Please use this identifier to cite or link to this item: https://www.arca.fiocruz.br/handle/icict/8519
Title: Systemic lupus erythematosus, human papillomavirus infection, cervical pre-malignant and malignant lesions: a systematic review.
Authors: Santana, Iuri Usêda
Gomes, Alline do Nascimento
Lyrio, Leomar D'Cirqueira
Grassi, Maria Fernanda Rios
Santiago, Mittermayer Barreto
Affilliation: Escola Bahiana de Medicina e Saúde Pública. Salvador, BA, Brasil
Escola Bahiana de Medicina e Saúde Pública. Salvador, BA, Brasil
Escola Bahiana de Medicina e Saúde Pública. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, Brasil
Serviço de Reumatologia do Hospital do Santa Izabel. Salvador, BA, Brasil
Abstract: The purpose of this study was to review and evaluate systematically the scientific evidence on the relationship between systemic lupus erythematosus (SLE), human papillomavirus (HPV) infection, pre-cancerous cervical abnormalities, and cervical cancer. Establishing strict inclusion and exclusion criteria, we performed an extensive search for studies in MEDLINE and BIREME databases to assess the studies that evaluated the frequency of HPV infection, pre-cancerous cervical abnormalities, and cervical cancer in women with SLE. Secondary references were additionally obtained from the included articles. Thirty-three articles met the criteria previously established. Fifteen out of 18 studies that performed cytological analysis showed a higher frequency of squamous intraepithelial lesions in SLE patients compared with normal women. Moreover, three studies found a higher frequency of high-grade squamous intraepithelial lesions. Additionally, it was observed that women with SLE had a higher frequency of HPV infection, confirmed by molecular biology techniques. Curiously, despite the above findings, no increased frequency of cervical cancer was observed in the majority of the studies which addressed this issue. Five studies observed a relationship between cervical abnormalities and previous use of immunosuppressive drugs. This review suggests that SLE patients seem not to be at increased risk for developing cervical cancer; however, they should be considered at higher risk for HPV infection and cervical dysplasia than the general population. Thus, gynecological visits at shorter intervals seem to be a reasonable approach for those patients.
Keywords: Cancer
Cervical intraepithelial neoplasia
Dysplasia
Human papillomavirus
Squamous intraepithelial lesion
Systemic lupus erythematosus
DeCS: Neoplasia Intraepitelial Cervical/epidemiologia
Lúpus Eritematoso Sistêmico/epidemiologia
Infecções por Papillomavirus/epidemiologia
Neoplasias do Colo do Útero/epidemiologia
Estudos de Casos e Controles
Neoplasia Intraepitelial Cervical/terapia
Estudos Transversais
Feminino
Humanos
Imunossupressores/farmacologia
Lúpus Eritematoso Sistêmico/terapia
Papillomaviridae/genética
Infecções por Papillomavirus/terapia
Projetos de Pesquisa
Estudos Retrospectivos
Riscos
Resultado do Tratamento
Neoplasias do Colo do Útero/prevenção & controle
Issue Date: 2010
Publisher: Springer
Citation: SANTANA, I. U. et al. Systemic lupus erythematosus, human papillomavirus infection, cervical pre-malignant and malignant lesions: a systematic review. Clinical Rheumatology, v. 30, n. 5, p. 665-672, 2011.
DOI: 10.1007/s10067-010-1606-0
ISSN: 1434-9949
Copyright: open access
Appears in Collections:BA - IGM - Artigos de Periódicos

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