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与生殖器疱疹和宫颈癌关联相关的血清流行病学研究(作者译)

[Seroepidemiological studies related to the association of genital herpes to cervical cancer (author's transl)].

作者信息

Koenig U D, Haag A

出版信息

Geburtshilfe Frauenheilkd. 1975 Dec;35(12):909-13.

PMID:174969
Abstract

Blood sera of 290 patients were examined for the presence of antibodies against herpes simplex virus type 1 and type 2 (HSV-1 and HSV-2): 1. lues - seronegative individuals, 2. patients with specific lues antibodies, and 3. patients with so-called carcinoma in situ and invasive carcinoma of the uterine cervix. The group of syphilis-seropositive individuals served as control for the group with cervical lesions, because in both groups certain socioepidemiologic factors (promiscuity, early sexual intercourse) appear to be prevalent. The average value for HSV-2-antibodies was significantly higher in patients with cervical lesions than that in lues-seropositive individuals. Also, the average value was higher in the lues-seropositive group than that in the lues-seronegative group. The frequency of HSV-2-antibodies was highest in the group of patients with so-called carcinoma in situ and invasive carcinoma, less in the lues-seropositive group, and even more less in the lues-seronegative group. These results make it unlikely that the connection between cervical carcinoma and HSV-2-infection is a common or "nonsense"-correlation. They suggest a more narrow correlation between both diseases, but leave open whether it consists of either a causal relationship between herpes infection and the development of cervical carcinoma, or a predilection for herpes infection in the cervical region by the carcinomatous tissue.

摘要

对290名患者的血清进行检测,以确定是否存在针对1型和2型单纯疱疹病毒(HSV-1和HSV-2)的抗体:1. 梅毒血清阴性个体;2. 患有特异性梅毒抗体的患者;3. 所谓的子宫颈原位癌和浸润癌患者。梅毒血清阳性个体组作为宫颈病变组的对照,因为在这两组中某些社会流行病学因素(滥交、过早性交)似乎都很普遍。宫颈病变患者中HSV-2抗体的平均值显著高于梅毒血清阳性个体。此外,梅毒血清阳性组的平均值高于梅毒血清阴性组。在所谓的原位癌和浸润癌患者组中,HSV-2抗体的频率最高,在梅毒血清阳性组中较低,在梅毒血清阴性组中更低。这些结果表明宫颈癌与HSV-2感染之间的联系不太可能是一种常见的或“无意义”的关联。它们提示这两种疾病之间存在更密切的关联,但尚不清楚这是疱疹感染与宫颈癌发生之间的因果关系,还是癌组织对宫颈区域疱疹感染的易感性。

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