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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Volume 39(2); 1996 > Article
Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1996;39(2): 273-81.
Detection and Significance of Human Papillomavirus and Epstein-Barr Virus in Nasopharyngeal Carcinoma and Laryngeal Squamous Cell Carcinoma
Hun Ki Min, MD1, Kwang Yoon Jung, MD1, Jong Ouck Choi, MD1, In Sun Kim, MD2, Young Soo Rho, MD3, and Hyun Joon Lim, MD3
1;Department of Otolaryngology-Head & Neck Surgery, 2;Pathology, Korea University College of Medicine, Seoul, 3;Department of Otorhinolaryngology, Hallym University College of Medicine, Seoul, Korea
비인강암종과 후두편평세포암종에서 Human Papillomavirus와 Epstein-Barr Virus의 검출양상과 의의
민헌기1 · 정광윤1 · 최종욱1 · 김인선2 · 노영수3 · 임현준3
고려대학교 의과대학 이비인후-두경부외과학교실1;병리학교실2;한림대학교 의과대학 이비인후과학교실;
ABSTRACT

Human papillomavirus space (HPV) an Epstein-Barr virus (EBV) are epitheliotrophic viruses invading the upper aerodigestive tract. HPV produces a diversity of benign or malignant tumors and EBV is known to be a major etiologic factor of nasopharygeal carcinoma. We evaluated the HPV and EBV infection and co-infection rate in nasopharyngeal carcinoma and squamous cell carcinoma of larynx and the significance of HPV infection of different subtypes in the tumorigenesis of head and neck carcinoma. Thirty-four cases of nasopharyngeal carcinoma and thirty-nine cases of laryngeal squamous cell carcinomas were analyzed for the detection of HPV DNA and EBV RNA (EBER-1) by in situ hybridization technique. The following results were obtained : 1) HPV DNA was detected from 5 cases of nasopharyngeal carcinomas (21.73%) and 15 cases of laryngeal carcinomas (38.46%), HPV type 18 was most commonly detected from as many as 12 cases. 2) EBER-1 was detected from 29 cases of nasopharyngeal carcinomas (85.29%) and 7 cases of laryngeal carcinomas (17.95%). 3) The co-infection rate was 11.76% (4 cases) in nasopharyngeal carcinomas and 10.26% (4 cases) in laryngeal carcinomas. In conclusion, EBV infection is strongly suspected to be the cause of nasopharyngeal carcinomas, while HPVs, especially the HPV subtype 18, are thought to be in a part, the causes for nasopharyngeal carcinoma and squamous cell carcinoma of larynx. For the co-infected cases, however, whether these viruses have ""affinity"" to head and neck tumor tissues or the two viruses together have been the causal factor is uncertain.

Keywords: Human papillomavirusEpstein-Barr virusCo-infectionNasopharyngeal carcinomaLaryngeal carcinoma.
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