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Human Papillomavirus Infection in Honduran Women With Cervical Intraepithelial Neoplasia or Cervical Cancer

Tabora, Nelba MD1; Bulnes, Ricardo MD2; Toro, Luis A. MD2; Claros, José M. MD2; Massuger, Leon F.A.G. PhD3; Quint, Wim G.V. PhD4; Melchers, Willem J.G. PhD5; Ferrera, Anabelle PhD1

Journal of Lower Genital Tract Disease: January 2011 - Volume 15 - Issue 1 - pp 48-53
doi: 10.1097/LGT.0b013e3181e64fdf
Original Articles

Objectives. The aims of this study were to investigate human papillomavirus (HPV) genotypes in women with cervical intraepithelial lesions and cervical cancer (CC) in Honduras and to identify epidemiological cofactors that contribute to the development of CC.

Methods. Among the 289 patients analyzed, 139 had low-grade squamous intraepithelial lesion (LSIL), 60 had high-grade squamous intraepithelial lesion (HSIL), and 90 had CC.

Results. The HPV DNA was detected in 113 women (81%) with LSIL, in 58 women (97%) with HSIL, and in 84 women (93%) with CC. Twenty-five HPV genotypes were found. Human papillomavirus type 16 was detected in 41% of women with CC, in 35% of women with HSIL, and in 24% of women with LSIL. Human papillomavirus type 18 was found in 9% of women with CC, in 4% of women with HSIL, and 5% of women with LSIL.

Conclusion. Therefore, implementation of the prophylactic vaccines against HPV genotypes 16 and 18 has the potential of preventing at least a quarter of LSIL, one third of HSIL, and about half of CC cases in Honduras.

HPV genotypes 16 and 18 are responsible of a quarter of LSIL, one third of HSIL and half of CC cases in Honduras.

1School of Microbiology, Science Faculty, Universidad Nacional Autónoma de Honduras; 2Department of Oncology and Gynaecology, Hospital General San Felipe, Tegucigalpa, Honduras; 3Department of Obstetrics and Gynaecology, Radboud University Nijmegen Medical Centre, Nijmegen; 4DDL Diagnostic Laboratory, Voorburg; and 5Department of Medical Microbiology, Radboud University Nijmegen Medical Centre, Nijmegen, the Netherlands

Reprint requests to: Annabelle Ferrera, PhD, Department of Microbiology, Universidad Nacional Autónoma de Honduras, PO Box 30078, Tegucigalpa, Honduras. E-mail: f_annabelle@hotmail.com; annabelle@amnettgu.com

This study was supported by The Netherlands Foundation for the Advancement of Tropical Research (WOTRO no. WB 92-215).

©2011The American Society for Colposcopy and Cervical Pathology