Association of Bacterial Vaginosis and Human Papilloma Virus Infection With Cervical Squamous Intraepithelial Lesions

2019 ◽  
Vol 152 (2) ◽  
pp. 185-189 ◽  
Author(s):  
Wissam Dahoud ◽  
Claire W Michael ◽  
Hamza Gokozan ◽  
Amelia K Nakanishi ◽  
Aparna Harbhajanka
Keyword(s):  
Bacterial Vaginosis ◽  
Human Papilloma Virus Infection ◽  
Hpv Infection ◽  
High Grade ◽  
Squamous Intraepithelial Lesions ◽  
Papilloma Virus ◽  
Cervical Squamous Intraepithelial Lesions ◽  
The Relationship ◽  
Intraepithelial Lesions

ABSTRACT Objectives Human papillomavirus (HPV) is known to be associated with squamous intraepithelial lesions (SILs). However, there is limited and conflicting literature on the relationship between bacterial vaginosis (BV) and SIL. The aim of this study is to determine the prevalence of BV and evaluate the association between BV and SIL. Methods A retrospective study was performed on 10,546 cases between 2012 and 2017. HPV results were available in 7,081 cases. Results BV was present in 17.6% of cases. There was significant association between BV, positive HPV infection, and high-grade SIL. BV patients with negative HPV infection showed more squamous abnormalities than BV-negative HPV-negative patients. Conclusions We found there is a significant association between BV and SIL. BV is more common among patients with HPV infection and is independently associated with squamous abnormalities in cervical smears and surgical follow-up.

scholarly journals Human Papilloma Virus Infection and Anal Squamous Intraepithelial Lesions

2019 ◽  
Vol 32 (05) ◽  
pp. 347-357 ◽  
Author(s):  
Laura Svidler López ◽  
Luciana La Rosa
Keyword(s):  
Risk Factors ◽  
Squamous Cell Carcinoma ◽  
Human Papilloma Virus ◽  
Human Papilloma Virus Infection ◽  
Hpv Infection ◽  
Squamous Intraepithelial Lesions ◽  
Papilloma Virus ◽  
History Of ◽  
Anal Squamous Intraepithelial Lesions ◽  
Intraepithelial Lesions

AbstractThis article addresses the natural history of the human papilloma virus (HPV) infection to anal squamous intraepithelial lesions, and onto squamous cell carcinoma of the anus. This article provides overviews of the virology, pathophysiology, nomenclature, classification, historical terms, risk factors, clinical evaluation, differential diagnosis, and treatment of HPV infection and its sequelae.

Trichomonas Vaginalis (TV) Infection and Its Association With Risk of Cervical Cancer and HPV Status

2019 ◽  
Vol 152 (Supplement_1) ◽  
pp. S92-S93
Author(s):  
Herleen Rai ◽  
Wissam Dahoud
Keyword(s):  
Trichomonas Vaginalis ◽  
Cervical Screening ◽  
Age Groups ◽  
Developed Countries ◽  
Hpv Infection ◽  
Hpv Status ◽  
Age Range ◽  
The Relationship ◽  
Intraepithelial Lesions

Abstract Background The prevalence of trichomonas vaginalis (TV) infection is low in developed countries and may be due to its incidental diagnosis and treatment during routine screening. Many countries are adopting a new model based on testing for high-risk (HR) human papillomavirus (HPV) instead of cytology. HPV is known to be associated with squamous intraepithelial lesions (SIL). There is limited and conflicting literature on the relationship between TV and SIL. The aim of this study is to determine the prevalence of TV in different age groups and evaluate the association between TV with SIL, BV (bacterial vaginosis), and HPV infection. Design Retrospective study for cytological histologic correlation was performed on 10,546 cases dated between January 2012 and December 2017. HPV results were available in 7,081 cases. Results The age range was 15 to 84 with a mean of 49 years; 249 patients were TV positive (2.3%). The prevalence was highest in 30 to 65 age group (71.5%). HPV was present in 4,386/7,081 cases (61.9%). The associated between TV and HPV infection was not significant (P < .07). There was a significant association between TV and BV infection (P < .001). In total, 4,649/10,546 patients showed squamous abnormalities (44%), of which 52.6% were TV positive and 43.9% were TV negative. CIN2-3/SCC was significantly greater in TV-positive versus TV-negative patients (P < .007). HPV-positive patients that were TV positive showed more squamous abnormalities than those that were TV negative (P < .043). TV-positive patients with ASCH showed higher grade lesions (CIN2-3/SCC) on follow-up than TV-negative patients (P < .003). Conclusion TV is more common among patients with BV and HPV infection and significantly associated with squamous abnormalities. HPV and ASCH patients with TV showed significant squamous abnormalities. Although TV can be detected incidentally through cytology-based cervical screening, a transition to HPV testing is likely to result in increasing TV prevalence over time.

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