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Prevalence of human papillomavirus, Epstein–Barr virus, p21, and p53 expression in sinonasal inverted papilloma, nasal polyp, and hypertrophied turbinate in Hong Kong patients

Authors

  • C. L. Sham FRCS(Ed),

    1. Department of Otorhinolaryngology–Head and Neck Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong SAR, China
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  • K. F. To FHKAM(Pathol),

    1. Department of Anatomical and Cellular Pathology, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong SAR, China
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  • Paul K. S. Chan FHKAM(Pathol),

    1. Department of Microbiology, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong SAR, China
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  • Dennis L. Y. Lee FRCS(Ed),

    1. Department of Otorhinolaryngology–Head and Neck Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong SAR, China
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  • Michael C. F. Tong MD,

    1. Department of Otorhinolaryngology–Head and Neck Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong SAR, China
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  • C. Andrew van Hasselt MMED(Otol)

    Corresponding author
    1. Department of Otorhinolaryngology–Head and Neck Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong SAR, China
    • Department of Otorhinolaryngology, Head and Neck Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong SAR, China
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Abstract

Background

The purpose of this study of human papillomavirus (HPV), Epstein–Barr virus (EBV), p21, and p53 in sinonasal inverted papilloma (IP) was to help elucidate its pathogenesis.

Methods

Seventy-three IPs, 48 nasal polyps, and 85 hypertrophied turbinates were subjected to HPV polymerase chain reaction (PCR) study. Seventy-three IPs, 30 nasal polyps, and 32 hypertrophied turbinates were subjected to EBV in situ hybridization (ISH), p21, and p53 immunohistochemical (IHC) studies.

Results

HPV was positive in 3 of 73 IPs (4.1%). All specimens were EBV negative. In all, 99% of IPs showed strong and diffuse p21 nuclear reactivity. Most nasal polyps and hypertrophied turbinates showed weak to moderate immunoreactivity of the basal and parabasal cells. Only focal p53 immunoreactivity of the basal and parabasal cells was found in 19% of IPs and 40% of nasal polyps.

Conclusions

HPV prevalence of our IP is low. EBV is not present in IP. High p21 and low p53 expression in IP suggests a non–p53-dependent regulation pathway. © 2011 Wiley Periodicals, Inc. Head Neck, 2012

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