ARCH PATHOL LAB MED:将Cervista人乳头瘤病毒16/18检测方法纳入对福尔马林固定、石蜡包埋头颈部鳞癌标本中人乳头瘤病毒状态的分类算法中

2019-05-09 不详 网络

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前期研究表明,采用人乳头瘤病毒(HPV) DNA原位杂交(ISH)p16免疫组化(IHC)检测口咽部鳞状细胞癌(SCC)中福尔马林固定石蜡包埋(FFPE)组织中高危HPV状态。虽然p16 IHCHPV DNA ISH联合检测HPV可获得较高的敏感性和特异性,但这些检测之间偶尔的差异已促使对口咽鳞癌患者FFPE组织中Cervista HPV检测的评估。

本研究的目的是比较Cervista HPV 16/18Cervista HPV HR检测与HPV DNA ISHp16 IHC检测在口咽源性头颈部鳞癌FFPE组织中的效果。

研究人员使用Cervista HPV16/18检测84例口咽源性鳞癌患者存档的FFPE组织和可用的HPV DNA ISHp16 IHC检测结果,并通过基于聚合酶链反应(PCR)HPV16/18基因分型检测进一步验证存在差异的病例。

研究发现,在84个样本中,75%为阳性(84个样本中的63)16%p16免疫组化和HPV DNA ISH检测结果有差异或不明显(84个样本中的13)。使用Cervista HPV检测,无论是为了澄清差异或不明显的结果,还是作为初次p16 IHC/HPV DNA ISH检测后的确认,81%(84例中的68)诊断结果明确。13HPV DNA ISH结果不一致或不明确的患者中,有5例经Cervista HPV 16/18确诊为HPV16HPV18阳性,并经过基于pcrHPV 16/18基因分型进一步证实。

研究表明,在确定口咽部鳞状细胞癌患者的FFPE组织标本中的HPV状态时,Cervista HPV检测是一种较为合适的HPV DNA ISH替代方法。

原始出处:

Ming Guo, MD; Abha Khanna, MS;Incorporation of Cervista Human Papillomavirus 16/18 Assay Into Algorithms for Classifying Human Papillomavirus Status in Formalin-Fixed, Paraffin-Embedded Head and Neck Squamous Carcinoma Specimens

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    2019-05-30 yb6560
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    2019-06-14 muzishouyi
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  6. 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  7. 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    2019-05-11 wshxjq
  8. 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