Abstract:Tissues from patients with oral verrucous carcinoma were examined for the presence of human papillomavirus (HPV). The tissues were stained for the presence of the type common papillomavirus antigen by immunohistochemical staining and the presence of HPV DNA was determined by in situ hybridization with biotin‐labelled HPV DNA probes. Seventeen tissue specimens were obtained from 9 patients, and included pre‐malignant lesions and primary and recurrent tumors. One pre‐malignant lesion was positive for papillomavi… Show more
“…Oral cancer biopsies have also been shown, in some cases, to contain HPV sequences, de Villiers et al (1985) and Adler-Storthz et al (1986b) detected HPV-2 DNA in oral squamous and verrucous carcinomas, and DNAs of HPV-16 (de Villiers et al, 1985;Maitland et al, 1987) and HPV-18 (Syrjanen et al, 1988) have been reported in other oral squamous celt carcinomas. Additionally, Maitland et al (1987Maitland et al ( , 1989 found that a large proportion of normal oral mucosal samples, as well as carcinomas, exclusively contain HPV-16 sequences, which in most cases varied from the prototype virus in their PstI restriction pattern.…”
“…Oral cancer biopsies have also been shown, in some cases, to contain HPV sequences, de Villiers et al (1985) and Adler-Storthz et al (1986b) detected HPV-2 DNA in oral squamous and verrucous carcinomas, and DNAs of HPV-16 (de Villiers et al, 1985;Maitland et al, 1987) and HPV-18 (Syrjanen et al, 1988) have been reported in other oral squamous celt carcinomas. Additionally, Maitland et al (1987Maitland et al ( , 1989 found that a large proportion of normal oral mucosal samples, as well as carcinomas, exclusively contain HPV-16 sequences, which in most cases varied from the prototype virus in their PstI restriction pattern.…”
“…Each site has premalignant lesions which progress from mild dysplasia to carcinoma in situ and invasive carcinoma. Reports regarding the presence of HPV genotypes within oral tumors by molecular hybridi zation techniques do appear in the literature [59][60][61]; however, the findings are not conclusive.…”
Section: Other Anogenital Cancers Related To Hpvmentioning
“…30 This system allows the typing of both high-risk HPV (types 16,18,26,30,31,33,35,39,45, 51, 52, 56, 58, 59, 66, 68, 70,73, 82i and 82m) and low-risk HPV (6,11,34,40,42,43,44,54,55,57,61,64,71,72,81 and CP6108).…”
Section: Hpv Dna Detection and Typingmentioning
confidence: 99%
“…42 For verrucous carcinoma arising from the head and neck region, it has been reported that high-risk HPV are opportunistic viruses enhancing other carcinogenic factors such as tobacco or alcohol. 43,44 In case of low-risk HPV types, sequence variations increasing their transforming potential has been described. 26 Moreover, it has also been suggested that malignant transformation may be more related to the host response to the HPV infections than to the virus itself.…”
Section: Human Papillomavirus In Verrucous Carcinomamentioning
The role of human papillomavirus (HPV) infections in the development of verrucous carcinoma, a welldifferentiated variant of squamous cell carcinoma with difficult differential diagnosis, is controversial in the literature. In this study, we analysed verrucous carcinoma from different origins for the presence and activity of a broad spectrum of HPV types, and carefully reviewed the histopathological features. A random series of 27 formalin-fixed, paraffin-embedded specimens of verrucous carcinoma was taken, representing the head and neck region (n ¼ 6), anogenital area (n ¼ 16) and extragenital skin region (n ¼ 5). After review of the histological slides, all samples were subjected to different polymerase chain reaction-based HPV detection techniques, together detecting a total of 83 HPV types, including both mucosal and cutaneous types. Histological revision was carefully performed. Lesions with keratinised papillae, blunt stromal invaginations and minimal cytological atypia were considered verrucous carcinoma. Condylomatous lesions with viral changes were defined as giant condyloma. Verrucous lesions that did not meet those criteria were classified as verrucous hyperplasia. Tumours with stromal infiltration were considered as invasive squamous cell carcinoma. Histological revision revealed that 13 out of 27 cases were verrucous carcinoma (one showing a double infection with HPV 35 and 45), 5 invasive squamous cell carcinomas, 5 verrucous hyperplasia (one with a double infection with HPV 4 and 8), 1 pseudoepitheliomatous hyperplasia and 3 giant condylomas. All three giant condylomas were low-risk HPV positive (HPV 6 and 11) and showed active mRNA transcription. None of the HPV-positive samples tested positive for diffuse p16 INK4A staining. In conclusion, our results do not support a causal role of HPV in the development of verrucous carcinoma. Testing for LR-HPV, particularly HPV 6 and 11, may help in the differential diagnosis of lesions suspicious of verrucous carcinoma as those testing positive for LR-HPV most likely represent giant condylomas.
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