Human papillomavirus in carcinomas of the tongue: clinical and prognostic implications.

Autor: García-de Marcos JA; Department of Oral and Maxillofacial Surgery, Albacete University Hospital, Albacete, Spain. Electronic address: pepio2@hotmail.com., Pérez-Zafrilla B; Department of Oral and Maxillofacial Surgery, Albacete University Hospital, Albacete, Spain., Arriaga Á; Department of Oral and Maxillofacial Surgery, Albacete University Hospital, Albacete, Spain., Arroyo-Rodríguez S; Department of Oral and Maxillofacial Surgery, Albacete University Hospital, Albacete, Spain., Poblet E; Department of Oral and Maxillofacial Surgery, Albacete University Hospital, Albacete, Spain.
Jazyk: angličtina
Zdroj: International journal of oral and maxillofacial surgery [Int J Oral Maxillofac Surg] 2014 Mar; Vol. 43 (3), pp. 274-80. Date of Electronic Publication: 2013 Nov 20.
DOI: 10.1016/j.ijom.2013.10.016
Abstrakt: It is not clear whether the presence of human papillomavirus (HPV) in squamous cell carcinomas of the tongue (SCCT) is of etiopathogenic and clinical significance. This study was designed to establish the incidence of HPV in SCCT and to determine the influence of HPV detection on clinical parameters and the prognosis. Clinical and histopathological data of 64 patients with SCCT were collected. Thirty benign lesions of the tongue were analyzed in parallel, in order to compare the HPV incidence and genotypes in these lesions with those of SCCT. Paraffin blocks of all cases were collected and PCR was carried out using SPF10 primers and the INNO-LiPA genotyping methodology. HPV was detected in 26.2% of the patients. Hybridization results showed that all patients except one had high-risk (HR)-HPV. HPV56 was the most common (42.1%), followed by HPV18 (26.3%), HPV16 (10.5%), HPV66 (10.5%), HPV39 (5.3%), and HPV51 (5.3%). The odds ratio of HR-HPV infection in cases vs. controls was statistically significant (9.45, 95% confidence interval 1.18-75.46). Among the results of the univariate analysis correlating the presence of HR-HPV with different clinical parameters, only mortality showed a statistically significant correlation, being higher in HR-HPV patients (odds ratio 3.97, 95% confidence interval 1.07-14.7).
(Copyright © 2013 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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