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首页> 外文期刊>Annals of epidemiology >Human papillomavirus types 16 and 18 in esophagus squamous cell carcinoma: A meta-analysis
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Human papillomavirus types 16 and 18 in esophagus squamous cell carcinoma: A meta-analysis

机译:食管鳞状细胞癌中人乳头瘤病毒16型和18型的荟萃分析

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Purpose: A possible carcinogenic role of human papillomavirus (HPV) has been investigated in esophageal squamous cell carcinoma (ESCC) for nearly 30 years with mixed results. We performed a meta-analysis to assess the prevalence of "high-risk" HPV, HPV-16/18, in this disease. We also evaluated the association between infection with HPV-16/18 and ESCC risk by meta-analysis of case-control studies. Methods: Eligible studies published up to September 30, 2012 were retrieved via both computer searches of MEDLINE and EMBASE and manual review of references. A random-effects model was used to calculate summary prevalence and odds ratios (ORs) and corresponding 95% confidence intervals (CIs). Results: A total of 5755 cases of ESCC from 68 studies were included in this meta-analysis. Overall, 11.67% (95% CI, 7.74%-16.21%) of ESCC cases harbored HPV-16 and 1.82% (95% CI, 0.90%-2.95%) harbored HPV-18. In addition, meta-analysis of 10 case-control studies showed a significant increase in ESCC risk with HPV-16 infection (summary ORs= 3.55; 95% CIs, 2.05%-6.14%). However, this increased risk in ESCC was not made for HPV-18 infection (summary ORs= 1.25; 95% CIs, 0.46%-3.43%). Conclusions: This meta-analysis indicated that HPV-16 and -18 can be detected in ESCC. HPV-16, but not HPV-18, is significantly associated with the risk of ESCC. However, it is early to conclude that both types of HPV are involved in esophageal carcinogenesis.
机译:目的:研究人乳头瘤病毒(HPV)在食管鳞状细胞癌(ESCC)中可能的致癌作用近30年,结果不一。我们进行了荟萃分析,以评估该疾病中“高危” HPV HPV-16 / 18的患病率。我们还通过病例对照研究的荟萃分析评估了HPV-16 / 18感染与ESCC风险之间的关联。方法:通过计算机检索MEDLINE和EMBASE以及人工查阅参考文献,检索截至2012年9月30日的合格研究。使用随机效应模型来计算汇总患病率和优势比(OR)以及相应的95%置信区间(CI)。结果:这项荟萃分析纳入了来自68项研究的5755例ESCC病例。总体而言,ESCC病例中有11.67%(95%CI,7.74%-16.21%)带有HPV-16,而1.82%(95%CI,0.90%-2.95%)带有HPV-18。此外,对10个病例对照研究的荟萃分析显示,HPV-16感染的ESCC风险显着增加(总OR = 3.55; 95%CI为2.05%-6.14%)。然而,这种增加的ESCC风险并非针对HPV-18感染(总OR = 1.25; 95%CI,0.46%-3.43%)。结论:这项荟萃分析表明在ESCC中可以检测到HPV-16和-18。 HPV-16而非HPV-18与ESCC风险显着相关。但是,现在就得出结论,两种类型的HPV都与食管癌变有关。

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