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Parchami, Kiarash, Derakhshan, Samira, Saffar, Hana, Aminishakib, Pouyan, Shamshiri, Ahmad Reza, Afshar, Samaneh. (1402). Human Papillomavirus-Associated Oral Epithelial Dysplasia: A Practical Approach to Make the Diagnosis. سامانه مدیریت نشریات علمی, 49(3), 186-195. doi: 10.30476/ijms.2023.96202.2897
Kiarash Parchami; Samira Derakhshan; Hana Saffar; Pouyan Aminishakib; Ahmad Reza Shamshiri; Samaneh Afshar. "Human Papillomavirus-Associated Oral Epithelial Dysplasia: A Practical Approach to Make the Diagnosis". سامانه مدیریت نشریات علمی, 49, 3, 1402, 186-195. doi: 10.30476/ijms.2023.96202.2897
Parchami, Kiarash, Derakhshan, Samira, Saffar, Hana, Aminishakib, Pouyan, Shamshiri, Ahmad Reza, Afshar, Samaneh. (1402). 'Human Papillomavirus-Associated Oral Epithelial Dysplasia: A Practical Approach to Make the Diagnosis', سامانه مدیریت نشریات علمی, 49(3), pp. 186-195. doi: 10.30476/ijms.2023.96202.2897
Parchami, Kiarash, Derakhshan, Samira, Saffar, Hana, Aminishakib, Pouyan, Shamshiri, Ahmad Reza, Afshar, Samaneh. Human Papillomavirus-Associated Oral Epithelial Dysplasia: A Practical Approach to Make the Diagnosis. سامانه مدیریت نشریات علمی, 1402; 49(3): 186-195. doi: 10.30476/ijms.2023.96202.2897

Human Papillomavirus-Associated Oral Epithelial Dysplasia: A Practical Approach to Make the Diagnosis

Iranian Journal of Medical Sciences
مقاله 6، دوره 49، شماره 3، خرداد 2024، صفحه 186-195    اصل مقاله (2.1 M)
نوع مقاله: Original Article(s)
شناسه دیجیتال (DOI): 10.30476/ijms.2023.96202.2897
نویسندگان
Kiarash Parchami* 1؛ Samira Derakhshan1؛ Hana Saffar2؛ Pouyan Aminishakib1؛ Ahmad Reza Shamshiri3؛ Samaneh Afshar2
1Department of Oral and Maxillofacial Pathology, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
2Department of Pathology, Cancer Institute Hospital, IKHC, Tehran University of Medical Sciences, Tehran, Iran
3Department of Community Oral Health Department, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
چکیده
Background: High-risk Human Papillomavirus (HPV) genotypes are found in malignant oral epithelial lesions, and HPV infection is proposed as a risk factor for initiating Squamous cell carcinoma (SCC) in the head and neck region. This study suggests a practical approach to detect HPV in HPV-associated oral epithelial dysplasia (HAOED).
Methods: Fifty-four oral epithelial dysplasia specimens were examined, comprising twenty-seven cases diagnosed with high-grade dysplasia and twenty-seven cases diagnosed with low-grade dysplasia using a binary grading system. To assess the cases for HPV, the specimens were examined for p16 protein using an immunohistochemical (IHC) study, and then, the Chromatin In Situ Hybridization (CISH) test was performed for all positive cases. Chromatin Immunoprecipitation-Polymerase Chain Reaction (ChIP-PCR) was performed on CISH-positive specimens to assess the outcome. This cross-sectional study was conducted in 2020 at Tehran University of Medical Science. SPSS software version 22.0 was used to perform the Chi square or Fisher’s exact test to examine the relationship between variables (statistically significant level P<0.05).
Results: The expression of p16 protein was not associated with the severity of epithelial dysplasia (81.5% in low-grade and 59.2% in high-grade cases) (P=0.16). Moreover, according to the CISH test result, 9.25% of all specimens were positive (P>0.99), and in the nine cases, undergone the ChIP-PCR study, two cases (22.2%) showed positivity for HPV-16, while one case (11.1%) demonstrated positivity for HPV-51.
Conclusion: Regarding HAOED, here, we proposed a step-by-step combination approach using different diagnostic methods, including IHC for p16 protein, CISH, and ChIP-PCR based on a complementary algorithm.
کلیدواژه‌ها
Human papillomavirus virus؛ Squamous cell carcinoma of head and neck؛ Immunohistochemistry؛ In situ hybridization؛ Polymerase chain reaction
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