[Human papillomavirus (HPV) DNA infections of the uterine cervix]

Geburtshilfe Frauenheilkd. 1992 May;52(5):283-6. doi: 10.1055/s-2007-1023749.
[Article in German]

Abstract

411 women who had dysplasia, selected from an ambulatory group as well as 240 women from a random control group were examined, by using cervical smears, which were initially diagnosed as human papilloma viruses-DNA (HPV-DNA) of the type 6/11, or 16/18, or 31/33/35. This was achieved by the in-situ nucleic acid hybridisation technique. The results of the HPV-DNA typing were tabulated with the cytological diagnosis (Munich Papanicolaou (Pap.) group-classification). The control group corresponding to Pap.Gr. I, and was HPV-DNA positive in 6 (2.5%) of the 240 cases. The group of 180 patients with a Pap.Gr. II showed a HPV-DNA positive result for 75 cases (41.7%); 57 of 99 cases (57.6%) occurred in Pap.Gr. IIID; 42 of 54 cases 77.8% (L) were found in Pap.Gr. IV (a/b), and 72 of 78 cases (92.3%) appeared in Pap.Gr. V. The HPV-DNA mixed infections became evident as the cellular dysplasia increased. The results of the HPV-DNA positive diagnosis clearly indicate a close correlation with the Pap.Gr.-classification. The HPV-DNA type 16/18 was most frequent in cervical carcinomas (Pap.Gr. V). The cyto-histological control of the 57 HPV-DNA positive cases of the untreated Pap.Gr. IIID showed a regression in 31.6% of the 18 cases after a period of 3 to 6 months (post HPV-DNA typing). These were histologically normal. In 33 cases (57.9%), there was a persisting Pap.Gr. IIID (CIN I/II) and in 6 cases (10.5%) a progredient correlation in Pap.Gr. IV a/b. The Pap. group IV (a/b) was histologically a CIN grade III.

Publication types

  • English Abstract

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Carcinoma in Situ / pathology
  • Carcinoma, Squamous Cell / pathology
  • Cervix Uteri / pathology
  • Child
  • Condylomata Acuminata / pathology
  • DNA Probes, HPV*
  • DNA, Viral / analysis
  • Female
  • Humans
  • Middle Aged
  • Neoplasm Staging
  • Papanicolaou Test
  • Papillomaviridae / classification
  • Papillomaviridae / isolation & purification*
  • Tumor Virus Infections / pathology*
  • Uterine Cervical Dysplasia / pathology
  • Uterine Cervical Neoplasms / pathology*
  • Vaginal Smears

Substances

  • DNA Probes, HPV
  • DNA, Viral