Cervical cancer is the most common malignant tumour of the female reproductive system,resulting in more than 500,000 new cases annually worldwide.In developing countries,cervical cancer ranks second in terms of cancer...Cervical cancer is the most common malignant tumour of the female reproductive system,resulting in more than 500,000 new cases annually worldwide.In developing countries,cervical cancer ranks second in terms of cancer mortality among women.Human papilloma virus is the primary causative agent of cervical cancer,with approximately 70 percent of cervical cancers caused by high-risk types of human papilloma virus 16 and 18.There are currently three types of human papilloma virus vaccines available:bivalent,quadri-valent and nine-valent.However,in recent years,it is reported that cervical cancer vaccine can cause premature ovarian failure.Consequently,an extensive literature search to find out the correlation between human papilloma virus vaccine and premature ovarian failure became a priority.There is no sufficient evidence to support or prove that there is a link between the human papilloma virus vaccine and premature ovarian failure.Hence,the vaccine does not cause premature ovarian failure.展开更多
Background Women’s health in resource-limited settings can benefit from the integrated management of high-burden diseases,such as female genital schistosomiasis(FGS)and human papilloma virus(HPV)-related cervical can...Background Women’s health in resource-limited settings can benefit from the integrated management of high-burden diseases,such as female genital schistosomiasis(FGS)and human papilloma virus(HPV)-related cervical cancer.In schistosomiasis-endemic countries such as Madagascar,data on FGS and HPV prevalence are lacking as well as preventive measures for both conditions.This study aims to estimate the prevalence of FGS and HPV in rural Madagascar,and to examine associated risk factors to identify opportunities for improving women’s health.Methods After initial community outreach activities,interested women aged 18-49 years were recruited consecutively in 2021 at three primary health care centers in the district of Marovoay.FGS was detected by colposcopy.Colposcopy images were double-blind reviewed by two independent specialists.A Luminex bead-based assay was performed on cervical vaginal lavage specimens for HPV typing.Crude(CPR)and adjusted prevalence ratios(APR)of associations between selected factors and FGS and HPV positivity were estimated using univariable and multivariable binary Poisson regression with 95%confidence intervals(CIs).Results Among 500 women enrolled,302 had complete information on FGS and HPV diagnosis,and were thus eligible for analysis.Within the sample,189(62.6%,95%CI:56.9-68.1)cases of FGS were detected.A total of 129 women(42.7%,95%CI:37.1-48.5)tested positive for HPV.In total,80 women(26.5%,95%CI:21.6-31.8)tested positive for both conditions.No association was observed between FGS and HPV positivity,while previous pregnancy(APR=0.65,95%CI:0.43-0.78)and older age(APR=0.59,95%CI:0.42-0.81)are showing a negative association with HPV infection compared to no previous pregnancy and younger age groups.Conclusions The results of the study show that FGS and HPV are highly prevalent in rural Madagascar.The concurrent prevalence of these two conditions requires urgent adaptations of public health strategies to improve women’s health,such as integrated services at primary level of care.展开更多
Objective:To identify circulating HPV types among urban Indonesian women and their specific co-infection patterns in bid to curb HPV infection in the general population and minimize its complications.Methods:Urban Ind...Objective:To identify circulating HPV types among urban Indonesian women and their specific co-infection patterns in bid to curb HPV infection in the general population and minimize its complications.Methods:Urban Indonesian women from general population were selected as sample framework.Sample size and distribution across regions were determined by the Indonesian Bureau of Statistics(Badan Pusat Statistik,BPS),which represented the national level.Up to 35408 cervical swab specimens were collected from August to September 2016 in 34 Indonesian provinces,categorized into six regions based on the development criteria set by the Ministry of National Development Planning(Badan Perencanaan Pembangunan Nasional,BAPPENAS).From all 1874 samples identified as HPV-positive,hybrid capture was implemented to evaluate type-specific HPV.This study analyzed descriptive data to determine the core-cluster of HPV combination.Co-occurrence HPV network was assessed using‘qgraph’package version 1.6.3 and computed in R version 3.6.3.Two-HPV association was analyzed in logistic regression using bias-reduction generalized linear model(brglm2)package version 0.5.1 adjusted by age and six main Indonesian regions.Results:The logistic regression analysis demonstrated that HPV type 52 had rare relationship despite its common co-occurrence,cementing its role in single HPV infection.HPV type 16 and 18 tended to form infection cluster and were strongly associated with other types.Conclusions:HPV type 52 was the most frequent HPV type among urban Indonesian women and accounted for most single infection cases.Concurrently,HPV 16 and HPV 18 accounted for most multiple infection cases and had strong tendency to attract other types,which may add further complications.However,due to lack of cytology and histological examination and information for other potential determinants,further in-depth studies are necessary to confirm whether these infection patterns truly connect to certain clinical outcomes.展开更多
The aim of this paper was to investigate the prevalence of human papilloma virus(HPV)infection in women under 30 years old with cervical intraepithelial neoplasia(CIN)or cervical cancer,in order to provide a basis for...The aim of this paper was to investigate the prevalence of human papilloma virus(HPV)infection in women under 30 years old with cervical intraepithelial neoplasia(CIN)or cervical cancer,in order to provide a basis for cervical cancer prevention and treatment.We recruited 2052 female cases from the education system in Futian District,Shenzhen city,from April 2006 to April 2008,with age ranging from 22 to 60 years old.Second-generation hybrid capture test was done for detection of female genital tract HPV and cervical colposcopy for screening CIN or cervical cancer.The prevalence of HPV and cervical precancerous lesions or cervical cancer was evaluated in different age groups of women.The HPV positive rate was 247/2052(12.00%),and 35/2052(1.71%)of the cases were≥CIN I by pathological diagnosis.In the 22–29-year-old age group,there were 291 cases,including 39 HPV-positive cases(13.40%)and one case of pathological diagnosis≥CIN I(0.34%),and there were 1761 cases in the 30–60-year-old age group,including 208 HPV-positive cases(11.81%)and 34 cases of pathological diagnosis≥CIN I(1.93%).The HPV-positive rate of 22–29-year-old age group was higher than that of 30–60-year-old age group,but the difference was not significant(χ2=0.5967,P=0.4398);the CIN and cervical cancer detection rate of the former group was lower than that of the latter one,and the difference was not significant either(χ2=3.7519,P=0.0527).The cases in 30–60-year-old age group were divided intofive age sub-groups,and the HPV-positive rate of the 22–29-year-old age group was compared with the remaining groups,and it was found that the HPV-positive rate of the former group(13.40%)was lower than that of the 40–44-year-old age group(14.70%)but higher than that of the other four groups.Moreover,the difference in the HPV-positive rate between the 22–29-year age group and the 50–60-year-old age group(6.06%)was significant(χ2=5.545,P=0.018),but the difference between the 22–29-year-old age group and each of the other four groups was not significant(P>0.05).In addition,the CIN and cervical cancer detection rate of the 22–29-year-old age group(0.34%)was lower than that of the remainingfive groups,and the difference between the 22–29-year-old age group and the 35–39-year-old age group(2.26%),and between 22–29-year-old age group and 40–44-year-old age group(2.30%)was significant(χ2=4.446,P=0.0035;χ2=4.525,P=0.0363,respectively),but the difference between the 22–29-year-old age group and each of other three groups was not significant(P>0.05).Furthermore,80.00%(28/35)cases of pathological diagnosis≥CIN I and 90.91%(10/11)lesions of pathological diagnosis≥CIN II occurred at 35–49 years of age.For many young women below the age of 30 who were infected with high-risk HPV were one-off infections,so it was not appropriate to recommend HPV detection as cervical precancerous lesions or cancer screening program for women less than 30 years old.The prevention and treatment of cervical cancer should be focused on those women more than 35 years of age.展开更多
Penile cancer is a rare genitourinary malignancy with a greater incidence in parts of Asia,South America,and Africa.Outcomes are very poor in patients with advanced disease and in those who do not respond to frstine m...Penile cancer is a rare genitourinary malignancy with a greater incidence in parts of Asia,South America,and Africa.Outcomes are very poor in patients with advanced disease and in those who do not respond to frstine mutimodal therapy.Among systemic therapy options,platinum-based chemotherapy is used in the frst line;however,approximately half of patients do not benefit.Response rates to systeric therapy as subsequent line treatment are historically dismal.There is also a paucity of prognostic and predictive tools within the context of penile cancer.As such,there remains an urgent need to expand systemic treatment options for patients with advanced penile cancer.The purpose of this review is to summarize the existing evidence for standard-of-care lines of systemic treatment,examine the potential of novel lines of systemic therapy,and provide an update as to the status of these new therapies within the context of penile cancer.展开更多
基金the Traditional Chinese Medicine Research Project Plan of Weifang Health Commission in Shandong Province(No.2020-4-64)the Changle County Science and Technology Development Plan Project(Medicine)(No.2019ZJ301).
文摘Cervical cancer is the most common malignant tumour of the female reproductive system,resulting in more than 500,000 new cases annually worldwide.In developing countries,cervical cancer ranks second in terms of cancer mortality among women.Human papilloma virus is the primary causative agent of cervical cancer,with approximately 70 percent of cervical cancers caused by high-risk types of human papilloma virus 16 and 18.There are currently three types of human papilloma virus vaccines available:bivalent,quadri-valent and nine-valent.However,in recent years,it is reported that cervical cancer vaccine can cause premature ovarian failure.Consequently,an extensive literature search to find out the correlation between human papilloma virus vaccine and premature ovarian failure became a priority.There is no sufficient evidence to support or prove that there is a link between the human papilloma virus vaccine and premature ovarian failure.Hence,the vaccine does not cause premature ovarian failure.
文摘Background Women’s health in resource-limited settings can benefit from the integrated management of high-burden diseases,such as female genital schistosomiasis(FGS)and human papilloma virus(HPV)-related cervical cancer.In schistosomiasis-endemic countries such as Madagascar,data on FGS and HPV prevalence are lacking as well as preventive measures for both conditions.This study aims to estimate the prevalence of FGS and HPV in rural Madagascar,and to examine associated risk factors to identify opportunities for improving women’s health.Methods After initial community outreach activities,interested women aged 18-49 years were recruited consecutively in 2021 at three primary health care centers in the district of Marovoay.FGS was detected by colposcopy.Colposcopy images were double-blind reviewed by two independent specialists.A Luminex bead-based assay was performed on cervical vaginal lavage specimens for HPV typing.Crude(CPR)and adjusted prevalence ratios(APR)of associations between selected factors and FGS and HPV positivity were estimated using univariable and multivariable binary Poisson regression with 95%confidence intervals(CIs).Results Among 500 women enrolled,302 had complete information on FGS and HPV diagnosis,and were thus eligible for analysis.Within the sample,189(62.6%,95%CI:56.9-68.1)cases of FGS were detected.A total of 129 women(42.7%,95%CI:37.1-48.5)tested positive for HPV.In total,80 women(26.5%,95%CI:21.6-31.8)tested positive for both conditions.No association was observed between FGS and HPV positivity,while previous pregnancy(APR=0.65,95%CI:0.43-0.78)and older age(APR=0.59,95%CI:0.42-0.81)are showing a negative association with HPV infection compared to no previous pregnancy and younger age groups.Conclusions The results of the study show that FGS and HPV are highly prevalent in rural Madagascar.The concurrent prevalence of these two conditions requires urgent adaptations of public health strategies to improve women’s health,such as integrated services at primary level of care.
基金Ministry of Health,Republic of Indonesia provided financial assistance to support this study from their annual budget allocation.
文摘Objective:To identify circulating HPV types among urban Indonesian women and their specific co-infection patterns in bid to curb HPV infection in the general population and minimize its complications.Methods:Urban Indonesian women from general population were selected as sample framework.Sample size and distribution across regions were determined by the Indonesian Bureau of Statistics(Badan Pusat Statistik,BPS),which represented the national level.Up to 35408 cervical swab specimens were collected from August to September 2016 in 34 Indonesian provinces,categorized into six regions based on the development criteria set by the Ministry of National Development Planning(Badan Perencanaan Pembangunan Nasional,BAPPENAS).From all 1874 samples identified as HPV-positive,hybrid capture was implemented to evaluate type-specific HPV.This study analyzed descriptive data to determine the core-cluster of HPV combination.Co-occurrence HPV network was assessed using‘qgraph’package version 1.6.3 and computed in R version 3.6.3.Two-HPV association was analyzed in logistic regression using bias-reduction generalized linear model(brglm2)package version 0.5.1 adjusted by age and six main Indonesian regions.Results:The logistic regression analysis demonstrated that HPV type 52 had rare relationship despite its common co-occurrence,cementing its role in single HPV infection.HPV type 16 and 18 tended to form infection cluster and were strongly associated with other types.Conclusions:HPV type 52 was the most frequent HPV type among urban Indonesian women and accounted for most single infection cases.Concurrently,HPV 16 and HPV 18 accounted for most multiple infection cases and had strong tendency to attract other types,which may add further complications.However,due to lack of cytology and histological examination and information for other potential determinants,further in-depth studies are necessary to confirm whether these infection patterns truly connect to certain clinical outcomes.
基金supported by the Shenzhen Technology Program of China(No.JA200507130977A).
文摘The aim of this paper was to investigate the prevalence of human papilloma virus(HPV)infection in women under 30 years old with cervical intraepithelial neoplasia(CIN)or cervical cancer,in order to provide a basis for cervical cancer prevention and treatment.We recruited 2052 female cases from the education system in Futian District,Shenzhen city,from April 2006 to April 2008,with age ranging from 22 to 60 years old.Second-generation hybrid capture test was done for detection of female genital tract HPV and cervical colposcopy for screening CIN or cervical cancer.The prevalence of HPV and cervical precancerous lesions or cervical cancer was evaluated in different age groups of women.The HPV positive rate was 247/2052(12.00%),and 35/2052(1.71%)of the cases were≥CIN I by pathological diagnosis.In the 22–29-year-old age group,there were 291 cases,including 39 HPV-positive cases(13.40%)and one case of pathological diagnosis≥CIN I(0.34%),and there were 1761 cases in the 30–60-year-old age group,including 208 HPV-positive cases(11.81%)and 34 cases of pathological diagnosis≥CIN I(1.93%).The HPV-positive rate of 22–29-year-old age group was higher than that of 30–60-year-old age group,but the difference was not significant(χ2=0.5967,P=0.4398);the CIN and cervical cancer detection rate of the former group was lower than that of the latter one,and the difference was not significant either(χ2=3.7519,P=0.0527).The cases in 30–60-year-old age group were divided intofive age sub-groups,and the HPV-positive rate of the 22–29-year-old age group was compared with the remaining groups,and it was found that the HPV-positive rate of the former group(13.40%)was lower than that of the 40–44-year-old age group(14.70%)but higher than that of the other four groups.Moreover,the difference in the HPV-positive rate between the 22–29-year age group and the 50–60-year-old age group(6.06%)was significant(χ2=5.545,P=0.018),but the difference between the 22–29-year-old age group and each of the other four groups was not significant(P>0.05).In addition,the CIN and cervical cancer detection rate of the 22–29-year-old age group(0.34%)was lower than that of the remainingfive groups,and the difference between the 22–29-year-old age group and the 35–39-year-old age group(2.26%),and between 22–29-year-old age group and 40–44-year-old age group(2.30%)was significant(χ2=4.446,P=0.0035;χ2=4.525,P=0.0363,respectively),but the difference between the 22–29-year-old age group and each of other three groups was not significant(P>0.05).Furthermore,80.00%(28/35)cases of pathological diagnosis≥CIN I and 90.91%(10/11)lesions of pathological diagnosis≥CIN II occurred at 35–49 years of age.For many young women below the age of 30 who were infected with high-risk HPV were one-off infections,so it was not appropriate to recommend HPV detection as cervical precancerous lesions or cancer screening program for women less than 30 years old.The prevention and treatment of cervical cancer should be focused on those women more than 35 years of age.
文摘Penile cancer is a rare genitourinary malignancy with a greater incidence in parts of Asia,South America,and Africa.Outcomes are very poor in patients with advanced disease and in those who do not respond to frstine mutimodal therapy.Among systemic therapy options,platinum-based chemotherapy is used in the frst line;however,approximately half of patients do not benefit.Response rates to systeric therapy as subsequent line treatment are historically dismal.There is also a paucity of prognostic and predictive tools within the context of penile cancer.As such,there remains an urgent need to expand systemic treatment options for patients with advanced penile cancer.The purpose of this review is to summarize the existing evidence for standard-of-care lines of systemic treatment,examine the potential of novel lines of systemic therapy,and provide an update as to the status of these new therapies within the context of penile cancer.
