Evidence map›Paper›PMID 33028248›Full record

ArticleBMC cancer2020

Risk of HPV-related extra-cervical cancers in women treated for cervical intraepithelial neoplasia.

Mario Preti, Stefano Rosso, Leonardo Micheletti, Carola Libero, Irene Sobrato, Livia Giordano, Paola Busso, Niccolò Gallio, Stefano Cosma, Federica Bevilacqua and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMC cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
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  3. Exploring the Anticancer Activity ofLife (Basel, Switzerland) · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Mario PretiDepartment of Surgical Sciences University of Torino, Via Ventimiglia 3, 10126, Torino, Italy.
Stefano RossoPiedmont Cancer Registry - CPO, Torino, Italy.
Leonardo MichelettiDepartment of Surgical Sciences University of Torino, Via Ventimiglia 3, 10126, Torino, Italy.
Carola LiberoDepartment of Surgical Sciences University of Torino, Via Ventimiglia 3, 10126, Torino, Italy.
Irene SobratoPiedmont Cancer Registry - CPO, Torino, Italy.
Livia GiordanoCancer Prevention Center of Piedmont, Torino, Italy.
Paola BussoPiedmont Cancer Registry - CPO, Torino, Italy.
Niccolò GallioDepartment of Surgical Sciences University of Torino, Via Ventimiglia 3, 10126, Torino, Italy. niccolo.gallio@edu.unito.it.ORCID http://orcid.org/0000-0002-3041-1201
Stefano CosmaDepartment of Surgical Sciences University of Torino, Via Ventimiglia 3, 10126, Torino, Italy.
Federica BevilacquaDepartment of Surgical Sciences University of Torino, Via Ventimiglia 3, 10126, Torino, Italy.
Chiara BenedettoDepartment of Surgical Sciences University of Torino, Via Ventimiglia 3, 10126, Torino, Italy.
University of Turin · ITPiedmont Reference Center for Epidemiology and Cancer Prevention · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim was to estimate the risk of subsequent extra-cervical Human Papillomavirus (HPV) related cancer in patients surgically treated for high grade cervical intraepithelial neoplasia (CIN 2-3). This is the first study in Italy investigating the occurrence of extra-cervical tumors in this cohort of patients.

methods3184 patients surgically treated for CIN2-3 since 1992 at the Department of Surgical Sciences of University of Torino were considered. The risk of HPV-related cancer was calculated as Standardized Incidence Ratio (SIR), using as expected values tumour age specific incidence of resident population.

results173 second primary cancer (SCPs) were identified. SIR to develop cancer after treatment for CIN2-3 was 2.2 (CI 95% 1.89-2.50). Among these occurrences, 10 are in HPV related sites: 1 anus (SIR = 1.8; 0.04-10.0), 3 vagina (SIR = 12.4; 2.56-36.3), 1 vulva (SIR = 1.7; 0.04-9.59), 5 oropharynx (SIR = 8.5; 2.76-19.8). Significant risk has been also recorded for pulmonary (SIR = 3.1; 0.70-5.27) and bladder (SIR = 4.05; 1.10-10.56), with smoking as possible cofactor. We also found increased risk for breast (SIR = 2.4; 2.07-2.84) and ovarian cancers (SIR = 2.1; 1.13-3.49), probably due to an higher adherence to spontaneous and programmed screening programs.

conclusionsOur study supports the hypothesis of an increased risk of HPV-related tumours for CIN treated patients, mostly for CIN3. It is conceivable the need of early diagnosis for these cancers in this higher-risk populations.

Indexed as

AlphapapillomavirusFemaleHumansPapillomavirus InfectionsRisk FactorsUterine Cervical DysplasiaAnal cancerAnogenital areaHPV-related cancersMultiple subsequent cancersVaginal cancerVulvar cancer

Identifiers

PMID33028248
PMCPMC7542855
OpenAlexW3092339460

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.