Oncogenic HPV infection resembling pseudocondyloma of vulvae: a descriptive study of 31 cases

Arch Gynecol Obstet. 2012 May;285(5):1421-6. doi: 10.1007/s00404-011-2144-y. Epub 2011 Nov 23.

Abstract

Objective: Report a special type of human papillomavirus infection resembling pseudocondyloma of vulvae. The characteristics of the clinical manifestation and subtypes of the HPV infection were studied.

Methods: Thirty-one women with unprotected sex and genital warts resembling pseudocondyloma of vulvae were involved in this study. The clinical and histological manifestations were characterized. The genotypes of human papillomavirus were determined by a reverse hybridization of polymerase chain reaction (PCR) RESULTS: Thirteen HPV genotypes were detected from 31 cases. Of 13 genotypes, 3 were non-oncogenic and 10 were oncogenic. At least, one of oncogenic genotypes was detected from each patient. Among 31 cases, 10 were found with one genotype of the HPV infection, 14 with 2 genotypes of HPV and 7 with at least 3 genotypes. The most common genotype was genotype 16 that was detected from 15 of 31 samples (48%).

Conclusion: There is a special type of oncogenic HPV infection clinically resembling pseudocondyloma of vulvae. Some of the patients who were infected with this type of HPV infection may have been misdiagnosed as pseudocondyloma of vulvae in the past time.

MeSH terms

  • Adult
  • Condylomata Acuminata / diagnosis*
  • Condylomata Acuminata / pathology*
  • Condylomata Acuminata / therapy
  • Condylomata Acuminata / virology
  • Diagnosis, Differential
  • Female
  • Genitalia, Female / pathology*
  • Humans
  • Papillomaviridae / genetics
  • Papillomaviridae / isolation & purification*
  • Papillomavirus Infections / diagnosis*
  • Papillomavirus Infections / pathology*
  • Papillomavirus Infections / therapy
  • Papillomavirus Infections / virology
  • Young Adult