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M9650456.TXT
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1996-03-09
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Document 0456
DOCN M9650456
TI Human papillomavirus is associated with the frequent detection of warty
and basaloid high-grade neoplasia of the vulva and cervical neoplasia
among immunocompromised women.
DT 9605
AU Petry KU; Kochel H; Bode U; Schedel I; Niesert S; Glaubitz M; Maschek H;
Kuhnle H; Department of Gynecological Oncology, University of Hannover,;
Germany.
SO Gynecol Oncol. 1996 Jan;60(1):30-4. Unique Identifier : AIDSLINE
MED/96139371
AB A total of 158 women who either HIV-infected or under iatrogenic
immunosuppression were examined regularly during a 4-year period to
evaluate if certain vulvar neoplasms and cervical neoplasia have similar
associated risk factors. Patients with CIN were matched prospectively
with immunocompetent controls with CIN. Forty-eight cervical lesions
were detected among patients, including 2 invasive carcinoma and 15
CIN-3 lesions, compared to 11 vulvar lesions, including 2 invasive
carcinoma and 7 VIN-3 lesions. Women who have more than five life-time
partners were more likely to have HPV-DNA positive cervical swabs and
vulvar scrapes as well as cervical and/or vulvar neoplasia. Compared to
2.7% of controls 15.2% of patients with CIN had coexisting high-grade
lesions of the vulva. With 1 exception all patients with vulvar
neoplasia either suffered from symptomatic immunodeficiency or received
immunosuppressive drugs for more than 10 years. Except for 1 VIN-3
lesions, all vulvar neoplasms were associated with HPV-DNA types 16, 31,
and/or 33. Six of nine patients as well as the 2 controls with
coexisting vulvar and cervical neoplasia had the same HPV-type
associated with both lesions. All vulvar lesions were classified as
either warty or basaloid. In conclusion cervical and bowenoid/basaloid
vulvar neoplasia seem to have a similar HPV-related genesis. Malfunction
of the cellular immune response appears to be a cofactor in the genesis
of HPV-associated neoplasia at both sites.
DE Case-Control Studies Cervical Intraepithelial Neoplasia/VIROLOGY
Cervix Diseases/*VIROLOGY Cervix Neoplasms/*VIROLOGY Condylomata
Acuminata/*VIROLOGY DNA Probes, HPV Female Human *Immunocompromised
Host Neoplasms, Basal Cell/*VIROLOGY Papillomavirus,
Human/GENETICS/*ISOLATION & PURIF Prospective Studies Vulvar
Diseases/*VIROLOGY Vulvar Neoplasms/*VIROLOGY JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).