Clinical Case: Mrs. Johnson's Vaginal Bleeding
 
Symptoms & History

Physical Findings

Stop & Think

Lab and X-Ray

Differential Diagnosis

The Disease

Treatment

Conclusions

Quiz & Evaluation

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

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