Abstract
The association between cervical cancers and human papillomavirus (HPV) is now
well established. To estimate the extent of infection with common HPVs among
Korean women, we have examined 224 cervical scrapes of various cervical lesions.
Detection and typing of HPVs were done by polymerase chain reaction (PCR) using
consensus primers followed by restriction enzyme digestion and PCR using
type-specific primers. The prevalence of total HPV infection in patients with
cervical intraepithelial neoplasia (CIN) and cervical cancer were significantly
higher than those in healthy women and patients with atypical squamous cells of
undetermined significance (ASCUS). HPV typing in 41 invasive carcinomas of the
cervix revealed the prevalence of HPV 16 in 15 cases, followed by HPV 58, 18,
33, 31, 52 and 35. The distribution pattern of HPV types in CIN were not much
different from carcinomas. HPV types except HPV 18 had a tendency to show higher
prevalence in high-grade squamous intraepithelial lesion (HSIL) than low-grade
squamous intraepithelial lesions (LSIL), however, HPV 18 was detected in LSIL
but not in HSIL. HPV 18 tended to have the worse clinical stage, although it was
not statistically significant. These findings suggest the importance of HPV
typing other than HPV 16 and 18 and a different clinicopathologic significance
of HPV 18.