Prevalence and type distribution of human papillomavirus in carcinoma and intraepithelial neoplasia of the vulva, vagina and anus: A meta-analysis

Prevalence and type distribution of human papillomavirus in carcinoma and intraepithelial neoplasia of the vulva, vagina and anus: A meta-analysis
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DOI:
10.1002/ijc.24116
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发表时间:
2009-04-01
影响因子:
6.4
通讯作者:
Franceschi, Silvia
Franceschi, Silvia
中科院分区:
医学1区
文献类型:
--
作者:
De Vuyst, Hugo;Clifford, Gary M.;Franceschi, Silvia

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这项荟萃分析通过在 4 大洲进行的 93 项研究,使用 PCR 检测方法,调查了外阴、阴道和肛门上皮内瘤变 (VIN、VAIN、AIN) 1-3 级和癌症中人乳头瘤病毒 (HPV) 的患病率。在 90 个 VIN1、1,061 个 VIN2/3 和 1,873 个外阴癌中,HPV 总体患病率分别为 67.8%、85.3% 和 40.4%; 107 例 VAIN1、191 例 VAIN2/3 和 136 例阴道癌中分别为 100%、90.1% 和 69.9%;在 671 例 AIN1、609 例 AIN2/3 和 955 例肛门癌中,这一比例分别为 91.5%、93.9% 和 84.3%。 HPV16 的发现频率较高(>75%),而 HPV18 的发现频率较低(
This meta-analysis investigated human papillomavirus (HPV) prevalence in vulvar, vaginal and anal intraepithelial neoplasia (VIN, VAIN, AIN) grades 1-3 and carcinoma from 93 studies conducted in 4 continents and using PCR assays. Overall HPV prevalence was 67.8%, 85.3% and 40.4% among 90 VIN1, 1,061 VIN2/3 and 1,873 vulvar carcinomas; 100%, 90.1% and 69.9% among 107 VAIN1, 191 VAIN2/3 and 136 vaginal carcinomas; and 91.5% 93.9% and 84.3% among 671 AIN1, 609 AIN2/3 and 955 anal carcinomas, respectively. HPV16 was found more frequently (>75%) and HPV18 less frequently (