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Human papillomavirus types in cases of squamous cell carcinoma of head and neck in Colombia
Authors:Katherine Quintero  Gabriel A. Giraldo  Mary L. Uribe  Armando Baena  Carolina Lopez  Efrain Alvarez  Gloria I Sanchez
Affiliation:1. MD (Young researcher - U of A, Infection and Cancer Group - Medical School - University of Antioquia, UdeA, Medellin, Colombia).;2. DDS, MSC, Maxillofacial surgeon (Assistant Professor, Dentistry School - University of Antioquia and Las Vegas Clinic, Medellin, Colombia).;3. BSc, MSc (PhD student, University of Alicante, Alicante, Spain).;4. Ing., BSc statistician (PhD student of epidemiology, Infection and Cancer Group - University of Antioquia, UdeA, Medellin, Colombia).;5. MD, Pathologist (Assistant professor, Department of Pathology - Medical School - University of Antioquia, Medellin, Colombia).;6. DDS; MSc (Associate professor - School of Dentistry - University of Antioquia, Medellin, Colombia).;7. MSc.; Ph.D (Associate Professor, Coordinator of the Infection and Cancer Group, University of Antioquia, UdeA, Medellin, Colombia). Infection and Cancer Group & Department of Pathology - School of Medicine; School of Dentistry; University of Antioquia, Medellin, Colombia.
Abstract:Estimating the type-specific prevalence of human papillomavirus (HPV) in head and neck cancer (HNSCC) is helpful in predicting the impact of HPV immunization.ObjectiveTo estimate the overall prevalence, and gender and age-specific prevalence of HPV in HNSCC.MethodThis cross sectional retrospective study was carried out in four pathology laboratories of Medellin, Colombia. HPV testing was performed by GP5+/6+ PCR-based RLB and HPV 16 and 18 type-specific PCR.Results175 primary HNSCC cases consecutively diagnosed between 1999 and 2008 with confirmed diagnosis and amplifiable DNA were included. Overall HPV prevalence was 18.9%. HPV was found in 23.9%, 17.5% and 13.3% of the oral cavity, larynx and oropharynx cases respectively. Among HPV positive cases, 82% were HPV 16 and 18% were HPV 18. No other HPV genotypes were identified. Most patients were males. Male patients were younger that their female counterparts, particularly in oral cavity cancer cases.ConclusionHPV 16 and 18 genotypes were found in nearly 20% of HNSCC cases in Colombian patients. The impact of HPV vaccination for the prevention of HNSCC in this population deserves further evaluation.
Keywords:papillomavirus vaccines  oropharyngeal neoplasms  head and neck neoplasms  papillomavirus infections  laryngeal neoplasms
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