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Degrees of Dysplasia Based on Viral Typing in Patients With Cidofovir Use and Recurrent Respiratory Papillomatosis
Journal article

Degrees of Dysplasia Based on Viral Typing in Patients With Cidofovir Use and Recurrent Respiratory Papillomatosis

Jaime Eaglin Moore, Anna Garcia, Samudra Sanyal, Stefanie Saunders, Joel E. Portnoy, Amanda Hu and Robert T. Sataloff
Journal of voice, v 27(6), pp 765-768
Nov 2013
PMID: 24128893

Abstract

Cidofovir Dysplasia Human papillomavirus Recurrent respiratory papillomas
To evaluate the degree of dysplasia following cidofovir injections while documenting human papillomavirus (HPV) type in patients with recurrent respiratory papillomatosis (RRP). Retrospective chart review. Demographic data, operative reports, and pathology results were reviewed from 25 patients with RRP who had had cidofovir injections. All patients included had adult onset RRP, no history of immunosuppression, well-controlled laryngopharyngeal reflux, and no current smoking history. Eight patients were excluded because they did not meet the inclusion criteria. Seventeen patients had adequate data for analysis and 40 subsites were identified with sufficient data for analysis. Patients negative for both low and high risk did not have progressive dysplasia at the conclusion of the study. Of the patients with positive viral typing, 70% had progressive disease at the conclusion of the study. No patients progressed to carcinoma or carcinoma in situ. The average pre- and post-treatment dysplasia scores were analyzed using a Student paired t test. There was no difference in mean dysplasia score, indicating that there was no increased risk of dysplasia following cidofovir treatment. To our knowledge, this is the first study looking at the degree of dysplasia while documenting HPV types in RRP. Our study suggests that HPV type appears to be relevant in the disease progression of RRP and that cidofovir does not increase the risk of dysplasia.

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#3 Good Health and Well-Being
#5 Gender Equality

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Collaboration types
Domestic collaboration
Web of Science research areas
Audiology & Speech-language Pathology
Otorhinolaryngology
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