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Published on: March 11, 2014
Progression Low Squamous Intraepithelial Lesion and Human Papillomavirus Infections
Mahira Jahic1,2, Lejla Kameric2,3, Azra Hadzimehmedovic2,3
1Gynecology Centre "Dr Mahira Jahic" Tuzla, Tuzla, Bosnia and Herzegovina.
Human papillomavirus (HPV) type 16 is the most common cause of cervical lesions progressing to high-grade squamous intraepithelial lesions (HSIL). Women with HPV 16 require intensive monitoring due to increased cervical cancer risk.
Area of Science:
- Gynecology
- Oncology
- Virology
Background:
- Cervical carcinoma is primarily caused by human papillomavirus (HPV) infection.
- Bosnia and Herzegovina faces a significant burden with 556 annual cervical cancer diagnoses and 141 deaths.
Purpose of the Study:
- Identify the most prevalent HPV types in ASCUS and LSIL.
- Analyze the progression, regression, and persistence of cervical lesions.
- Determine the association between HPV types and lesion outcomes.
Main Methods:
- Retrospective analysis of 11,051 PAP tests from January 2016 to December 2019.
- Data collected from private gynecological practices in Tuzla Canton.
- Statistical analysis using the chi-squared (X²) method.
Main Results:
- Pathological findings were observed in 9.49% of PAP tests.
- HPV 16 was the most common type in ASCUS (50.5%) and LSIL cases.
- Lesions positive for HPV 16 showed a significantly higher progression rate to HSIL compared to low-risk HPV types (6 and 11).
Conclusions:
- HPV 16 infection is strongly associated with the progression of cervical lesions to HSIL.
- Intensive monitoring of women with HPV 16 is crucial for early detection and prevention of cervical cancer.
- Understanding HPV type prevalence aids in risk stratification and management of cervical dysplasia.
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