P1109 Clinical significance and timing of HPV DNA test for follow up of patients with cervical intraepithelial neoplasm after conization

AbstractHuman papillomavirus (HPV) testing is used in the triage of women with a borderline smear result. The efficiency of testing women with a low-grade squamous intraepithelial lesion (LSIL) and atypical squamous cells of undetermined significance (ASCUS) is less clear. For this reason we used a new HPV test that detects E6/E7 messenger RNA (mRNA), which might have a higher specificity. The objective of this prospective study was to assess whether HPV E6/E7 mRNA positivity in women with ASCUS and LSIL at baseline, is able to predict those women who have a high risk of developing a histological cervical intraepithelial neoplasia (CIN2) or worse lesion. We took into consideration the women's age and HPV DNA genotype and followed them up for 3 years. Cervical samples from women with high-risk HPV (HR-HPV) DNA-positive ASCUS (n = 90) or LSIL (n = 222) were tested for the presence of HR-HPV E6/E7 mRNA and the women were monitored for the development of histopathologically verified CIN2+. Thirteen patients with ASCUS and 17 with LSIL did not complete follow-up. All patients with LSIL and ASCUS, enrolled in this study, had confirmed lesions at the colposcopic examination. Follow-up was available for 312 women, 193 were positive in the HR-HPV DNA test and 93 had a HPV E6/E7 mRNA positive test. Finally, 22 women positive in the HPV DNA test for high-risk genotypes and with positive E6/E7 mRNA had a histologically confirmed CIN2+. Only two cases with negative HPV E6/E7 mRNA had CIN2+. The study shows that women positive in the HPV E6/E7 mRNA test have a greater risk of malignant progression of cervical lesions and therefore deserve greater attention and earlier check-ups.

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Role of the HPV DNA Test in Follow-up of Treated Cervical Intraepithelial Neoplasia in Bangladesh

Asian Pacific Journal of Cancer Prevention ◽

10.7314/apjcp.2014.15.19.8063 ◽

2014 ◽

Vol 15 (19) ◽

pp. 8063-8067 ◽

Cited By ~ 6

Author(s):

Ashrafun Nessa ◽

Mohammad Harun Ur Rashid ◽

Munira Jahan ◽

Noor-E Ferdous ◽

Pervin Akhter Shamsun Nahar ◽

...

Keyword(s):

Cervical Intraepithelial Neoplasia ◽

Intraepithelial Neoplasia ◽

Dna Test ◽

Hpv Dna ◽

Hpv Dna Test

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Risk of CIN2 or more severe lesions after negative HPV‐mRNA E6/E7 overexpression assay and after negative HPV‐DNA test: Concurrent cohorts with a 5‐year follow‐up

International Journal of Cancer ◽

10.1002/ijc.32695 ◽

2020 ◽

Vol 146 (11) ◽

pp. 3114-3123 ◽

Cited By ~ 1

Author(s):

Manuel Zorzi ◽

Annarosa Del Mistro ◽

Paolo Giorgi Rossi ◽

Licia Laurino ◽

Jessica Battagello ◽

...

Keyword(s):

Dna Test ◽

Hpv Dna ◽

Hpv Mrna ◽

Hpv Dna Test

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Clinical significance of thin cytology and HPV DNA test in diagnosing cervical disease

Gynecology ◽

10.7243/2052-6210-1-7 ◽

2013 ◽

Vol 1 (1) ◽

pp. 7 ◽

Cited By ~ 1

Author(s):

Linnéa Ekström ◽

Song Ji Rong ◽

Rajina Shrestha ◽

Dipesh Pradhan ◽

Koun Linka ◽

...

Keyword(s):

Clinical Significance ◽

Dna Test ◽

Hpv Dna ◽

Cervical Disease ◽

Hpv Dna Test

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The prevalence of hrHPV among the isolated community in the Highland of Bario, Sarawak, East Malaysia

10.21203/rs.2.17048/v2 ◽

2020 ◽

Author(s):

Abigail Rembui Jerip ◽

Mardiana Kipli ◽

Nadia Diyana Hamzah New ◽

Cheng-Siang Tan

Keyword(s):

Cervical Cancer ◽

Cancer Screening ◽

Cervical Cancer Screening ◽

Low Resource Settings ◽

Dna Test ◽

Hpv Dna ◽

Low Resource ◽

East Malaysia ◽

Hpv Dna Test

Abstract Background Malaysia has introduced the free Pap smear as the primary cervical cancer screening program since the 1960s but has only achieved the national coverage of 22%. The coverage would be much lower in the rural communities especially in Sarawak where many villages and communities are still living in low resource settings and inaccessible by road. In this study, we have evaluated Qiagen’s careHPV system as a point-of-careHPV diagnostic test together with the visualization using acetic acid (VIA) in the isolated communities in the Highland of Bario, Sarawak, East Malaysia. Methods Women attending the cervical cancer outreach program were recruited. Consent was obtained and a cervical swab was clinician-collected and screened for High-risk HPV DNA using the careHPV system. Cervical examination using VIA was offered to all women age <50-year. hrHPV positive women were recruited during their follow-up session and the second cervical swab was collected for HPV genotyping using consensus primer-nested PCR to elucidate the infecting HPV genotypes. Results Seventy-five women aged 27-83 (mean age 55) attended the cervical cancer screening clinic and 8% (n=6/75) of them were positive for hrHPV. Only 33 women were screened using VIA and 21.2% (n=7/33) were found to be positive. A majority of the women (58.6%) were above the age of 50-year and not recommended for VIA to be performed. Thus, it was not feasible to correlate the results obtained from the HPV DNA test and VIA. Only four hrHPV positive women returned for follow-up and genotyping revealed HPV52 in 2 of four women tested suggesting that HPV52 may be the predominant genotype in Bario. Conclusions The careHPV system is portable and can be used in low resource settings as long as reliable electricity is available. We found that careHPV HPV DNA test is more objective compared to VIA and can be used to screen women outside the recommended eligible age. This is especially true for older women in the rural who have never had any form of cervical cancer screening before.

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Visual inspection vs HPV DNA test: finding cost-effective options for cervical cancer screening in women living with HIV in Burkina Faso

PharmacoEconomics & Outcomes News ◽

10.1007/s40274-021-7646-7 ◽

2021 ◽

Vol 876 (1) ◽

pp. 32-32

Keyword(s):

Cervical Cancer ◽

Cancer Screening ◽

Visual Inspection ◽

Cost Effective ◽

Dna Test ◽

Hpv Dna ◽

Women Living With Hiv ◽

Living With Hiv ◽

Test Finding ◽

Hpv Dna Test

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Relevance of the Pap Test: A Report of HPV-DNA Test-Negative High-Grade Squamous Intraepithelial Lesions of the Female Lower Genital Tract

Acta Cytologica ◽

10.1159/000448470 ◽

2016 ◽

Vol 60 (5) ◽

pp. 445-450 ◽

Cited By ~ 3

Author(s):

Yiang Hui ◽

Katrine Hansen ◽

Jayasimha Murthy ◽

Danielle Chau ◽

C. James Sung ◽

...

Keyword(s):

High Risk ◽

Pap Test ◽

Human Papillomaviruses ◽

High Grade ◽

Squamous Intraepithelial Lesions ◽

Cytologic Examination ◽

Dna Test ◽

Hpv Dna ◽

Intraepithelial Lesions ◽

Hpv Dna Test

Objective: A vast majority of cervicovaginal intraepithelial lesions are caused by high-risk human papillomaviruses (HPVs). The Pap test has been the sole method used for the screening of cervicovaginal squamous intraepithelial lesions (SIL). Recently, the FDA approved an HPV-DNA assay as a method of primary screening. We report on a series of FDA-approved HPV-DNA test-negative SIL with HPV genotyping, using an alternative method on the corresponding surgical biopsy specimens. Study Design: A retrospective review identified cytology-positive HPV-negative cases over a 15-month period at a tertiary care gynecologic oncology institution. Corresponding biopsies were reviewed and genotyped for high-risk HPVs. Results: Of the 18,200 total cases, 17 patients meeting the study criteria were selected with 27 surgical specimens corresponding to their cytologic diagnoses. Four patients with high-grade lesions were identified, 3 of whom (75%) were positive for HPV. One of these 4 patients (25%) showed high-grade SIL on biopsies from 4 separate sites in the cervix and vagina. Multiviral HPV infections were frequent. Conclusions: We discuss the relevance of cotesting for screening cervical SILs and emphasize that false-negative results are possible with the FDA-approved HPV screening assay, also in patients with high-grade SIL. These cases may be detectable by cytologic examination and this suggests that the Pap test remains an important diagnostic tool.

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