皮肤鳞状细胞癌患者人乳头瘤病毒感染的流行病学分析

Epidemiological analysis of skin squamous cell carcinoma patients with human papilloma virus infection

  • 摘要: 目的 分析皮肤鳞状细胞癌患者人乳头瘤病毒(HPV)感染的现状以及分布规律,探讨HPV感染与皮肤鳞状细胞癌发生的关系.方法 采用多聚酶链式反应(PCR)技术对290例经过组织病理学诊断为皮肤鳞状细胞癌患者的组织标本进行HPV-DNA检测,主要检测型别为6、16、33.结果 290例皮肤鳞状细胞癌患者中,HPV阳性196例,HPV感染率为63.23%,男性HPV感染率为68.37%,女性为31.63%,差异无统计学意义(P>0.05).高分化组(Ⅰ~Ⅱ级)感染率为67.87%,低分化(Ⅲ~Ⅳ级)感染率为47.38%,差异有统计学意义(P<0.05).头面部、颈部、四肢、躯干以及生殖器和腹股沟部的HPV感染率分别为47.96%、26.53%、7.14%、4.08%、14.29%,不同发病部位的HPV感染率比较,差异有统计学意义(P<0.05).共有57例检出高危型(HPV16、33)感染,53例为低危型(HPV6)感染.结论 HPV感染与皮肤鳞状细胞癌有明显相关性.

     

    Abstract: Objective To analyze the status and distribution of skin squamous cell carcinoma patients with human papilloma virus (HPV) infection and to explore the relationship between HPV infection and skin squamous cell carcinoma.Methods The PCR technique was used to detect HPV DNA in 290 patients with squamous cell carcinoma of the skin tissue samples after histopathological diagnosis,and the main detector type were 6,16 and 33.Results Among 290 cases with skin squamous cell carcinoma,196 cases had positive HPV,and HPV infection rate was 63.23%.HPV infection rate in male patients was 68.37%,and the rate was 31.63% in female patients (P > 0.05).Infection rate in high differentiation group (I ~II) was 67.87%,which was significantly higher than 47.38% in low differentiation group (Ⅲ ~ IV) (P <0.05).Infection rates of HPV infection in regions such as head,face,neck,arms and legs,torso,and genitals,groin were 47.96%,26.53%,7.14%,26.53%,14.29%,and there were significant differences in different parts (P < 0.05).Totally 57 cases were detected with high-risk type (HPV 16,33) infection,and 53 cases were with low-risk type (HPV6) infection.Conclusion HPV infection is significantly associated with squamous cell carcinoma of the skin.

     

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