This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

Ruth L. Katz, MD
The University of Texas System Cancer Center M. D. Anderson Hospital and Tumor Institute Houston

Kenneth M. Weiss, PhD
University of Texas Graduate School of Biomedical Sciences Houston

JAMA. 1984;251(8):1028-1029.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

We wish to comment on the recent editorial note concerning the diagnosis and epidemiology of condyloma acuminatum.¹ The Centers for Disease Control analysis of the data collected by the National Disease and Therapeutic Index (NDTI) referred to grossly visible papillomata caused by the human papilloma virus (HPV), occurring in the anogenital region in both sexes. Recently, however, many articles^2-4 have appeared documenting that, at least in women, most HPV lesions are flat, subclinical epithelial proliferations occurring on the cervix or in the vagina that can only be detected by colposcopy.

The previously held view that cervical HPV infection was rare has now, as a consequence of improved cytological diagnosis, given way to the recognition that HPV-associated cellular atypia is the most frequent abnormality noted on Papanicolaou smears.² Moreover, HPV-associated changes are seen in a substantial proportion of cervical intraepithelial neoplastic lesions. Cytological diagnosis of . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?