Prakrankamanant Preeda, Wongsena Metee
J Med Assoc Thai. 2016 Jan;99 Suppl 1:S89-96.
Human papillomavirus (HPV) is the most common sexually-transmitted virus and it is known that persistent infection by high-risk HPV is a necessary factor for cervical carcinogenesis. Although cytological screening has decreased the incidence of cervical cancer, the sensitivity and specificity of testing is limited. To date, HPV-driven molecular techniques have provided a number of potential biomarkers for both diagnostic and prognostic use in clinical management. In addition, they can provide insights into the biology of HPV-induced cancers leading to non-surgical therapy. This review summarizes current knowledge of detection methods for HPV and related biomarkers that can be used to discriminate lesions with a high risk of progression of cervical cancer.
人乳头瘤病毒(HPV)是最常见的性传播病毒,已知高危型HPV的持续感染是宫颈癌发生的必要因素。尽管细胞学筛查降低了宫颈癌的发病率,但检测的敏感性和特异性有限。迄今为止,HPV驱动的分子技术已提供了许多潜在的生物标志物,可用于临床管理中的诊断和预后。此外,它们可以深入了解HPV诱导的癌症生物学,从而实现非手术治疗。本综述总结了目前关于HPV检测方法和相关生物标志物的知识,这些生物标志物可用于鉴别具有宫颈癌进展高风险的病变。