PMID- 33289174 OWN - NLM STAT- Publisher LR - 20240222 IS - 1097-0347 (Electronic) IS - 1043-3074 (Linking) DP - 2020 Dec 1 TI - Risk factors for the development of high-grade dysplasia and carcinoma in patients with laryngeal squamous cell papillomas: Large retrospective cohort study. LID - 10.1002/hed.26560 [doi] AB - BACKGROUND: The incidence and risk factors for the development of high-grade dysplasia (HG-D) and laryngeal squamous cell carcinoma (LSCC) were assessed in patients with laryngeal squamous cell papillomas (LSP). METHODS: Clinical data, human papillomaviruses (HPV) typing, HPV E6/E7 mRNA in situ hybridization, and sequencing of host genes in LSP biopsies of 163 patients were analyzed. RESULTS: Progression to HG-D and LSCC was identified in 21.5% and 4.3% of LSP patients, respectively. A more advanced age at LSP onset and lack of HPV infection were detected as risk factors for the development of HG-D and LSCC (P < .05). The identification of HG-D was associated with its progression to LSCC (P < .05). Host gene mutations were identified in 3 of 7 patients with LSCC. CONCLUSIONS: The histological monitoring of LSP and HPV typing are necessary for early detection of epithelial changes. Further research is needed to elucidate the role of host gene mutations in LSCC transformation. CI - (c) 2020 Wiley Periodicals LLC. FAU - Gluvajic, Dasa AU - Gluvajic D AUID- ORCID: 0000-0002-0125-9650 AD - Department of Otorhinolaryngology and Cervicofacial Surgery, University Medical Centre, Ljubljana, Slovenia. FAU - Hosnjak, Lea AU - Hosnjak L AD - Institute of Microbiology and Immunology, Faculty of Medicine, University of Ljubljana, Slovenia. FAU - Stegel, Vida AU - Stegel V AD - Department of Molecular Diagnostics, Institute of Oncology, Ljubljana, Slovenia. FAU - Novakovic, Srdjan AU - Novakovic S AD - Department of Molecular Diagnostics, Institute of Oncology, Ljubljana, Slovenia. FAU - Gale, Nina AU - Gale N AUID- ORCID: 0000-0002-8921-5109 AD - Institute of Pathology, Faculty of Medicine, University of Ljubljana, Slovenia. FAU - Poljak, Mario AU - Poljak M AD - Institute of Microbiology and Immunology, Faculty of Medicine, University of Ljubljana, Slovenia. FAU - Boltezar, Irena Hocevar AU - Boltezar IH AD - Department of Otorhinolaryngology and Cervicofacial Surgery, University Medical Centre, Ljubljana, Slovenia. LA - eng GR - P3-0083/Javna Agencija za Raziskovalno Dejavnost RS/ GR - 20150093/University Medical Centre, Ljubljana, Slovenia/ PT - Journal Article DEP - 20201201 PL - United States TA - Head Neck JT - Head & neck JID - 8902541 SB - IM OTO - NOTNLM OT - carcinoma OT - dysplasia OT - human papilloma virus OT - larynx OT - papilloma EDAT- 2020/12/09 06:00 MHDA- 2020/12/09 06:00 CRDT- 2020/12/08 05:47 PHST- 2020/06/23 00:00 [received] PHST- 2020/10/16 00:00 [revised] PHST- 2020/11/18 00:00 [accepted] PHST- 2020/12/08 05:47 [entrez] PHST- 2020/12/09 06:00 [pubmed] PHST- 2020/12/09 06:00 [medline] AID - 10.1002/hed.26560 [doi] PST - aheadofprint SO - Head Neck. 2020 Dec 1. doi: 10.1002/hed.26560.