Sontakke Bharat R, Ambulkar Prafulla S, Talhar Shweta, Shivkumar Poonam Varma, Bharambe M S, Pal Asoke
Department of Anatomy, Mahatma Gandhi Institute of Medical Sciences, Wardha, Maharashtra, India.
Department of Anatomy, Cytogenetic and Molecular Genetic Division, Mahatma Gandhi Institute of Medical Sciences, Wardha, Maharashtra, India.
J Cytol. 2019 Jan-Mar;36(1):32-37. doi: 10.4103/JOC.JOC_10_18.
Carcinoma cervix of uterus (CaCx) is the most common malignancy affecting women worldwide. It is an established fact that infection of specific types of human papilloma virus (HPV) is essential for the development of cervical cancer. The present study reports the high-risk viruses (HPV 16 and 18) type distribution in rural central India, which has unique climatic condition. To our knowledge, no molecular study on HPV prevalence has been done in this region of rural population, this intended us do such study.
Sexually active women reporting to the Gynecology were divided in three groups, first being asymptomatic women with normal cervix (52 cases), second group with benign cervical lesion (52 cases), and third group of women with frank cervical malignancy (40 cases). Cervical swabs were collected for HPV DNA sampling. The incidence of HPV positivity was recorded in each group.
Fifty-two women with asymptomatic normal cervix showed 44.23% positivity for HPV 16 and 5.76% positivity for HPV 18. Fifty-two women with benign cervical lesion showed 38.46% positivity for HPV 16 and 3.84% positivity for HPV 18. Forty women with frank cervical malignancy were with prevalence of 62.5% for HPV 16 and 22.5% for HPV 18.
The results of the study are definitely helpful to know the prevalence of HPV in this region of rural population and will enrich the national epidemiological data related to HPV infection in cervical cancer.
子宫颈癌是全球影响女性的最常见恶性肿瘤。特定类型的人乳头瘤病毒(HPV)感染是宫颈癌发生的必要条件,这是一个既定事实。本研究报告了印度中部农村地区高危病毒(HPV 16和18型)的分布情况,该地区气候条件独特。据我们所知,该农村地区尚未开展关于HPV流行情况的分子研究,因此我们开展了此项研究。
到妇科就诊的性活跃女性分为三组,第一组为宫颈正常的无症状女性(52例),第二组为宫颈良性病变女性(52例),第三组为宫颈恶性肿瘤女性(40例)。采集宫颈拭子进行HPV DNA采样。记录每组中HPV阳性的发生率。
52例宫颈正常的无症状女性中,HPV 16阳性率为44.23%,HPV 18阳性率为5.76%。52例宫颈良性病变女性中,HPV 16阳性率为38.46%,HPV 18阳性率为3.84%。40例宫颈恶性肿瘤女性中,HPV 16的流行率为62.5%,HPV 18的流行率为22.5%。
本研究结果对于了解该农村地区HPV的流行情况肯定有帮助,并且将丰富全国与宫颈癌HPV感染相关的流行病学数据。