Heidarpour Mitra, Derakhshan Maryam, Derakhshan-Horeh Marzieh, Kheirollahi Majid, Dashti Sepideh
Department of Pathology, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Anatomy, Tehran University of Medical Sciences, Tehran, Iran.
J Obstet Gynaecol Res. 2017 Jan;43(1):135-139. doi: 10.1111/jog.13188. Epub 2016 Dec 8.
In this study, we aimed to determine the prevalence of human papillomavirus (HPV) in ovarian endometriosis and ovarian tissue from women without endometriosis. Understanding the pathogenesis of the disease could help us design preventative strategies as well as novel and appropriate treatment approaches in this regard.
In this cross-sectional study, formalin-fixed and paraffin-embedded tissue sections from 50 and 49 ovaries with and without endometriosis, respectively, were evaluated for the presence of high-risk HPV using the polymerase chain reaction technique. Prevalence of HPV infection and other related characteristics of the studied population were compared.
High-risk HPV infection was detected in 13 (26%) and five (10.2%) of the samples with and without endometriosis, respectively (P = 0.041, χ = 3.16). Mean age and parity were not significantly different in subjects with and without HPV infection in the two studied groups (P = 0.7 and P = 0.06 for age in case and control groups, respectively; and P = 0.32 and P = 0.09 for parity in case and control groups, respectively).
The results of our study indicated a higher rate of high-risk HPV infection among patients with endometriosis. The findings could provide us baseline information for future studies regarding the pathogenesis of endometriosis and the role of viral infection and their possible impact on future cancer development in this group of patients.
在本研究中,我们旨在确定人乳头瘤病毒(HPV)在卵巢子宫内膜异位症患者以及无子宫内膜异位症女性的卵巢组织中的感染率。了解该疾病的发病机制有助于我们制定预防策略以及这方面新颖且合适的治疗方法。
在这项横断面研究中,分别对50例有子宫内膜异位症和49例无子宫内膜异位症的卵巢组织经福尔马林固定、石蜡包埋的组织切片,采用聚合酶链反应技术评估高危型HPV的存在情况。比较HPV感染率及研究人群的其他相关特征。
有子宫内膜异位症的样本中有13例(26%)检测到高危型HPV感染,无子宫内膜异位症的样本中有5例(10.2%)检测到高危型HPV感染(P = 0.041,χ = 3.16)。在两个研究组中,感染和未感染HPV的受试者之间的平均年龄和产次无显著差异(病例组和对照组年龄的P值分别为0.7和0.06;病例组和对照组产次的P值分别为0.32和0.09)。
我们的研究结果表明子宫内膜异位症患者中高危型HPV感染率更高。这些发现可为我们今后关于子宫内膜异位症发病机制、病毒感染的作用及其对该组患者未来癌症发展可能影响的研究提供基线信息。