A cross-sectional survey of cervical human papillomavirus infection in family of esophageal cancer patients

Yun Zhong, Jiamin Sun, Li-Yi Liu, Wei Cui, Xiaoming Liu, Yidan Yuan, Li-ping Han
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Abstract

Objective To understand the cervical human papillomavirus (HPV)infection of women in the family of esophageal cancer patients, and preliminarily explore the relationship between the cervical HPV infection and esophageal cancer. Methods The 300 female esophageal cancer patients or first-degree relatives of esophageal cancer patients in the high incidence area of esophageal cancer in Henan Province were selected, and they were examined for free cervical cancer screening. Another 300 healthy females who underwent cervical cancer screening in the First Affiliated Hospital of Zhengzhou University during the same period. A cross-sectional controlled study was performed to analyze the results of cervical cancer screening. Results The age of 300 female esophageal cancer patients or the first-degree relatives of esophageal cancer patients in the high incidence area of esophageal cancer in henan province was 24-73 years old and the median age was 47 years old, of which HPV infection rate was 18.0%(54/300), it was slightly higher than that in healthy women (14.0%, 42/300), but the difference was not significant (χ2=1.786, P=0.181). The thinprep cytologic test(TCT)results of female esophageal cancer patients or their first-degree female relatives showed that theproportion of patients with cervical lesions (2.0%, 6/300) compared with those of abnormal in health checkups (3.0%, 9/300), there was no significant difference (χ2=0.615, P=0.433). Conclusions The infection rate of cervical HPV in the family of esophageal cancer patients is slightly higher than that in the general population, so we should be paid attention to the primary prevention, providing certain basis for future research on the relationship between esophageal cancer and cervical cancer. Key words: Human papillomavirus; Esophageal cancer; Cervical cancer
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食管癌患者家族宫颈人乳头瘤病毒感染的横断面调查
目的了解食管癌患者家族女性宫颈人乳头瘤病毒(HPV)感染情况,初步探讨宫颈HPV感染与食管癌的关系。方法选择河南省食管癌高发区女性食管癌患者或食管癌患者一级亲属300人,进行免费宫颈癌筛查。另外300名同期在郑州大学第一附属医院接受宫颈癌筛查的健康女性。我们进行了一项横断面对照研究来分析宫颈癌筛查的结果。结果河南省食管癌高发区300例女性食管癌患者或食管癌患者一级亲属年龄为24 ~ 73岁,中位年龄为47岁,其中HPV感染率为18.0%(54/300),略高于健康女性(14.0%,42/300),但差异无统计学意义(χ2=1.786, P=0.181)。女性食管癌患者及其一级女性亲属的薄层细胞学检查(TCT)结果显示,宫颈病变患者的比例(2.0%,6/300)与健康检查异常患者的比例(3.0%,9/300)比较,差异无统计学意义(χ2=0.615, P=0.433)。结论食管癌患者家庭中宫颈HPV感染率略高于普通人群,应重视一级预防,为今后食管癌与宫颈癌关系的研究提供一定依据。关键词:人乳头瘤病毒;食管癌;子宫颈癌
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