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Evaluation of Cervical Intraepithelial Neoplasia Occurrence Following the Recorded Onset of Persistent High-Risk Human Papillomavirus Infection: A Retrospective Study on Infection Duration

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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 [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
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关键词: cervical cancer carcinoma genital neoplasia female gynecology HPV CIN

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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.

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基金编号: 81630060 81772775 2015CB553903

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出版当年[2018]版:
大类 | 2 区 医学
小类 | 3 区 肿瘤学
最新[2025]版:
大类 | 3 区 医学
小类 | 4 区 肿瘤学
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出版当年[2017]版:
Q2 ONCOLOGY
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Q2 ONCOLOGY

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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
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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
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