Human papilloma virus infection in basal cell carcinoma of the skin: a systematic review and meta-analysis study

Pol J Pathol. 2017;68(4):330-342. doi: 10.5114/pjp.2017.73929.

Abstract

Human papillomaviruses (HPVs) are a large and ubiquitous group of viruses that some of them have been suggested as a co-factor in the development of non-melanoma skin cancers. The aim of this meta-analysis study was to evaluate HPVs' prevalence in basal cell carcinoma (BCC) of the skin and the risk of them in the BCC patients compared with the healthy controls. Five databases were searched from January 1980 to February 2017. A random-effects meta-analysis was done with the event rate (ER) for the prevalence of HPVs and odds ratio (OR) for estimation of the incidence of HPVs. Out of 1087 studies, 45 studies were included in the review. The pooled analysis demonstrated that the incidence of γ-HPV was effective in the BCC patients compared with the healthy controls [OR = 1.97; 95% CI: 1.52-2.55; p < 0.00001], but not for α-HPV, β-HPV and epidermodysplasia verruciformis (EV)-HPV (p > 0.05). The pooled ER of incidence of β1-HPV in the BCC patients was z3.3% and for β2-HPV in BCC patients was 44.2%. In conclusion, this meta-analysis showed that probably the risk of γ-HPV was more on BCC patients and also the rate of γ-HPV was higher than α-, β- and EV-HPVs in the BCC patients.

Keywords: basal cell carcinoma; incidence; prevalence; human papilloma virus.

Publication types

  • Meta-Analysis
  • Review
  • Systematic Review

MeSH terms

  • Alphapapillomavirus / genetics
  • Alphapapillomavirus / pathogenicity
  • Betapapillomavirus / genetics
  • Betapapillomavirus / pathogenicity
  • Carcinoma, Basal Cell / epidemiology
  • Carcinoma, Basal Cell / pathology
  • Carcinoma, Basal Cell / virology*
  • Cell Transformation, Viral*
  • Chi-Square Distribution
  • DNA, Viral / genetics
  • Gammapapillomavirus / genetics
  • Gammapapillomavirus / pathogenicity*
  • Host-Pathogen Interactions
  • Human Papillomavirus DNA Tests
  • Humans
  • Incidence
  • Odds Ratio
  • Papillomavirus Infections / epidemiology
  • Papillomavirus Infections / pathology
  • Papillomavirus Infections / virology*
  • Prevalence
  • Risk Factors
  • Skin Neoplasms / epidemiology
  • Skin Neoplasms / pathology
  • Skin Neoplasms / virology*

Substances

  • DNA, Viral