Abstract-Human Papillomaviruses (HPVs) are known to be etiological agents of cervical cancer and have been found in 99.7% of women with high-grade (HG) cervical intraepithelial neoplasia (CIN) pre-cancer. Testing of high-risk HPV (HR-HPV) has been proposed as a way of improving cervical screening, especially for women with low-grade (LG) Papanicolaou (Pap) smears. Therefore, the present study aimed to investigate the diagnostic correlation of real-time PCR technique with Pap smear results for 13 genotypes of HR-HPV in 415 of suspected women. Pap smear results showed the suspected women with abnormal and normal cytological changes were 79.3% (329/415) and 20.7% (86/415), respectively. In contrast, real-time PCR results showed that women with or without abnormal changes had HR-HPV DNA positive were 50.5% (166/329) and 10.5% (9/86), respectively. Thus, Pap smear results had no sensitive to predicate risky for LG-CIN women were observed. According to the real-time PCR results, the incident of HG or cancer was more associated with HR-HPV. Our findings indicated the real-time PCR test with the cytological test as a routine practice for women with LG-CIN reduces the incidence of HG or cancer. After that, the prospective studies should be appropriated to determine HR-HPV genotypes and viral load (copies/cell) with realtime PCR test as predicate risk-factor.
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