Diseases associated with human papillomavirus: from understanding of etiopathogenesis to prevention and rational management tactics

Abstract

The purpose: to consider modern concepts of epidemiology, biological characteristics, pathogenesis, clinical manifestations, principles of therapy and prevention of human papillomavirus infection.Basic provisions. In the last decade, there has been a steady increase in diseases associated with the human papillomavirus (HPV). The prevalence of human papillomavirus infection of the genitals in the world has increased more than 10 times, it is found in 13 % of the population. Cervical cancer remains one of the most common forms of HPV-associated malignancy in women. About 570 thousand new cases of cervical cancer are diagnosed in the world every year, while the increase in incidence over the past 10 years was 7.8 %, and mortality was 13.1 %. In recent years, scientists have paid close attention to the study of assessing the effect of HPV on the endometrium and the degree of its participation in the development of GGE. From the standpoint of the latest scientific data, the generality of the influence of HPV on any epithelium should be considered through the prism of squamous cell metaplasia. Currently, there are still many unsolved scientific and practical issues, primarily related to the regional characteristics of the prevalence of various types of HPV, which determines the direction of cervical screening, as well as clinical manifestations during coinfection, dictating the need for a differentiated approach to patient management tactics.Conclusion. A review of modern literature data indicates that most studies on various aspects of the influence of HPV on the reproductive health of women remain the subject of discussion, which dictates the need for further research.