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意义不明确的非典型鳞状细胞(ASC-US)细胞学检查后HPV病毒载量呈“低度阳性”表明女性患2级和3级宫颈上皮内瘤变的风险较低。

"Low-grade positivity" of HPV viral load after atypical squamous cells of undetermined significance (ASC-US) cytology identifies women at low-risk for cervical intraepithelial neoplasia grade 2 and 3.

作者信息

Origoni M, Carminati G, Sideri M, Clementi M, Rolla S, Candiani M

机构信息

Department of Gynecology & Obstetrics, Vita Salute San Raffaele University School of Medicine at San Raffaele Scientific Institute, Milano, Italy.

出版信息

Eur J Gynaecol Oncol. 2012;33(3):261-4.

PMID:22873095
Abstract

The correlation between high-risk HPV-DNA viral load, expressed as relative light units (RLU) values obtained from the Hybrid Capture 2 (HC2) test, and the prevalence of CIN2/CIN3 was investigated and statistically analyzed in 614 ASC-US consecutive cases. Cases were categorized into three groups according to RLU values: "low-grade positivity", "intermediate positivity" and "high-grade positivity", and the prevalence of CIN2/CIN3 was evaluated in the single groups and compared among them. CIN/CIN3 rates demonstrated a significant (p < 0.001) increase with a direct correlation with increasing RLU values: 4.6% (RLU from 1.0 to 10.0), 9.1% (RLU from 11.0 to 100.0) and 32.2% (RLU > 100.0) respectively. The prevalence of CIN2/CIN3 between the group with RLU < 10.0 (4.6%) and the group with RLU > 10 (24.2%) showed statistical significance (p = 0.0002). Increasing hrHPV viral load significantly correlates with increasing prevalence of CIN2/CIN3 in ASC-US cases.

摘要

在614例连续的非典型鳞状细胞意义不明确(ASC-US)病例中,研究并统计分析了以杂交捕获2代(HC2)检测获得的相对光单位(RLU)值表示的高危人乳头瘤病毒(HPV)-DNA病毒载量与宫颈上皮内瘤变2级/3级(CIN2/CIN3)患病率之间的相关性。根据RLU值将病例分为三组:“低度阳性”、“中度阳性”和“高度阳性”,评估单组中CIN2/CIN3的患病率并进行组间比较。CIN2/CIN3发生率显示出显著升高(p < 0.001),且与RLU值升高直接相关:分别为4.6%(RLU为1.0至10.0)、9.1%(RLU为11.0至100.0)和32.2%(RLU > 100.0)。RLU < 10.0组(4.6%)和RLU > 10组(24.2%)之间的CIN2/CIN3患病率具有统计学意义(p = 0.0002)。在ASC-US病例中,高危型HPV病毒载量增加与CIN2/CIN3患病率增加显著相关。

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Br J Cancer. 2013 Oct 1;109(7):1766-74. doi: 10.1038/bjc.2013.519. Epub 2013 Sep 5.