Navegando por Palavras-chave "papilomavirus humano"
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- ItemSomente MetadadadosExpressão imuno-histoquímica da proteína p16 e genotipagem de papilomavirus humano em lesões intraepiteliais escamosas de alto grau ou mais de colo uterino em mulheres indígenas do Parque Indígena do Xingu - Mato Grosso / Brasil(Universidade Federal de São Paulo (UNIFESP), 2013-10-30) Freitas, Valeria Grisolia de [UNIFESP]; Speck, Neila Maria de Gois Speck [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Rationale: There are few epidemiologic studies on cervical cancer and human papillomavirus infection (HPV) in indigenous populations. Evaluating the most prevalent viral types and using new markers can be very helpful to make decisions about cervical cancer prevention in specific populations. Objectives: To evaluate the presence of specific HPV types in female indigenous patients from the Xingu Indigenous Park (PIX, acronym in Portuguese) with histological diagnosis of high-grade cervical intraepithelial lesion. To evaluate p16 protein expression in high-grade cervical intraepithelial lesions in female indigenous patients from the PIX, with histological diagnosis of high-grade cervical intraepithelial lesion. To correlate the p16 protein immunohistochemical expression with analysis of several types of HPV to assess possible differences in immunoexpression of the marker. Methods: The study evaluated 37 samples of cervix of indigenous women from the PIX with high-grade squamous intraepithelial lesions diagnosed upon cytology, histology and colposcopy. HPV genotyping was performed by reverse hybridization and p16 protein expression was investigated by immunohistochemical reaction. Results: Thirteen different types of HPV were found in genotyping; in that, two were low-risk (HPV 11 and HPV 44), two possibly high-risk (HPV 26 and HPV 53) and the remaining were considered high-oncogenic-risk, predominating HPV 52, followed by HPV 16, but with no statistically significant difference. The several viral types presented as single or multiple infections, and the comparison between genotyping and type of infection was statistically significant. There was more single infection in the most prevalent genotypes. The statistical analysis of p16 protein immunoexpression confirmed the proportional predominance of diffuse expression. There was no statistically significant difference when comparing HPV genotyping and p16 protein expression. Conclusions: Based on the results, it was concluded that HPV 52 and HPV 16 are the most prevalent types of HPV in high-grade cervical intraepithelial lesions in indigenous women from the PIX. The expression of p16 protein in high-grade cervical intraepithelial lesions was predominantly diffuse and was not influenced by the viral type identified.
- ItemAcesso aberto (Open Access)Vulnerabilidade ao papilomavirus humano (HPV) entre mulheres que fazem sexo com mulheres(Universidade Federal de São Paulo (UNIFESP), 2013-08-11) Borges, Gisele Maria [UNIFESP]; Goldenberg, Paulete [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)HPVs are responsible for triggering infections are highly prevalent among STDs, highlighting its relationship to the development of various types of cancers, among which the CA of the Cervix - the second leading cause of cancer mortality among women. Transmitted in any sexual practice, women who have sex with women are susceptible to infection , underscoring the fact that they are invisible, by reference health issues .Given this arises the purpose of identifying knowledge, ideas and risk prevention practices in relation to STD in general and HPV, particularly among MSM in order to subsidize intervention. The study was conducted with LGBT attending three points from the application of 149 questionnaires with open and closed questions, followed by focus groups, one in each location, with reference to the vulnerability perspective. Provided in a variety of sexual practices, they do not use protective devices, which expose them to infection by HPV. Prevention, therefore, is restricted to hygiene and confidence in partner, next to the medical control. it is worth saying that the whole sample was found a prevalence (self-reported) of 6.8 % for HPV infection. To disregard the importance of STDs in female homosexuality, they attribute the danger of transmission to humans, mediated penetration - by analogy to AIDS. Given the limited knowledge about the transmission and prevention of HPV, they express the desire to have more information available about it. Found the situation of vulnerability to HPV / STD , it is necessary not only preparation of health professionals in the care demands of MSM, as the extent of information media focused on this specific segment.