HPV type-distribution in women with and without cervical neoplastic diseases

G Clifford, S Franceschi, M Diaz, N Muñoz, LL Villa - Vaccine, 2006 - Elsevier
G Clifford, S Franceschi, M Diaz, N Muñoz, LL Villa
Vaccine, 2006Elsevier
Geographical widespread data on human papillomavirus (HPV) type-distribution are
essential for estimating the impact of HPV-16/18 vaccines on cervical cancer and cervical
screening programmes. Epidemiological studies employing a variety of HPV typing
protocols have been collated in meta-analyses. HPV-16/18 is estimated to account for 70%
of all cervical cancers worldwide, although the estimated HPV-16/18 fraction is slightly
higher in more developed (72–77%) than in less developed (65–72%) regions. About 41 …
Geographical widespread data on human papillomavirus (HPV) type-distribution are essential for estimating the impact of HPV-16/18 vaccines on cervical cancer and cervical screening programmes. Epidemiological studies employing a variety of HPV typing protocols have been collated in meta-analyses. HPV-16/18 is estimated to account for 70% of all cervical cancers worldwide, although the estimated HPV-16/18 fraction is slightly higher in more developed (72–77%) than in less developed (65–72%) regions. About 41–67% of high-grade squamous intraepithelial lesion (HSIL), 16–32% of low-grade squamous intraepithelial lesion (LSIL) and 6–27% of atypical squamous cells of undetermined significance (ASCUS) are also estimated to be HPV-16/18-positive, thus highlighting the increasing relative frequency of HPV-16/18 with increasing lesion severity. After HPV-16/18, the six most common HPV types are the same in all world regions, namely 31, 33, 35, 45, 52 and 58; these account for an additional 20% of cervical cancers worldwide.
Elsevier
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