Prevalence of human papillomavirus (HPV) types 16 and 18 in cervical cancer in Stockholm, Sweden during 2019-2023 compared to 2003-2008

Acta Oncol. 2023 Dec;62(12):1649-1652. doi: 10.1080/0284186X.2023.2264485. Epub 2023 Nov 25.

Abstract

Background: The prevalence of different HPV types, especially HPV16 and 18 in cervical cancer in patients diagnosed 2019-2023 in Stockholm was compared to corresponding data from 2003-2008 before the introduction of HPV vaccination in Sweden.

Material and methods: Cervical cancer samples from 125 patients diagnosed 2019-2023 in Stockholm were analysed for 27 HPV types by multiplex assay and the HPV type prevalence data was compared to data obtained in 154 cervical samples from 2003-2008.

Results: Patient median age was higher 2019-2023 compared to 2003-2008 (55-years vs. 42-years, p = 0.046). Overall HPV prevalence was 93.6%, HPV16 and 18 accounted for 62.2% of all squamous cell carcinoma cases (SCC) and 63.6% of all adenocarcinoma cases (ADC) vs. 92.9%, 69.7% and 88.6% respectively 2003-2008.

Conclusion: The joint prevalence of HPV16 and 18 in SCC and ADC tended to be slightly lower in 2019-2023 as compared to 2003-2008, but the difference was not statistically significant.

Keywords: Cancer of the cervix uteri; HPV types; HPV vaccination.

MeSH terms

  • Adenocarcinoma* / epidemiology
  • Carcinoma, Squamous Cell* / epidemiology
  • Female
  • Human Papillomavirus Viruses
  • Human papillomavirus 16
  • Humans
  • Papillomaviridae
  • Papillomavirus Infections*
  • Prevalence
  • Sweden / epidemiology
  • Uterine Cervical Neoplasms* / pathology