Journal article
Large contribution of human papillomavirus in vaginal neoplastic lesions: a worldwide study in 597 samples
European journal of cancer (1990), Vol.50(16), pp.2846-2854
11/2014
DOI: 10.1016/j.ejca.2014.07.018
PMID: 25155250
Abstract
Aim
This work describes the human papillomavirus (HPV) prevalence and the HPV type distribution in a large series of vaginal intraepithelial neoplasia (VAIN) grades 2/3 and vaginal cancer worldwide.
Methods
We analysed 189 VAIN 2/3 and 408 invasive vaginal cancer cases collected from 31 countries from 1986 to 2011. After histopathological evaluation of sectioned formalin-fixed paraffin-embedded samples, HPV DNA detection and typing was performed using the SPF-10/DNA enzyme immunoassay (DEIA)/LiPA25 system (version 1). A subset of 146 vaginal cancers was tested for p16INK4a expression, a cellular surrogate marker for HPV transformation. Prevalence ratios were estimated using multivariate Poisson regression with robust variance.
Results
HPV DNA was detected in 74% (95% confidence interval (CI): 70–78%) of invasive cancers and in 96% (95% CI: 92–98%) of VAIN 2/3. Among cancers, the highest detection rates were observed in warty-basaloid subtype of squamous cell carcinomas, and in younger ages. Concerning the type-specific distribution, HPV16 was the most frequently type detected in both precancerous and cancerous lesions (59%). p16INK4a overexpression was found in 87% of HPV DNA positive vaginal cancer cases.
Conclusions
HPV was identified in a large proportion of invasive vaginal cancers and in almost all VAIN 2/3. HPV16 was the most common type detected. A large impact in the reduction of the burden of vaginal neoplastic lesions is expected among vaccinated cohorts.
Details
- Title: Subtitle
- Large contribution of human papillomavirus in vaginal neoplastic lesions: a worldwide study in 597 samples
- Creators
- L Alemany - Unit of Infections and Cancer, Cancer Epidemiology Research Program, Catalan Institute of Oncology, IDIBELL, L'Hospitalet de Llobregat, Barcelona, Spain; CIBER en Epidemiología y Salud Pública (CIBERESP), Spain. Electronic address: lalemany@iconcologia.netM Saunier - Unit of Infections and Cancer, Cancer Epidemiology Research Program, Catalan Institute of Oncology, IDIBELL, L'Hospitalet de Llobregat, Barcelona, SpainL Tinoco - Hospital Oncológico, Quito, EcuadorB Quirós - Unit of Infections and Cancer, Cancer Epidemiology Research Program, Catalan Institute of Oncology, IDIBELL, L'Hospitalet de Llobregat, Barcelona, SpainI Alvarado-Cabrero - Mexican Oncology Hospital, IMSS, Mexico, DF, MexicoM Alejo - Unit of Infections and Cancer, Cancer Epidemiology Research Program, Catalan Institute of Oncology, IDIBELL, L'Hospitalet de Llobregat, Barcelona, Spain; Hospital General de L'Hospitalet, Barcelona, SpainE A Joura - Department of Gynaecology and Obstetrics, Medical University of Vienna, Comprehensive Cancer Center, Vienna, AustriaP Maldonado - Instituto de Ginecologia da Universidad Federal Do Rio de Janeiro-UFRJ, Rio de Janeiro, BrazilJ Klaustermeier - Unit of Infections and Cancer, Cancer Epidemiology Research Program, Catalan Institute of Oncology, IDIBELL, L'Hospitalet de Llobregat, Barcelona, Spain; CIBER en Epidemiología y Salud Pública (CIBERESP), SpainJ Salmerón - Mexican Oncology Hospital, IMSS, Mexico, DF, MexicoC Bergeron - Laboratoire Cerba, Department de Pathologie, Paris, FranceK U Petry - Klinikum Wolfsburg, Wolfsburg, GermanyN Guimerà - DDL Diagnostic Laboratory, Rijswijk, The NetherlandsO Clavero - Unit of Infections and Cancer, Cancer Epidemiology Research Program, Catalan Institute of Oncology, IDIBELL, L'Hospitalet de Llobregat, Barcelona, SpainR Murillo - Instituto Nacional de Cancerología, Bogotá, ColombiaC Clavel - CHU Reims, Hopital Maison Blanche, Laboratoire Pol Bouin, Reims, France; INSERM UMR-S903, Reims, FranceV Wain - WestMead Hospital, Sydney, AustraliaD T Geraets - DDL Diagnostic Laboratory, Rijswijk, The NetherlandsR Jach - Jagiellonian University Medical College, Krakow, PolandP Cross - Queen Elizabeth Hospital, Sheriff Hill, UKC Carrilho - Faculty of Medicine, Eduardo Mondlane University and Maputo Central Hospital, Maputo, MozambiqueC Molina - Centro de Oncología Preventiva, Universidad de Chile, Santiago, ChileH R Shin - National Cancer Center, Seoul, South KoreaV Mandys - Third Faculty of Medicine and Faculty Hospital King's Wineyards, Prague, Czech RepublicA M Nowakowski - Medical University of Lublin, Lublin, PolandA Vidal - Hospital Universitari de Bellvitge, Barcelona, SpainL Lombardi - Centro de Investigación Epidemiológica en Salud Sexual y Reproductiva - CIESAR, Hospital General San Juan de Dios - HGSJDD, Guatemala, GuatemalaH Kitchener - Manchester Royal Infirmary, Manchester, United KingdomA R Sica - Laboratorio de Anatomia Patológica del Hospital de la Mujer, Montevideo, UruguayC Magaña-León - Instituto Potosino de Investigación Científica y Tecnológica, AC (IPICYT), San Luis Potosí, MexicoM Pawlita - German Cancer Research Center (DKFZ), Heidelberg, GermanyW Quint - DDL Diagnostic Laboratory, Rijswijk, The NetherlandsI G Bravo - Unit of Infections and Cancer, Cancer Epidemiology Research Program, Catalan Institute of Oncology, IDIBELL, L'Hospitalet de Llobregat, Barcelona, SpainN Muñoz - Cancer Institute of Colombia, ColombiaS de Sanjosé - Unit of Infections and Cancer, Cancer Epidemiology Research Program, Catalan Institute of Oncology, IDIBELL, L'Hospitalet de Llobregat, Barcelona, Spain; CIBER en Epidemiología y Salud Pública (CIBERESP), SpainF X Bosch - Unit of Infections and Cancer, Cancer Epidemiology Research Program, Catalan Institute of Oncology, IDIBELL, L'Hospitalet de Llobregat, Barcelona, SpainHPV VVAP study group
- Contributors
- Charles F Lynch (Contributor) - University of Iowa, Epidemiology
- Resource Type
- Journal article
- Publication Details
- European journal of cancer (1990), Vol.50(16), pp.2846-2854
- DOI
- 10.1016/j.ejca.2014.07.018
- PMID
- 25155250
- NLM abbreviation
- Eur J Cancer
- ISSN
- 0959-8049
- eISSN
- 1879-0852
- Language
- English
- Date published
- 11/2014
- Academic Unit
- Epidemiology
- Record Identifier
- 9984214792702771
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