Characteristics of preoperative and postoperative HPV infection in
patients with cervical intraepithelial neoplasia and cervical cancer
Abstract
Background: The widespread transmission of human papillomavirus (HPV) in
women poses significant health risks. The objective of this study is to
elucidate the prevalence characteristics of preoperative and
postoperative HPV infection in patients with cervical intraepithelial
neoplasia (CIN) and cervical cancer. Methods: A total of 370 patients
diagnosed with CIN or cervical cancer were recruited in the study.
Initially, we analysed the overall prevalence of HPV infection in
preoperative patients, as well as the characteristics within different
age groups and various pathological diagnoses. Subsequently, we examined
the correlation between HPV positive rates and age, pathological
diagnoses, HPV genotypes and multiple HPV infection in postoperative
patients. Finally, we conducted a comparative analysis of HPV infection
dynamics in the same cohort of patients before and after cervical
operation. Results: The overall HPV positive rate was 97.02% among
patients diagnosed with CIN or cervical cancer. The top six prevalent
HPV genotypes identified were as follows: HPV16, HPV52, HPV58, HPV33,
HPV51, and HPV18. Patients displayed varying distributions of HPV
infection across different age groups and pathological diagnoses.
Notably, the proportions of HPV16, HPV51, and multiple HPV infection
differed significantly among patients of different ages. The proportions
of HPV16, HPV18, HPV51, HPV52, and multiple HPV infection were
significantly different among patients with distinct cervical lesions.
Among the 282 patients who underwent cervical operation, 113 individuals
(40.07%) remained positive for HPV postoperatively. Patients aged≥60
years, with CINI cervical lesion, preoperative positivity for HPV51 and
multiple HPV infection, exhibited a higher postoperative rate of HPV
positivity. Additionally, the positive rate of the top six prevalent HPV
genotypes except for HPV51 and multiple HPV infection showed a declining
trend after cervical operation. Conclusions: This study further
substantiated the link between high-risk HPV infection and the
development of CIN and cervical cancer, and also offered insights for
the prevention and treatment of postoperative HPV infection.