty of Medicine Eduardo Mondlane University and Maputo Central Hospital Maputo Mozambique
German Cancer Research Center Heidelberg Germany
Hospital General de L'Hospitalet Barcelona Spain
Hospital Oncológico Quito Ecuador
Hospital Universitari de Bellvitge Barcelona Spain
Instituto de Ginecologia da Universidad Federal Do Rio de Janeiro UFRJ Rio de Janeiro Brazil
Instituto Nacional de Cancerología Bogotá Colombia
Instituto Potosino de Investigación Científica y Tecnológica AC San Luis Potosí Mexico
Jagiellonian University Medical College Krakow Poland
Klinikum Wolfsburg Wolfsburg Germany
Laboratoire Cerba Department de Pathologie Paris France
Laboratorio de Anatomia Patológica del Hospital de la Mujer Montevideo Uruguay
Manchester Royal Infirmary Manchester United Kingdom
Medical University of Lublin Lublin Poland
Mexican Oncology Hospital IMSS Mexico DF Mexico
National Cancer Center Seoul South Korea
References provided by Crossref.org
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