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HPV genotype profile in a Norwegian cohort with ASC-US and LSIL cytology with three year cumulative risk of high grade cervical neoplasia
To explore the HPVgenotype profile in Norwegian women with ASC-US/LSIL cytology and the subsequent risk of high-grade cervical neoplasia (CIN 3+). In this observational study delayed triage of ASC-US/LSIL of 6058 women were included from 2005 to 2010. High-risk HPV detection with Hybrid Capture 2 (H...
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Published in: | Gynecologic oncology 2018-01, Vol.148 (1), p.111-117 |
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creator | Lie, A.K. Tropé, A. Skare, G.B. Bjørge, T. Jonassen, C.M. Brusegard, K. Lönnberg, S. |
description | To explore the HPVgenotype profile in Norwegian women with ASC-US/LSIL cytology and the subsequent risk of high-grade cervical neoplasia (CIN 3+).
In this observational study delayed triage of ASC-US/LSIL of 6058 women were included from 2005 to 2010. High-risk HPV detection with Hybrid Capture 2 (HC2) was used and the HC2+ cases were genotyped with in-house nmPCR. Women were followed-up for histologically confirmed CIN3+ within three years of index HPV test by linkage to the screening databases at the Cancer Registry of Norway.
HC2 was positive in 45% (2756/6058) of the women. Within 3years CIN3+ was diagnosed in 26% of women20% for 13 high-risk genotypes as single infection |
doi_str_mv | 10.1016/j.ygyno.2017.10.031 |
format | article |
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In this observational study delayed triage of ASC-US/LSIL of 6058 women were included from 2005 to 2010. High-risk HPV detection with Hybrid Capture 2 (HC2) was used and the HC2+ cases were genotyped with in-house nmPCR. Women were followed-up for histologically confirmed CIN3+ within three years of index HPV test by linkage to the screening databases at the Cancer Registry of Norway.
HC2 was positive in 45% (2756/6058) of the women. Within 3years CIN3+ was diagnosed in 26% of women<34year and in 15%≥34year. HC2 was positive at index in 94% of CIN3+ cases and negative in 64 cases including three women with cervical carcinomas. Women<34years with single infections of HPV 16, 35, 58 or 33 or multiple infections including HPV 16, 52, 33 or 31 were associated with highest proportions of CIN 3+. Older women with single infection with HPV 16, 33, 31 or 35 or multiple infections including HPV 16, 33, 31 or 18/39 were more likely to develop CIN 3+.
HPV 16 and HPV 33 at baseline both as single or multiple infections, were associated with the highest risk for CIN3+. Among older women, all 13 high-risk genotypes as single infection were associated with >20% risk of CIN3+. Further studies are necessary to risk stratify the individual genotypes to reduce the number of colposcopies in Norway.
•This observational study with delayed HPV DNA testing revealed high-risk HPV in 45% of women with ASC-US and LSIL cytology.•HPV 16 and HPV 33 both as single and multiple infections, were associated with the highest risk for CIN3+.•The three year cumulative risk of CIN 3+ among older women was >20% for 13 high-risk genotypes as single infection</description><identifier>ISSN: 0090-8258</identifier><identifier>EISSN: 1095-6859</identifier><identifier>DOI: 10.1016/j.ygyno.2017.10.031</identifier><identifier>PMID: 29132873</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Cumulative risk CIN3 ; HPV genotype profile ; Secondary screening</subject><ispartof>Gynecologic oncology, 2018-01, Vol.148 (1), p.111-117</ispartof><rights>2017 Elsevier Inc.</rights><rights>Copyright © 2017 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c359t-925b6b7b531efae1e67b9be580bb653b267bca31d3b98fccd749a383b0bc7eac3</citedby><cites>FETCH-LOGICAL-c359t-925b6b7b531efae1e67b9be580bb653b267bca31d3b98fccd749a383b0bc7eac3</cites><orcidid>0000-0002-8566-0352</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29132873$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lie, A.K.</creatorcontrib><creatorcontrib>Tropé, A.</creatorcontrib><creatorcontrib>Skare, G.B.</creatorcontrib><creatorcontrib>Bjørge, T.</creatorcontrib><creatorcontrib>Jonassen, C.M.</creatorcontrib><creatorcontrib>Brusegard, K.</creatorcontrib><creatorcontrib>Lönnberg, S.</creatorcontrib><title>HPV genotype profile in a Norwegian cohort with ASC-US and LSIL cytology with three year cumulative risk of high grade cervical neoplasia</title><title>Gynecologic oncology</title><addtitle>Gynecol Oncol</addtitle><description>To explore the HPVgenotype profile in Norwegian women with ASC-US/LSIL cytology and the subsequent risk of high-grade cervical neoplasia (CIN 3+).
In this observational study delayed triage of ASC-US/LSIL of 6058 women were included from 2005 to 2010. High-risk HPV detection with Hybrid Capture 2 (HC2) was used and the HC2+ cases were genotyped with in-house nmPCR. Women were followed-up for histologically confirmed CIN3+ within three years of index HPV test by linkage to the screening databases at the Cancer Registry of Norway.
HC2 was positive in 45% (2756/6058) of the women. Within 3years CIN3+ was diagnosed in 26% of women<34year and in 15%≥34year. HC2 was positive at index in 94% of CIN3+ cases and negative in 64 cases including three women with cervical carcinomas. Women<34years with single infections of HPV 16, 35, 58 or 33 or multiple infections including HPV 16, 52, 33 or 31 were associated with highest proportions of CIN 3+. Older women with single infection with HPV 16, 33, 31 or 35 or multiple infections including HPV 16, 33, 31 or 18/39 were more likely to develop CIN 3+.
HPV 16 and HPV 33 at baseline both as single or multiple infections, were associated with the highest risk for CIN3+. Among older women, all 13 high-risk genotypes as single infection were associated with >20% risk of CIN3+. Further studies are necessary to risk stratify the individual genotypes to reduce the number of colposcopies in Norway.
•This observational study with delayed HPV DNA testing revealed high-risk HPV in 45% of women with ASC-US and LSIL cytology.•HPV 16 and HPV 33 both as single and multiple infections, were associated with the highest risk for CIN3+.•The three year cumulative risk of CIN 3+ among older women was >20% for 13 high-risk genotypes as single infection</description><subject>Cumulative risk CIN3</subject><subject>HPV genotype profile</subject><subject>Secondary screening</subject><issn>0090-8258</issn><issn>1095-6859</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp9UU1v1DAQtRCIbgu_AAnNkUsWfzQfPnCoVtBWWlGkpVwt25kkXrLxYidb5Sf0X9fLFo49jWbmzbx58wj5wOiSUVZ83i7ndh78klNWpsqSCvaKLBiVeVZUuXxNFpRKmlU8r87IeYxbSqmgjL8lZ1wywatSLMjjzY9f0OLgx3mPsA--cT2CG0DDdx8esHV6AOs7H0Z4cGMHV5tVdr8BPdSw3tyuwc6j7307n7pjFxBhRh3ATrup16M7IAQXf4NvoHNtB23QNYLFcHBW9zCg3_c6Ov2OvGl0H_H9c7wg99--_lzdZOu769vV1TqzIpdjJnluClOaXDBsNDIsSiMN5hU1psiF4Sm3WrBaGFk11tblpdSiEoYaW6K24oJ8Ou1NYv9MGEe1c9Fi3-t0yhQVk8UlLySv8gQVJ6gNPsaAjdoHt9NhVoyqowdqq_56oI4eHIvJgzT18ZlgMjus_8_8e3oCfDkBMMk8OAwqWoeDxdoFtKOqvXuR4AmyiZtP</recordid><startdate>201801</startdate><enddate>201801</enddate><creator>Lie, A.K.</creator><creator>Tropé, A.</creator><creator>Skare, G.B.</creator><creator>Bjørge, T.</creator><creator>Jonassen, C.M.</creator><creator>Brusegard, K.</creator><creator>Lönnberg, S.</creator><general>Elsevier Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8566-0352</orcidid></search><sort><creationdate>201801</creationdate><title>HPV genotype profile in a Norwegian cohort with ASC-US and LSIL cytology with three year cumulative risk of high grade cervical neoplasia</title><author>Lie, A.K. ; Tropé, A. ; Skare, G.B. ; Bjørge, T. ; Jonassen, C.M. ; Brusegard, K. ; Lönnberg, S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c359t-925b6b7b531efae1e67b9be580bb653b267bca31d3b98fccd749a383b0bc7eac3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Cumulative risk CIN3</topic><topic>HPV genotype profile</topic><topic>Secondary screening</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lie, A.K.</creatorcontrib><creatorcontrib>Tropé, A.</creatorcontrib><creatorcontrib>Skare, G.B.</creatorcontrib><creatorcontrib>Bjørge, T.</creatorcontrib><creatorcontrib>Jonassen, C.M.</creatorcontrib><creatorcontrib>Brusegard, K.</creatorcontrib><creatorcontrib>Lönnberg, S.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Gynecologic oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lie, A.K.</au><au>Tropé, A.</au><au>Skare, G.B.</au><au>Bjørge, T.</au><au>Jonassen, C.M.</au><au>Brusegard, K.</au><au>Lönnberg, S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>HPV genotype profile in a Norwegian cohort with ASC-US and LSIL cytology with three year cumulative risk of high grade cervical neoplasia</atitle><jtitle>Gynecologic oncology</jtitle><addtitle>Gynecol Oncol</addtitle><date>2018-01</date><risdate>2018</risdate><volume>148</volume><issue>1</issue><spage>111</spage><epage>117</epage><pages>111-117</pages><issn>0090-8258</issn><eissn>1095-6859</eissn><abstract>To explore the HPVgenotype profile in Norwegian women with ASC-US/LSIL cytology and the subsequent risk of high-grade cervical neoplasia (CIN 3+).
In this observational study delayed triage of ASC-US/LSIL of 6058 women were included from 2005 to 2010. High-risk HPV detection with Hybrid Capture 2 (HC2) was used and the HC2+ cases were genotyped with in-house nmPCR. Women were followed-up for histologically confirmed CIN3+ within three years of index HPV test by linkage to the screening databases at the Cancer Registry of Norway.
HC2 was positive in 45% (2756/6058) of the women. Within 3years CIN3+ was diagnosed in 26% of women<34year and in 15%≥34year. HC2 was positive at index in 94% of CIN3+ cases and negative in 64 cases including three women with cervical carcinomas. Women<34years with single infections of HPV 16, 35, 58 or 33 or multiple infections including HPV 16, 52, 33 or 31 were associated with highest proportions of CIN 3+. Older women with single infection with HPV 16, 33, 31 or 35 or multiple infections including HPV 16, 33, 31 or 18/39 were more likely to develop CIN 3+.
HPV 16 and HPV 33 at baseline both as single or multiple infections, were associated with the highest risk for CIN3+. Among older women, all 13 high-risk genotypes as single infection were associated with >20% risk of CIN3+. Further studies are necessary to risk stratify the individual genotypes to reduce the number of colposcopies in Norway.
•This observational study with delayed HPV DNA testing revealed high-risk HPV in 45% of women with ASC-US and LSIL cytology.•HPV 16 and HPV 33 both as single and multiple infections, were associated with the highest risk for CIN3+.•The three year cumulative risk of CIN 3+ among older women was >20% for 13 high-risk genotypes as single infection</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>29132873</pmid><doi>10.1016/j.ygyno.2017.10.031</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-8566-0352</orcidid></addata></record> |
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subjects | Cumulative risk CIN3 HPV genotype profile Secondary screening |
title | HPV genotype profile in a Norwegian cohort with ASC-US and LSIL cytology with three year cumulative risk of high grade cervical neoplasia |
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