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Baker et al (2009) reported that HPV-16 and -18 are common in cervical squamous cell carcinoma and that almost all (99.9 %) of cervical cancers are HPV-infected. HPV-18, a low-risk group 1 (LRG1) genotype, appears to be more common in invasive carcinomas than other HRGs. Most HPV-18 infections, however, are transient and will persist for only half of a patient's lifetime. Wang et al (2009) presented data from HPV-16 cross-sectional and prospective studies on the persistence and outcome of HPV infection. The overall prevalence of HPV infection in the 896 women recruited to the study was 72.7 %. One-hundred seventy (18.2 %) women had persistent HPV infection. Prevalence was higher among older women, more sexually active women who practiced anal sexual intercourse, with lower educational level, and who used oral contraceptives. A total of 37 HPV types were encountered; HRGs were most common. Persistent HRGs increased from 21.7 to 26.0 % from baseline to 2 years of follow-up. Older age, pre-existing anogenital warts, and high-risk sexual behavior were independent risk factors for persistent infection. In a related study, Nordin et al (2009) reported that, in women with HPV-16 infection, HRGs were associated with a significantly increased likelihood of anogenital HPV infection. Gizlava et al (2009) evaluated the accuracy of HRGs and LRGs for predicting CIN 3 of 144 women. Single HRGs and LRGs showed 76 and 65 % sensitivity and 79 and 71 % specificity, respectively. Approximately 70-80 % of the women with LRGs had histopathology CIN 2+ or worse. The authors concluded that further evaluation is required to determine whether HRGs could be a more effective tool for triage and management compared to LRGs in cervical cancer screening programs.

In an international collaboration, Salama et al (2010) evaluated the epidemiology, oncogenic potential, and molecular diversity of acetylcholinesterase and α-tubulin genes in cervical samples obtained from 7,211 women visiting 60 clinics in France, Germany, Italy, Spain, and the UK. d2c66b5586

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