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口腔和口咽鳞状细胞癌活检组织中人乳头瘤病毒(HPV)组织学检查结果的患病率:初步研究

Prevalence of histological findings of human papillomavirus (HPV) in oral and oropharyngeal squamous cell carcinoma biopsies: preliminary study.

作者信息

Xavier Sandra Doria, Bussoloti Filho Ivo, Lancellotti Carmem Lúcia Penteado

出版信息

Braz J Otorhinolaryngol. 2005 Jul-Aug;71(4):510-4. doi: 10.1016/s1808-8694(15)31208-8. Epub 2005 Dec 15.

Abstract

UNLABELLED

Human papillomavirus (HPV) is considered to be an etiologic agent of cervical cancer and, recently its relation to oral and oropharyngeal cancer has also been investigated. Oral squamous cell carcinoma (SCC) represents 90% of all malignant tumors that affect the oral cavity. The prevalence of HPV in patients with SCC ranges from 0 to 100%. The most known viral cytopathic effect is koilocytosis, considered to be a major characteristic of HPV infection.

AIM

The aim of this study was to verify the prevalence of some peculiar characteristics of HPV--koilocytosis--in oral and oropharyngeal SCC.

STUDY DESIGN

Transversal cohort.

MATERIAL AND METHOD

Twenty slides with oral and/or oropharyngeal SCC were examined under microscopy.

RESULTS

In 15 of them, koilocytosis was found, amounting to 75%. Although we know that polymerase chain reaction (PCR) is the method with the best sensitivity for HPV detection, we began this research looking for koilocytosis, which is highly suggestive of HPV infection.

CONCLUSION

This study is a trial project and we will continue this research with PCR measures to confirm this high prevalence of HPV infection in oral and oropharyngeal SCC.

摘要

未标记

人乳头瘤病毒(HPV)被认为是宫颈癌的病因,最近其与口腔癌和口咽癌的关系也受到了研究。口腔鳞状细胞癌(SCC)占所有影响口腔的恶性肿瘤的90%。SCC患者中HPV的患病率从0到100%不等。最知名的病毒细胞病变效应是凹空细胞形成,被认为是HPV感染的主要特征。

目的

本研究的目的是验证HPV的一些特殊特征——凹空细胞形成——在口腔和口咽SCC中的患病率。

研究设计

横向队列研究。

材料与方法

在显微镜下检查20张口腔和/或口咽SCC的切片。

结果

其中15张切片发现有凹空细胞形成,占75%。虽然我们知道聚合酶链反应(PCR)是检测HPV灵敏度最高的方法,但我们开始这项研究时是寻找凹空细胞形成,其强烈提示HPV感染。

结论

本研究是一个试验项目,我们将继续通过PCR检测进行这项研究,以证实HPV感染在口腔和口咽SCC中的高患病率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/620e/9441988/12be72832d0d/gr1.jpg

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