PMID- 15270812 OWN - NLM STAT- MEDLINE DCOM- 20050317 LR - 20181130 IS - 0307-7772 (Print) IS - 0307-7772 (Linking) VI - 29 IP - 4 DP - 2004 Aug TI - A systematic review of case-control studies of human papillomavirus infection in laryngeal squamous cell carcinoma. PG - 301-6 AB - A role for human papillomavirus (HPV) has been suggested in laryngeal squamous cell carcinoma (LSCC). In order to quantitate the available evidence, we reviewed studies examining the risk of laryngeal cancer-associated HPV. PubMed was searched for case-control studies conducted worldwide and published in any language since 1966. Relevant papers were hand-searched and cross-referenced. Six studies met the inclusion criteria. The studies are heterogeneous in the methods used to harvest tissue samples and techniques for detecting the virus within the tissue. HPV-16 positivity among cases ranged from 2.7% to 46.9% and 0-5.7% among controls. Two studies showed a significantly increased risk of LSCC if HPV-16 was present (OR 18.5, 95% CI 2.2-154.8, OR 2.6, 95% CI 1.1-6.0). An increased risk was also observed for glottic versus supraglottic cancer in one study (OR 9.69, 95% CI 1.47-64.04). The direction of effect is towards an increase in risk of LSCC in people with evidence of HPV-16 infection. There is marked heterogeneity in the methods used to detect the virus and frequency with which it is detected. An adequately powered study using a reliable detection technique is required to confirm and quantify this risk and to examine effect modification. FAU - Rees, L AU - Rees L AD - Laryngeal Research Group, Department of Otolaryngology, Division of Surgery, University of Bristol, Bristol, UK. FAU - Birchall, M AU - Birchall M FAU - Bailey, M AU - Bailey M FAU - Thomas, S AU - Thomas S LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PT - Systematic Review PL - England TA - Clin Otolaryngol Allied Sci JT - Clinical otolaryngology and allied sciences JID - 7701793 SB - IM MH - Carcinoma, Squamous Cell/*virology MH - Case-Control Studies MH - Humans MH - Laryngeal Neoplasms/*virology MH - Papillomaviridae/*isolation & purification MH - Papillomavirus Infections/*complications MH - Tumor Virus Infections/*complications RF - 22 EDAT- 2004/07/24 05:00 MHDA- 2005/03/18 09:00 CRDT- 2004/07/24 05:00 PHST- 2004/07/24 05:00 [pubmed] PHST- 2005/03/18 09:00 [medline] PHST- 2004/07/24 05:00 [entrez] AID - COA841 [pii] AID - 10.1111/j.1365-2273.2004.00841.x [doi] PST - ppublish SO - Clin Otolaryngol Allied Sci. 2004 Aug;29(4):301-6. doi: 10.1111/j.1365-2273.2004.00841.x.