Wierzbicka Małgorzata, Józefiak Agata, Szydłowski Jarosław, Marszałek Andrzej, Stankiewicz Czesław, Hassman-Poznańska Elżbieta, Osuch-Wójcikiewicz Ewa, Składzień Jacek, Klatka Janusz, Pietruszewska Wioletta, Puacz Elżbieta, Szyfter Krzysztof, Szyfter Witold
Klinika Otolaryngologii i Onkologii Laryngologicznej UM w Poznaniu, ul. Przybyszewskiego 49, 60-355 Poznań, Poland.
Otolaryngol Pol. 2013 May-Jun;67(3):113-34. doi: 10.1016/j.otpol.2013.01.003. Epub 2013 Jan 11.
The role of human papilloma viruses (HPV) in malignant and nonmalignant ENT diseases and the corresponding epidemiological burden has been widely described. International head and neck oncology community discussed growing evidence that oral HPV infection contributes to the risk of oro-pharyngeal carcinoma (OPC) and recommended HPV testing as a part of the work up for patients with OPC. Polish Society of ENT Head Neck Surgery and National Chamber of Laboratory Diagnosticians have worked together to define the minimum requirements for assigning a diagnosis of HPV-related conditions and testing strategy that include HPV specific tests in our country. This paper briefly frames the literature information concerning low risk (LR) and high risk (HR) HPV, reviews the epidemiology, general guidance on the most appropriate biomarkers for clinical assessment of HPV. The definition of HPV-related cancer was presented. The article is aiming to highlight some of major issues for the clinician dealing with patients with HPV-related morbidities and to introduce the diagnostic algorithm in Poland.
人乳头瘤病毒(HPV)在耳鼻喉科恶性和非恶性疾病中的作用以及相应的流行病学负担已得到广泛描述。国际头颈肿瘤学界讨论了越来越多的证据,即口腔HPV感染会增加口咽癌(OPC)的风险,并建议将HPV检测作为OPC患者检查工作的一部分。波兰耳鼻喉头颈外科学会和国家实验室诊断医师协会共同努力,确定了在我国诊断HPV相关疾病和检测策略的最低要求,其中包括HPV特异性检测。本文简要梳理了有关低风险(LR)和高风险(HR)HPV的文献信息,回顾了流行病学,以及关于用于HPV临床评估的最合适生物标志物的一般指南。介绍了HPV相关癌症的定义。本文旨在突出临床医生在处理HPV相关疾病患者时的一些主要问题,并介绍波兰的诊断算法。