Human papillomavirus (HPV)-associated trilateral squamous neoplasia in immunocompetent individual

Int Ophthalmol. 2018 Jun;38(3):1347-1350. doi: 10.1007/s10792-017-0573-8. Epub 2017 Jun 6.

Abstract

Purpose: To describe a case of bilateral conjunctival and cervical human papillomavirus (HPV)-related squamous neoplasia.

Case description: A healthy immunocompetent 55-year-old lady came to our attention for prosecution of care of a right recurrent conjunctival squamous cell carcinoma. Upon examination, she was found disease-free in the right eye but displayed a left conjunctival intraepithelial neoplasia (CIN grade I) and low-grade cervical squamous dysplasia. HPV infection with genotypes 16 (right eye), 11 and 39 (left eye) and 39 (uterine cervix) was also detected.

Conclusion: Simultaneous uterine and conjunctival HPV-related squamous neoplasia can occur in immunocompetent individuals. Auto-inoculation and repeated exposure to HPV could explain coexistence of different genotypes.

Keywords: Conjunctiva; HPV; Neoplasia; OSSN.

Publication types

  • Case Reports

MeSH terms

  • Biopsy
  • Carcinoma, Squamous Cell / diagnosis*
  • Carcinoma, Squamous Cell / immunology
  • Carcinoma, Squamous Cell / virology
  • Conjunctiva / pathology*
  • Conjunctival Neoplasms / diagnosis*
  • Conjunctival Neoplasms / immunology
  • Conjunctival Neoplasms / virology
  • DNA, Viral / analysis*
  • Female
  • Humans
  • Immunocompromised Host*
  • Middle Aged
  • Neoplasm Recurrence, Local
  • Papillomaviridae / genetics*
  • Papillomavirus Infections / diagnosis*
  • Papillomavirus Infections / immunology
  • Papillomavirus Infections / virology
  • Uterine Cervical Neoplasms / diagnosis
  • Uterine Cervical Neoplasms / immunology
  • Uterine Cervical Neoplasms / virology

Substances

  • DNA, Viral