Cervical adenocarcinoma in situ: Human papillomavirus types and incidence trends in five states, 2008-2015.


Journal

International journal of cancer
ISSN: 1097-0215
Titre abrégé: Int J Cancer
Pays: United States
ID NLM: 0042124

Informations de publication

Date de publication:
01 02 2020
Historique:
received: 18 01 2019
revised: 19 03 2019
accepted: 01 04 2019
pubmed: 14 4 2019
medline: 12 2 2020
entrez: 14 4 2019
Statut: ppublish

Résumé

Primary prevention through the use of human papillomavirus (HPV) vaccination is expected to impact both cervical intraepithelial neoplasia (CIN) and adenocarcinoma in situ (AIS). While CIN is well described, less is known about the epidemiology of AIS, a rare cervical precancer. We identified AIS and CIN grade 3 (CIN3) cases through population-based surveillance, and analyzed data on HPV types and incidence trends overall, and among women screened for cervical cancer. From 2008 to 2015, 470 AIS and 6,587 CIN3 cases were identified. The median age of women with AIS was older than those with CIN3 (35 vs. 31 years; p < 0.01). HPV16 was the most frequently detected type in both AIS and CIN3 (57% in AIS; 58% in CIN3), whereas HPV18 was the second most common type in AIS and less common in CIN3 (38% vs. 5%; p < 0.01). AIS lesions were more likely than CIN3 lesions to be positive for high-risk types targeted by the bivalent and quadrivalent vaccines (HPV16/18, 92% vs. 63%; p < 0.01), and 9-valent vaccine (HPV16/18/31/33/45/52/58, 95% vs. 87%; p < 0.01). AIS incidence rates decreased significantly in the 21-24 year age group (annual percent change [APC] overall: -22.1%, 95% CI: -33.9 to -8.2; APC among screened: -16.1%, 95% CI: -28.8 to -1.2), but did not decrease significantly in any older age group. This report on the largest number of genotyped AIS cases to date suggests an important opportunity for vaccine prevention of AIS, and is the first to document a decline in AIS incidence rates among young women during the vaccine era.

Identifiants

pubmed: 30980692
doi: 10.1002/ijc.32340
pmc: PMC9112013
mid: NIHMS1806590
doi:

Substances chimiques

DNA, Viral 0
Papillomavirus Vaccines 0

Types de publication

Journal Article Research Support, U.S. Gov't, P.H.S.

Langues

eng

Sous-ensembles de citation

IM

Pagination

810-818

Subventions

Organisme : CDC HHS
ID : U50CK000486 [New York]
Pays : United States
Organisme : CDC HHS
ID : U50CK000484 [Oregon]
Pays : United States
Organisme : ACL HHS
ID : U54CK000482
Pays : United States
Organisme : CDC HHS
ID : U50CK000491 [Tennessee]
Pays : United States
Organisme : Intramural CDC HHS
ID : CC999999
Pays : United States
Organisme : NCEZID CDC HHS
ID : U54 CK000482
Pays : United States
Organisme : CDC HHS
ID : U50CK000488 [Connecticut]
Pays : United States
Organisme : ACL HHS
ID : U54CK000484
Pays : United States
Organisme : CDC HHS
ID : U50CK000482 [California]
Pays : United States
Organisme : NCEZID CDC HHS
ID : U54 CK000484
Pays : United States

Informations de copyright

© 2019 UICC.

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Auteurs

Angela A Cleveland (AA)

Centers for Disease Control and Prevention, Atlanta, GA, USA.

Julia W Gargano (JW)

Centers for Disease Control and Prevention, Atlanta, GA, USA.

Ina U Park (IU)

Department of Family and Community Medicine, School of Medicine, University of California San Francisco, San Francisco, CA, USA.

Marie R Griffin (MR)

Vanderbilt University Medical Center, Nashville, TN, USA.

Linda M Niccolai (LM)

Yale School of Public Health, New Haven, CT, USA.

Melissa Powell (M)

Oregon Department of Human Services, Portland, OR, USA.

Nancy M Bennett (NM)

University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.

Kayla Saadeh (K)

California Emerging Infections Program, Oakland, CA, USA.

Manideepthi Pemmaraju (M)

Vanderbilt University Medical Center, Nashville, TN, USA.

Kyle Higgins (K)

Yale School of Public Health, New Haven, CT, USA.

Sara Ehlers (S)

Oregon Department of Human Services, Portland, OR, USA.

Mary Scahill (M)

University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.

Michelle L Johnson Jones (ML)

Centers for Disease Control and Prevention, Atlanta, GA, USA.

Troy Querec (T)

Centers for Disease Control and Prevention, Atlanta, GA, USA.

Lauri E Markowitz (LE)

Centers for Disease Control and Prevention, Atlanta, GA, USA.

Elizabeth R Unger (ER)

Centers for Disease Control and Prevention, Atlanta, GA, USA.

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