Kuykendall-Ivy Tracy D, Johnson Sandra Marchese
Department of Dermatology, University of Arkansas for Medical Sciences, Little Rock 72205, USA.
Cutis. 2003 Mar;71(3):213-22.
Human papillomavirus (HPV)-induced tumors of the skin are often varied in clinical presentation, ranging from benign warts to malignant neoplasms. This article reviews the natural history and recommended treatment of some of the common HPV-induced tumors, as well as reviews many of the clinical trials for future wart therapies. This review is not meant to serve as a guideline or to be all-inclusive. Almost invariably, HPV-associated diseases are difficult to treat. The treatment options employed by healthcare professionals are usually dependent on their prior experience or exposure during residency. Many wart treatments are based on anecdotal evidence rather than on carefully conducted clinical trials. A systematic review of the literature was performed using the 1966-April 2002 MEDLINE database, the 1967-2000 PubMed database (National Library of Medicine), and the Cochrane Database of Systematic Reviews. Randomized clinical trials, controlled clinical trials, and multicenter studies were reviewed. Articles were included in the evaluation if they were printed in English, reported on human subjects, and analyzed subjects who had cutaneous nongenital warts.
人乳头瘤病毒(HPV)诱发的皮肤肿瘤临床表现往往多种多样,从良性疣到恶性肿瘤都有。本文回顾了一些常见的HPV诱发肿瘤的自然病史及推荐治疗方法,还回顾了许多未来疣治疗的临床试验。本综述并非旨在作为指南或涵盖所有内容。几乎无一例外,HPV相关疾病都难以治疗。医疗专业人员采用的治疗方案通常取决于他们在住院实习期间的既往经验或接触情况。许多疣治疗方法都基于轶事证据而非精心开展的临床试验。使用1966年至2002年4月的MEDLINE数据库、1967年至2000年的PubMed数据库(国立医学图书馆)以及Cochrane系统评价数据库对文献进行了系统回顾。对随机临床试验、对照临床试验和多中心研究进行了综述。如果文章以英文发表、报道人体受试者且分析患有皮肤非生殖器疣的受试者,则纳入评估。