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Table 2 Cervical lesion, management and follow up of HIV negative and positive women

From: Should the management of high grade cervical squamous intraepithelial lesion (HSIL) be different in HIV-positive women?

 

Evaluated population N  =  292d

HIV −  (N  =  146)

HIV  +  (N  =  146)

P value

Baseline pap-test

286

N  =  140 (100%)

N  =  146 (100%)

0.010b

 Normal

1

0 (0%)

1 (0.7%)

 

 LSIL

90

38 (27.1%)

52 (35.6%)

 

 HSIL

152

73 (52.1%)

79 (54.1%)

 

 ASCUS

35

22 (15%)

14 (9.6%)

 

 ASCH

7

7 (5%)

0 (0%)

 

 Cancer

1

1 (0.7%)

0 (0%)

 

HPV

141

N  =  42

N  =  99

0.325b

 Negative

9

2 (4.8%)

7 (7.1%)

 

 HR HPV

108

31 (73.8%)

77 (77.8%)

 

 HPV 16/18

8

5 (11.9%)

3 (3%)

 

 HPV other than 16/18

13

3 (7.1%)

10 (10.1%)

 

 HPV 16 and other

3

1 (2.4%)

2 (2%)

 

Baseline biopsy

284

N  =  140 (100%)

N  =  144 (100%)

0.856b

 Normalc

4

2 (1.4%)

2 (1.4%)

 

 LSILc

3

2 (1.4%)

1 (0.7%)

 

 HSIL

277

136 (97.1%)

141 (97.9%)

 

Vaccination

280

N  =  134

N  =  146

0.791b

 Unvaccinated

80

40 (29.8%)

40 (27.4%)

 Vaccinated

17

9 (6.7%)

8 (5.5%)

 Not reported

183

85 (63.4%)

98 (67.1%)

Treatment

292

N  =  146 (100%)

N  =  146 (100%)

0.290b

 Follow-up

27

12 (8.2%)

15 (10.3%)

 

 Conisation

172

94 (64.4%)

78 (53.4%)

 

 Ablative treatment or local therapy

85

37 (25.3%)

48 (32.9%)

 

 Hysterectomy

8

3 (2%)

5 (3.5%)

 

Persistence

292

N  =  146 (100%)

N  =  146 (100%)

< 0.001b

 No

207

122 (83.5%)

85 (58.2%)

 

 Yes

85

24 (16.5%)

61 (41.8%)

 

Type of persistence

85

N  =  24 (100%)

N  =  61 (100%)

0.072b

 CIN1

32

9 (37.5%)

28 (45.9%)

 

 CIN2/CIN3

35

10 (41.6%)

29 (47.5%)

 

 ASCUS HPV + 

5

4 (16.6%)

1 (1.6%)

 

 ASCH

4

1 (4.3%)

3 (5%)

 

Recurrence

292

N  =  146 (100%)

N  =  146 (100%)

0.18b

 No

277

136 (93.1%)

141 (96.5%)

 

 Yes

15

10 (6.9%)

5 (3.5%)

 

Time of follow-up (in weeks)

 Median (IQR)

292

142 (62–304)

165 (48–444)

0.112a

  1. HIV human immunodeficiency virus; HPV human papillomavirus; LSIL low grade squamous intraepithelial lesion; HSIL high grade squamous intraepithelial lesion; ASCUS atypical squamous cell of undetermined significance; ASCH atypical squamous cells that cannot exclude HSIL; HRHPV high risk human papillomavirus; IQR interquartile range; CIN cervical intraepithelial neoplasia
  2. aMann–Whitney test
  3. bkhi-carré test
  4. cThese patients had HSIL diagnosis at time of conization
  5. dSome analyses were realised on a restricted number of patients. These numbers are provided in the column evaluated population