ASC-US 환자에서 HPV DNA Microchip Test의 유용성
The Usefulness of the HPV DNA Microchip Test for Women with ASC-US
경희은, 하승연, 정동해, 박상희, 조현이,
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경희은 ( Kyeong Hee-Eun )
가천의과학대학교 길병원 병리학교실
하승연 ( Ha Seung-Yeon )
가천의과학대학교 길병원 병리과학교실
정동해 ( Chung Dong-Hae )
가천의과학대학교 길병원 병리과학교실
박상희 ( Park Sang-Hee )
가천의과학대학교 길병원 병리학교실
조현이 ( Cho Hyun-Yee )
가천의과학대학교 길병원 병리과학교실
KMID : 0357920090430030254
Abstract
Background: This study was performed to ascertain the usefulness of the human papillomavirus (HPV) DNA microchip test for the screening and management of women with atypical squamous cells of undetermined significance (ASC-US).
Methods: The subject group consisted of 534 patients, and all of whom were diagnosed as ASC-US according to a Papanicolaou smear, and they all underwent concomitant HPV DNA microchip test.
Results: The occurrence rates of overall squamous lesions and high risk lesion (cervical intraepithelial neoplasia grade 2 and grade 3, and invasive carcinoma) of the HPV-positive ASC-US patients were significantly higher than those of the HPV-negative ASC-US patients. High risk lesion was detected more frequently among the older patients and the patients with HPV 56, 33 or 70. On the follow-up HPV DNA microchip test, only 1 of 11 (9.1%) HPV type-switched women developed squamous lesion compared with 8 of 13 (61.6%) HPV type-persistent women who developed squamous lesion.
Conclusions:The HPV DNA microchip test is useful for the management of ASC-US patients. HPV-positive ASC-US patients should undergo a HPV DNA microchip test periodically. If the same genotype of HPV is persistent on the follow-up test, more increased surveillance is needed.
키워드
Human papillomavirus;DNA chip;Papanicolaou smear
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