The Human Papillomavirus Infection Characteristics for Patients with Cervical Intraepithelial Neoplasia in Yunnan, China: A Sampling Survey Analysis

Hong-Fang Zhi,1,* Liu-Feng Yang,2,* Jing Ge,2 Xuan-Tao Yang3 1Department of Pathology, Kunming Kingmed Institute for Clinical Laboratory, Kunming, 650506, People’s Republic of China; 2Department of Gynecology, The First People’s Hospital of Yunnan Province/Affiliated Hospital of Kunming University of Science and Technology, Kunming, 650032, People’s Republic of China; 3Department of Pathology, The First People’s Hospital of Yunnan Province/ Affiliated Hospital of Kunming University of Science and Technology, Kunming, 650032, People’s Republic of China*These authors contributed equally to this workCorrespondence: Xuan-Tao Yang, Department of Pathology, The First People’s Hospital of Yunnan Province/Affiliated Hospital of Kunming University of Science and Technology, No. 157 of Jinbi Road, Kunming, 650032, People’s Republic of China, Tel +86-871-63638441, Email yangxt832@126.com Jing Ge, Department of Gynecology, The First People’s Hospital of Yunnan Province/Affiliated Hospital of Kunming University of Science and Technology, No. 157 of Jinbi Road, Kunming, 650032, People’s Republic of China, Tel +86-871-63638701, Email gejinggj9@126.comObjective: This study aimed to analyze the status of human papillomavirus (HPV) infections in women in Yunnan in the south of China and their correlation with the grade of cervical intraepithelial neoplasia (CIN).Methods: A total of 281 patients with CIN and HPV infection, diagnosed at Kunming Kingmed Institute for Clinical Laboratory between January 2019 and June 2021, were enrolled as the subjects of the study and underwent HPV genotyping and cervical histopathology.Results: The mean age of the 281 patients was 42.3 years, and the median age was 42 years. There were 79 patients in the low-grade squamous intraepithelial lesion (LSIL) group, and 202 patients in the high-grade squamous intraepithelial lesion (HSIL) group. The proportion of 30– 45 years old in HSIL group was 58%. Overall, single infections accounted for 76%, and HR-HPV infections accounted for 90.1%. The most common HR-HPV subtypes in the two CIN groups were almost the same, including HPV16, HPV58 and HPV52. The most common LR-HPV subtype in the two CIN groups was HPV43. There were no significant differences in ethnic and single or multiple infection rates among different CIN groups. Single infection of HPV43 and HPV81 was found in minority HSIL patients.Conclusion: HPV infection in Yunnan was dominated by single infection and HR-HPV. Patients aged 30 to 45 years were in the high incidence of HSIL, and the most common HR-HPV subtypes were HPV16, HPV58, and HPV52. Single LR-HPV infection exists in minority HSIL patients.Keywords: human papillomavirus, cervical intraepithelial neoplasia, low-grade cervical intraepithelial neoplasia, high-grade cervical intraepithelial neoplasia