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[Risk stratification of type-specific human papillomavirus for cervical precancers: evidence from a cross-sectional study in Shenzhen].

作者信息

Liu Z H, Lin W, Wang Y Y, Wu B, Yuan S X, Yao J L, Zhao X S, Chen B, Qiao Y L, Zhao F H, Chen W, Hu S Y

机构信息

Department of Gynecology, Shenzhen Maternity and Child Healthcare Hospital, Shenzhen 518028, China.

Department of Healthcare, Shenzhen Maternity and Child Healthcare Hospital, Shenzhen 518028, China.

出版信息

Zhonghua Zhong Liu Za Zhi. 2018 Oct 23;40(10):757-763. doi: 10.3760/cma.j.issn.0253-3766.2018.10.007.


DOI:10.3760/cma.j.issn.0253-3766.2018.10.007
PMID:30392340
Abstract

To analyze the epidemiological genotype features of human papillomavirus (HPV) in cervical infection and their risks for cervical precancers among women in Shenzhen area. A total of 2 717 individuals ranging in age from 30~59 years were recruited in 18 community health centers of Shenzhen city from March 1 to June 15, 2015 by a cluster sampling method. The results of genotype of HPV, liquid-based cytology (LBC), colposcopy and pathology were analyzed. The clinical sensitivity and specificity as well as positive (PPV) and negative (NPV) predictive values of the combination of different HPV genotype in screening the cervical intraepithelial neoplasia (CIN) 2 and above were estimated. The HPV infection rate in Shenzhen area was 15.9% (432/2 717). The most common HPV genotype was HPV52 (22.9%), followed by HPV16 (12.7%), HPV53 (10.0%), HPV51 (8.6%) and HPV58 (8.1%). Compared with HPV16/18 genotyping, HPV33/16 genotyping had a higher sensitivity (57.1% vs. 42.9%, <0.05) and an analogous specificity (87.3% vs. 86.9%, >0.05) in predicting CIN2+ . The sensitivity of combination of HPV33/16 genotyping and low grade squamous intraepithelial lesion (LSIL) positive tested by LBC in predicting CIN2+ was 75.0%, significantly higher than 64.3% of atypical squamous cells of undetermined significance (ASC-US) positive tested by LBC alone (<0.05). The specificities of these two methods mentioned above in predicting CIN2+ were 83.5% and 89.2%, respectively, without statistical difference (>0.05). Women infected by HPV have distinct risks for CIN2+ according to different high-risk HPV genotypes. The top five risks were HPV 33, 16, 58, 56, and 68. HPV-positive women triaged by LBC LSIL+ combined with HPV33/16 genotyping may be a potential strategy for cervical cancer screening in developed urban area.

摘要

相似文献

[1]
[Risk stratification of type-specific human papillomavirus for cervical precancers: evidence from a cross-sectional study in Shenzhen].

Zhonghua Zhong Liu Za Zhi. 2018-10-23

[2]
[Evaluation of CIN2+ /CIN3+ risk of different HPV subtypes infection combined with abnormal cytology status].

Zhonghua Zhong Liu Za Zhi. 2018-3-23

[3]
[Performance of combined liquid based cytology and HPV nucleic acid test for detecting cervical precancer among women attending screening].

Zhonghua Zhong Liu Za Zhi. 2018-10-23

[4]
Performance of carcinogenic human papillomavirus (HPV) testing and HPV16 or HPV18 genotyping for cervical cancer screening of women aged 25 years and older: a subanalysis of the ATHENA study.

Lancet Oncol. 2011-8-22

[5]
High-risk human papillomavirus genotype distribution and attribution to cervical cancer and precancerous lesions in a rural Chinese population.

J Gynecol Oncol. 2017-7

[6]
Comparison of HPV-16 and HPV-18 Genotyping and Cytological Testing as Triage Testing Within Human Papillomavirus-Based Screening in Mexico.

JAMA Netw Open. 2019-11-1

[7]
Prevalence of human papillomavirus infection and genotyping for population-based cervical screening in developed regions in China.

Oncotarget. 2016-9-20

[8]
[Performance of human papillomavirus typing test in cervical precancer lesions and cervical cancer screening].

Zhonghua Zhong Liu Za Zhi. 2020-3-23

[9]
Clinical evaluation of primary human papillomavirus (HPV) testing with extended HPV genotyping triage for cervical cancer screening: A pooled analysis of individual patient data from nine population-based cervical cancer screening studies from China.

Cancer Med. 2024-6

[10]
The clinical utility of extended high-risk HPV genotyping in risk-stratifying women with L-SIL cytology: A retrospective study of 8726 cases.

Cancer Cytopathol. 2022-7

引用本文的文献

[1]
The Prevalence of Cervical HPV Infection and Genotype Distribution in 856,535 Chinese Women with Normal and Abnormal Cervical Lesions: A Systemic Review.

J Cytol. 2022

[2]
HPV Prevalence and Genotype Distribution Among Women From Hengyang District of Hunan Province, China.

Front Public Health. 2021

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