2014
The relationship between the cervical and anal HPV infection in women with cervical intraepithelial neoplasia
SEHNAL, Borek; Ladislav DUŠEK; David CIBULA; Tomas ZIMA; Michael HALASKA et al.Základní údaje
Originální název
The relationship between the cervical and anal HPV infection in women with cervical intraepithelial neoplasia
Autoři
SEHNAL, Borek; Ladislav DUŠEK; David CIBULA; Tomas ZIMA; Michael HALASKA; Daniel DRIAK a Jiri SLAMA
Vydání
JOURNAL OF CLINICAL VIROLOGY, Amsterdam, ELSEVIER SCIENCE BV, 2014, 1386-6532
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
10600 1.6 Biological sciences
Stát vydavatele
Nizozemské království
Utajení
není předmětem státního či obchodního tajemství
Impakt faktor
Impact factor: 3.016
Označené pro přenos do RIV
Ano
Kód RIV
RIV/00216224:14110/14:00075518
Organizační jednotka
Lékařská fakulta
UT WoS
000329408700004
EID Scopus
2-s2.0-84891818274
Klíčová slova anglicky
HPV; CIN; Cervical infection; Anal infection; Anal cancer
Štítky
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 20. 5. 2014 17:20, Soňa Böhmová
Anotace
V originále
Background: More than 90% of cases of anal cancers are caused by high-risk human papillomavirus (HR HPV) infection and a history of cervical intraepithelial neoplasia (CIN) is established as possible risk factor. Objectives: To demonstrate relationship between anal and cervical HPV infection in women with different grades of CIN and microinvasive cervical cancer. Study design: A total of 272 women were enrolled in the study. The study group included 172 women who underwent conization for high-grade CIN or microinvasive cervical cancer. The control group consisted of 100 women with non-neoplastic gynecologic diseases or biopsy-confirmed CIN 1. All participants completed a questionnaire detailing their medical history and sexual risk factors and were subjected to anal and cervical HPV genotyping using Cobas and Lynear array HPV test. Results: Cervical, anal, and concurrent cervical and anal HPV infections were detected in 82.6%, 48.3% and 42.4% of women in the study group, and in 28.0%, 26.0% and 8.0% of women in the control group, respectively. The prevalence of the HR HPV genotypes was higher in the study group and significantly increased with the severity of cervical lesion. Concurrent infections of the cervix and anus occurred 5.3-fold more often in the study group than in the control group. Any contact with the anus was the only significant risk factor for development of concurrent HPV infection. Conclusions: Concurrent anal and cervical HR HPV infection was found in nearly half of women with CIN2+. The dominant genotype found in both anatomical locations was HPV 16. Any frequency and any type of contact with the anus were shown as the most important risk factor for concurrent HPV infection.