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Title of Journal: Cancer Causes Control

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Abbravation: Cancer Causes & Control

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Springer Netherlands

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DOI

10.1002/ajhb.1310070317

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ISSN

1573-7225

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Diagnostic and prognostic validity of the human pa

Authors: Maria Benevolo Irene Terrenato Marcella Mottolese Ferdinando Marandino Mariantonia Carosi Francesca Rollo Livia Ronchetti Paola Muti Luciano Mariani Stefano Sindico Giuseppe Vocaturo Amina Vocaturo
Publish Date: 2011/03/19
Volume: 22, Issue: 6, Pages: 869-875
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Abstract

The study aimed to assess the clinical utility in identifying CIN2 or worse CIN2+ of the Pretect HPVProofer test for E6/E7 mRNA detection in Hybrid Capture 2 HC2positive patients who underwent colposcopy In particular the study analyzed the mRNA test performance as the third test in a subgroup of HC2+ patients with less severe than highgrade squamous intraepithelial lesions HSIL− We analyzed 464 cervicovaginal samples by liquidbased cytology LBC and PreTect HPVProofer Moreover 231 patients also had a biopsy at baseline and 75 with HSIL− were followed up within 2 years by LBC colposcopy and histology when indicated The highest sensitivity for CIN2+ belonged to the mRNA compared to LBC at the HSIL+ threshold 72 vs 58 whereas the LBC showed the highest specificity and positive predictive value PPV 99 and 93 vs 73 and 39 respectively Focusing on the 408 HSIL− patients the mRNA positivity was significantly more associated with CIN2+ than CIN2− lesions p  00001 Moreover among the 75 HSIL− followed up patients the mRNA displayed high longitudinal Specificity 89 even if the sensitivity and the PPV were low 50 and 20 respectively The present data suggest that the mRNA test may have a diagnostic and a potentially prognostic role in HC2+/HSIL− patientsWe would like to thank Michael Kenyon for his formal revision of the manuscript and Maria Assunta Fonsi for her secretarial assistance This study was supported by the New Idea Award Group in Gynecological Oncology of the Regina Elena Cancer Institute by the Italian Ministry of Health and by Lega Italiana per la Lotta contro i Tumori


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