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Updated: Mar 1, 2026

RNAscope for In situ Detection of Transcriptionally Active Human Papillomavirus in Head and Neck Squamous Cell Carcinoma
Published on: March 11, 2014
Human papillomavirus (HPV)-associated trilateral squamous neoplasia in immunocompetent individual
Alfonso Iovieno1, Simonetta Piana2, Laura Chiesi3
1Department of Ophthalmology, Arcispedale Santa Maria Nuova - IRCCS, Viale Risorgimento, 80, 42121, Reggio Emilia, Italy. alfonsoiovieno@hotmail.com.
Purpose:
To describe a case of bilateral conjunctival and cervical human papillomavirus (HPV)-related squamous neoplasia.
Case Description:
A healthy immunocompetent 55-year-old lady came to our attention for prosecution of care of a right recurrent conjunctival squamous cell carcinoma. Upon examination, she was found disease-free in the right eye but displayed a left conjunctival intraepithelial neoplasia (CIN grade I) and low-grade cervical squamous dysplasia. HPV infection with genotypes 16 (right eye), 11 and 39 (left eye) and 39 (uterine cervix) was also detected.
Conclusion:
Simultaneous uterine and conjunctival HPV-related squamous neoplasia can occur in immunocompetent individuals. Auto-inoculation and repeated exposure to HPV could explain coexistence of different genotypes.
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