“…The current meta-analysis confirms the wide variations existing among the included studies. Various reasons have been described for the aforementioned discrepancy, which not only affects the possibility of an association of HPV with BC, but also the distribution of the HPV genotypes: Geographic region(s) of the samples, genetic background, cultural variations such as variable sexual practices and patterns, sample types such as fresh versus FFPE samples, age of the selected populations, sensitivity of the detection methods used, condition of the preserved samples that can hamper DNA quality, the histological type of BCs (IDC versus ductal adenocarcinoma in situ), the absence of an international standard assay for HPV genotyping and the unintentional contamination of samples with the genome of other potentially oncogenic viruses, such as EBV, MMTV, CMV and HSV (2,4,7,13,31,(94)(95)(96)(97)(98).…”