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Cited by 207

The DOI matches its Crossref record; 2 of the 2 references it cites were found in a registry or an index.

HPV‐negative carcinoma of the uterine cervix: a distinct type of cervical cancer with poor prognosis

Open access
Rodríguez‐Carunchio, L, Soveral, I, Steenbergen, RDM, Torné, A, Martinez, S, Fusté, P, Pahisa, J, Marimon, L, Ordi, J, del Pino, M·2015·BJOG: An International Journal of Obstetrics & Gynaecology

Abstract

Objective: Using highly sensitive polymerase chain reaction (PCR) techniques, we reanalysed all cervical carcinomas (CC s) found to be human papillomavirus (HPV)‐negative by Hybrid Capture 2 (HC 2) to determine the prevalence of true HPV‐negativity. We also evaluated the characteristics of the patients with tumours with confirmed HPV‐negativity. Design: Observational study. Setting: Barcelona, Spain. Population: A cohort of 136 women with CC (32 adenocarcinomas, 104 squamous cell carcinomas) who had pre‐treatment HC 2 testing. Methods: All negative cases were reanalysed and genotyped for HPV using three PCR assays (SPF 10, GP 5+/6+ and E7‐specific assay). Main outcome measures: Percentage of confirmed HPV‐negative and HPV‐positive tumours. Clinicopathological features and disease‐free survival (DFS) and overall survival (OS) of both groups. Results: Fourteen of 136 women (10.2%) were negative for HPV by HC 2. After reanalysis by PCR‐based techniques only 8/136 (5.8%) tumours were confirmed as HPV‐negative, whereas in six cases different HPV s were identified [HPV–11, −16 (two tumours), −18, −45, and −68]. Confirmed HPV‐negativity was more frequent in adenocarcinomas than in squamous cell carcinomas (5/32, 15.6% versus 3/104, 2.9%, respectively; P = 0.017). Patients with CC s with confirmed HPV‐negativity had significantly worse DFS than women with HPV‐positive tumours [51.9 months (95% CI 12.2–91.7 months) versus 109.9 months (95% CI 98.2–121.5 months); P = 0.010]. In the multivariate analysis HPV‐negativity and International Federation of Gynecology and Obstetrics (FIGO) staging were associated with increased risk of progression and mortality. Conclusions: An HC 2‐negative result is an uncommon finding in women with CC, but in almost half of these cases HPV s are identified by more sensitive techniques. CC s with confirmed HPV‐negativity are more frequently adenocarcinomas, and seem to be associated with worse DFS.

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Metadata

Authors
Rodríguez‐Carunchio, L., Soveral, I., Steenbergen, R., Torné, A., Martinez, S., Fusté, P., Pahisa, J., Marimon, L., Ordi, J., & del Pino, M.
Venue
BJOG: An International Journal of Obstetrics & Gynaecology
Publisher
Wiley
Published
2014-09-17
Volume
122
Issue
1
Pages
119-127
ISSN
  • 0306-5456 (ISSN-L)
  • 1470-0328
  • 1471-0528
OpenAlex
W2045691117
Cited by
207
References
2
FWCI
7.19
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: HPV‐negative carcinoma of the uterine cervix: a distinct type of cervical cancer with poor prognosis. https://app.cochat.ai/papers/10.1111/1471-0528.13071
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Rodríguez‐Carunchio, L., Soveral, I., Steenbergen, R., Torné, A., Martinez, S., Fusté, P., Pahisa, J., Marimon, L., Ordi, J., & del Pino, M. (2015). HPV‐negative carcinoma of the uterine cervix: a distinct type of cervical cancer with poor prognosis. BJOG: An International Journal of Obstetrics & Gynaecology. https://doi.org/10.1111/1471-0528.13071

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