与HPV相关的鼻癌的形态谱
Tarek Abi-Saab1, Taja Lozar2, Yi Chen3
1Department of Pathology and Laboratory Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, 53705, USA.
Head and neck pathology
|August 5, 2024
概括
高风险的人类乳头瘤病毒 (HR-HPV) 与鼻癌有关,包括新发现的腺癌亚型. 建议进行常规检测,以了解与HPV相关的鼻癌行为.
科学领域:
- 在瘤学瘤学.
- 病理学 病理学 病理学
- 病毒学 病毒学
背景情况:
- 高风险的人类乳头瘤病毒 (HR-HPV) 感染是鼻道癌的新兴风险因素.
- 有限的研究和不一致的HPV检测方法阻碍了对HPV相关的鼻癌的理解.
- 与HPV相关的鼻癌表现出不同的形态,与HPV相关的腺癌以前没有报告.
研究的目的:
- 为了确定与HPV相关的鼻癌的患病率.
- 为了研究这些瘤的形态谱.
- 评估HPV在鼻癌的预后影响.
主要方法:
- 分析了一组153种鼻癌的队列.
- 组织微阵列用于p16免疫组织化学和HR-HPV E6/7 in-situ杂交 (ISH).
- 通过积极的ISH结果确认了HPV相关性,并收集了临床病理学数据.
主要成果:
- 18% (28/153) 的鼻癌与HPV相关.
- 其中包括平细胞癌 (93%),与HPV相关的多型癌 (3.5%),以及一种新的腺癌亚型 (3.5%).
- 在与HPV相关的病例中观察到改善生存率的趋势,尽管在统计学上并不显著.
结论:
- 发现了一种新的HPV相关的鼻腺癌亚型.
- 这项研究强调了与HPV相关的鼻癌的多样性形态.
- 建议对所有鼻癌亚型进行常规的p16和HR-HPV测试,以协助临床行为研究.
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