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Low Epstein-Barr virus count in sinonasal inverted papilloma
Alexandra Schindele1, Anna Holm1, Karin Nylander2
1Department of Clinical Sciences, Otorhinolaryngology - Östersund, Umeå University, Umeå, Sweden.
Acta Oto-Laryngologica
|February 19, 2020
Summary
Epstein-Barr virus (EBV) was detected in 30% of sinonasal inverted papilloma (SIP) cases, but at low levels. This suggests EBV is unlikely to be a primary cause of SIP or its malignant transformation.
Area of Science:
- Otolaryngology
- Oncology
- Virology
Background:
- Sinonasal inverted papilloma (SIP) is a benign sinonasal tumor with high recurrence and malignant transformation rates.
- Epstein-Barr virus (EBV) is an oncogenic herpesvirus with variable reported associations with SIP.
- Current understanding of EBV's role in SIP pathogenesis is limited.
Purpose of the Study:
- To investigate the presence and quantify Epstein-Barr virus (EBV) in sinonasal inverted papilloma (SIP) tissue.
- To determine the distribution of EBV within the epithelial and connective tissue compartments of SIP.
- To clarify the association between EBV and SIP, including its potential role in malignant transformation.
Main Methods:
- Analysis of 53 SIP patient biopsies from the University Hospital of Umeå.
- Utilized Epstein-Barr Encoded Region (EBER) in situ hybridization for viral detection.
- Quantified EBER-positive cells in both epithelial and connective tissue.
Main Results:
- Epstein-Barr virus (EBV) was detected in 30% of sinonasal inverted papilloma (SIP) cases.
- A subset (19%) exhibited an abundance of EBV-stained cells, while the remainder showed low counts.
- Viral distribution analysis mapped EBV presence within SIP tissues.
Conclusions:
- The study found a low prevalence and count of Epstein-Barr virus (EBV) in sinonasal inverted papilloma (SIP).
- These findings indicate that EBV is unlikely to be a significant causative agent in SIP development.
- The low EBV association suggests it plays a minimal role in the malignant transformation of SIP.
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