Symptoms
& History
Physical
Findings
Stop
& Think
Lab
and X-Ray
Differential
Diagnosis
The
Disease
Treatment
Conclusions
Quiz
& Evaluation |
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The
importance of HPV
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Detection of HPV DNA in 85%
of cervical cancers, and 90% of precancerous lesions.
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High and low risk serotypes
of HPV
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High risk: 16, 18, 31, 33, 35
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Low risk: 6, 11, 42-44
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Cell transformation in tissue
culture studies.
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HPV DNA becomes integrated into
host genome.
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HPV oncoprotein E6, of
types 16 and 18, bind to tumor supressor gene p53 and accelerate
its degradation.
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HPV protein E7 affects
cell cycle regulation through the retinoblastoma gene.
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Chromosome amplification, specifically
3q, is seen with cervical cancers containing HPV type 16 DNA.
How do CIN
and carcinoma differ?
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