Dysplasia in adults with recurrent respiratory papillomatosis: incidence and risk factors. Ann Otol Rhinol Laryngol 2009 Jul;118(7):481-5
Date
08/28/2009Pubmed ID
19708485DOI
10.1177/000348940911800704Scopus ID
2-s2.0-68049099140 (requires institutional sign-in at Scopus site) 31 CitationsAbstract
OBJECTIVES: Recurrent respiratory papillomatosis (RRP) causes significant morbidity in laryngology. The incidence of dysplasia in adult patients with RRP has not been well described. In this study, the risk factors and incidence of RRP-associated dysplasia are investigated.
METHODS: Pathology specimens from patients with RRP over a 6-year period are reviewed, along with the patients' clinical and demographic information.
RESULTS: Fifty-two male and 21 female patients (mean, 50 years) with RRP were identified. Some degree of dysplasia was identified in 22 of 170 specimens (13%). Sixteen of the 73 patients (21.9%) were found to have dysplasia at some point during their clinical course. Although the patients with RRP-associated dysplasia were older (56.3 versus 48.3 years of age), this difference did not reach statistical significance (p < 0.09, unpaired t-test). There was a male preponderance in both dysplastic (10 of 16; 62.5%) and non-dysplastic (42 of 57; 73%) cases. The mean number of operations for RRP was 2.4 for patients without dysplasia and 3.2 for those with dysplasia; there was no significant difference between the groups. Seven of the 16 patients with dysplasia (44%) and 22 of the 57 patients without dysplasia (39%) had a history of tobacco use (p < 0.77, Fisher's exact test).
CONCLUSIONS: Dysplasia was discovered in more than 20% of adult patients with RRP studied over a 6-year period. Age, gender, tobacco history, and operative frequency were not identifiable risk factors for the presence of dysplasia.
Author List
Blumin JH, Handler EB, Simpson CB, Osipov V, Merati ALAuthor
Joel H. Blumin MD Chief, Professor in the Otolaryngology department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Age FactorsCohort Studies
Female
Humans
Incidence
Male
Middle Aged
Neoplasm Recurrence, Local
Papilloma
Precancerous Conditions
Respiratory Mucosa
Respiratory Tract Neoplasms
Retrospective Studies
Risk Factors
Sex Factors
