Cytological findings associated with human papillomavirus infection in uterine cervical squamous lesions

  • SHIMODAI Sayaka
    Department of Health Sciences, Graduate School of Medical Sciences, Kyushu University Department of Clinical Laboratory, Iizuka Hospital Department of Human Pathology, Faculty of Medicine Pathophysiology, Nihon University
  • WATANABE Sumiko
    Department of Health Sciences, Faculty of Medical Sciences, Kyushu University
  • KAKU Tsunehisa
    Department of Health Sciences, Faculty of Medical Sciences, Kyushu University
  • KUWAOKA Isao
    Department of Clinical Laboratory, Iizuka Hospital
  • SUGISHIMA Setsuo
    Department of Health Sciences, Faculty of Medical Sciences, Kyushu University
  • OYA Masafumi
    Department of Pathology, Iizuka Hospital

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Other Title
  • 子宮頸部扁平上皮病変における HPV (human papillomavirus) 感染と細胞像の関連性

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Abstract

<p>Objective : We sought to determine the characteristic cytological findings associated with HR-HPV infection in uterine cervical squamous lesions.</p><p>Study Design : We examined 54 cervical smears obtained from 54 patients : the HR-HPV (+) group (n=30) and the HR-HPV (−) group (n=24). We counted the number of compression-positive multinucleated cells and number of koilocytes, and evaluated the stainability of nuclear chromatin and calculated the RD values using a digital imaging analysis software.</p><p>Results : A significantly larger number of binucleated cells with compression was observed in the HR-HPV (+) group as compared to the HR-HPV (−) group. No significant inter group difference was observed in the numbers of binucleated cells without compression, multinucleated cells, or koilocytes. Regarding nuclear chromatin, although no significant inter group difference was observed in the stainability, the highest staining intensity tended to be localized at the nuclear periphery in the HR-HPV (+) group.</p><p>Conclusion : Our results indicated an association between HR-HPV infection and (1) the appearance of binucleated cells with compression and (2) localization of the nuclear chromatin at the nuclear periphery, as shown by the RD values.</p>

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