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JNCI Monographs 2003 2003(31):57-65;
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Journal of the National Cancer Institute Monographs, No. 31, 57-65, 2003
© 2003 Oxford University Press

ARTICLE

Chapter 9: Role of Mucosal Human Papillomavirus in Nongenital Cancers

Maura L. Gillison, Keerti V. Shah

Affiliation of authors: Sidney Kimmel Comprehensive Cancer Center and Bloomberg School of Public Health, The Johns Hopkins Medical Institutions, Baltimore, MD.

Correspondence to: Maura L. Gillison, M.D., Ph.D., The Johns Hopkins Medical Institutions, Cancer Research Bldg., G-91, 1650 Orleans St., Baltimore, MD 21231 (e-mail: gillima{at}jhmi.edu).

Established associations between human papillomavirus (HPV) and lower genital tract cancers provide a framework from which to evaluate a possible pathogenic role for the virus in cancers at nongenital sites. Proposed associations must fit coherently within the context of our current knowledge of the epidemiology and biology of HPV. In this article, insights obtained from studies of the etiologic link between mucosal-type HPV infection and four specific human cancers are described briefly. Specific characteristics, shared among cancers caused by HPV, are then used by extrapolation to discuss possible associations between certain other nongenital cancers and mucosal HPV infections in a manner intended to supplement, and in no way to supplant, the classic Hill criteria for causal inference.


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