Evaluation of Cervical Intraepithelial Neoplasia Occurrence Following the Recorded Onset of Persistent High-Risk Human Papillomavirus Infection: A Retrospective Study on Infection Duration
单位:[1]cancer biology research center (key laboratory of the ministry of education),tongji medical college,tongji hospital,huazhong university of science and technology,wuhan,china华中科技大学同济医学院附属同济医院肿瘤生物医学中心[2]department of obstetrics & gynecology,the third xiangya hospital of central south university,changsha,china[3]school of public health,tongji medical college,huazhong university of science and technology,wuhan,china[4]department of gynecologic oncology,tongji hospital,tongji medical college,huazhong university of science and technology,wuhan,china华中科技大学同济医学院附属同济医院肿瘤科妇产科学系妇科肿瘤
Objectives: Persistent high-risk human papillomavirus infection is a major factor in the development of cervical intraepithelial neoplasia and cervical cancer. However, the exact point during this infection that cervical intraepithelial neoplasia develops has eluded researchers. Therefore, we designed a study investigating infection duration between the recorded onset of persistent high-risk human papillomavirus infection and cervical intraepithelial neoplasia development. Methods: Basic descriptive statistics, including the Chi-square test and the Kaplan-Meier method, were used to retrospectively analyze data of 277 women who underwent human papillomavirus genotyping, exhibited persistent high-risk human papillomavirus infection, were cervical cytology negative at enrollment, and developed cervical intraepithelial neoplasia at some point during follow-up. Results: Mean number of cervical cytology and human papillomavirus tests was 2.31 per patient (range: 2-8). Human papillomavirus 16, 52, 58, and 33 accounted for 21.64% (132/610), 21.64% (132/610), 15.90% (97/610), and 10.66% (65/610) of infections, respectively. 42.24% (117/277) and 57.76% (160/277) of women were diagnosed with cervical intraepithelial neoplasia 1 and cervical intraepithelial neoplasia 2+ after persistent high-risk human papillomavirus infection, with mean follow-up times of 18.15 (11.81) and 19.82 (13.31) months, respectively. Cervical intraepithelial neoplasia occurred between 4 and 70 months following the recorded onset of persistent high-risk human apillomavirus infection and 73.65% (204/277) of women developed cervical intraepithelial neoplasia within 24 months. Conclusion: Human papillomavirus 16, 52, 58, and 33 were the most prevalent high-risk human papillomavirus types in a group of women in which the majority developed cervical intraepithelial neoplasia within 24 months of persistent infection.
基金:
National Natural Science Foundation of ChinaNational Natural Science Foundation of China (NSFC) [81630060, 81772775]; National Basic Research Program of China (973 Program)National Basic Research Program of China [2015CB553903]; research-oriented clinician funding program of Tongji Medical College, Huazhong University of Science and Technology
第一作者单位:[1]cancer biology research center (key laboratory of the ministry of education),tongji medical college,tongji hospital,huazhong university of science and technology,wuhan,china
共同第一作者:
通讯作者:
通讯机构:[1]cancer biology research center (key laboratory of the ministry of education),tongji medical college,tongji hospital,huazhong university of science and technology,wuhan,china[4]department of gynecologic oncology,tongji hospital,tongji medical college,huazhong university of science and technology,wuhan,china
推荐引用方式(GB/T 7714):
lazare cordelle,xiao songshu,meng yifan,et al.Evaluation of Cervical Intraepithelial Neoplasia Occurrence Following the Recorded Onset of Persistent High-Risk Human Papillomavirus Infection: A Retrospective Study on Infection Duration[J].FRONTIERS IN ONCOLOGY.2019,9:doi:10.3389/fonc.2019.00976.
APA:
lazare,cordelle,xiao,songshu,meng,yifan,wang,chen,li,wending...&wu,peng.(2019).Evaluation of Cervical Intraepithelial Neoplasia Occurrence Following the Recorded Onset of Persistent High-Risk Human Papillomavirus Infection: A Retrospective Study on Infection Duration.FRONTIERS IN ONCOLOGY,9,
MLA:
lazare,cordelle,et al."Evaluation of Cervical Intraepithelial Neoplasia Occurrence Following the Recorded Onset of Persistent High-Risk Human Papillomavirus Infection: A Retrospective Study on Infection Duration".FRONTIERS IN ONCOLOGY 9.(2019)