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Viral markers in nasopharyngeal carcinoma: A systematic review and meta-analysis on the detection of p16 INK4a , human papillomavirus (HPV), and Ebstein-Barr virus (EBV)
Ist Teil von
American journal of otolaryngology, 2021-01, Vol.42 (1), p.102762
Ort / Verlag
United States: Elsevier Limited
Erscheinungsjahr
2021
Quelle
MEDLINE
Beschreibungen/Notizen
This study aimed to conduct a meta-analysis to investigate the distribution of EBV and HPV stratified according to histological NPC type.
We performed a meta-analysis to produce pooled prevalence estimates in a random-effects model. We also performed calculations for attributable fractions of viral combinations in NPC, stratified according to histological type.
There was a higher prevalence of HPV DNA in WHO Type I (34.4%) versus WHO Type II/III (18.4%). The attributable fractions of WHO Type I NPC was predominantly double negative EBV(-) HPV(-) NPC (56.4%), and EBV(-) HPV(+) NPC (21.5%), in contrast to the predominant infection in WHO Type II/III which was EBV(+) HPV(-) NPC (87.5%). Co-infection of both EBV and HPV was uncommon, and double-negative infection was more common in WHO Type I NPC.
A significant proportion of WHO Type I NPC was either double-negative EBV(-)HPV(-) or EBV(-)HPV(+).