Research Article

Cutaneous Human Papillomavirus Infection and Development of Subsequent Squamous Cell Carcinoma of the Skin

Table 3

Association of seropositivity to cutaneous human papillomavirus (HPV) types at the time of the diagnosis of index SCC and risk of subsequent squamous cell carcinoma (SCC) of the skin.

Viral infection at the time of the index SCC diagnosisNo subsequent SCC ()
(%)
Subsequent SCC )
(%)
HR

Any cutaneous
 Seronegative to 33 cutaneous HPV types6 (10.2)9 (9.9)1.00
 Seropositive to ≥1 cutaneous HPV53 (89.8)82 (90.1)0.83 (0.41–1.67)
Alpha cutaneous HPV
 Seronegative to 33 cutaneous HPV types6 (21.4)9 (20.4)1.00
 Alpha HPV 22 (78.6)35 (79.6)0.86 (0.40–1.82)
 Alpha HPV seronegative37 (62.7)56 (61.5)
 Alpha HPV 22 (37.3)35 (38.5)1.04 (0.68–1.59)
Beta HPV
 Seronegative to 33 cutaneous HPV types 6 (12.0)9 (12.0)1.00
 Beta HPV 44 (88.0)66 (88.0)0.80 (0.39–1.62)
 Beta HPV seronegative15 (25.4)25 (27.5)1.00
 Beta HPV 44 (74.6)66 (72.5)0.82 (0.51–1.30)
  Any beta 1
   Seronegative6 (17.6) 9 (16.4) 1.00
   Beta 1 HPV seropositive28 (82.3) 46 (83.6) 0.77 (0.37–1.59)
  Any beta 2
   Seronegative6 (17.6) 9 (15.0) 1.00
   Beta 2 HPV seropositive28 (82.3)51 (85.0)0.99 (0.48–2.04)
  Multiple beta 1
   Seronegative18 (52.9)24 (43.6)1.00
   Seropositive to ≥2 beta 1 HPV16 (47.1)31 (56.4)1.06 (0.61–1.83)
  Multiple beta 2
   Seronegative18 (52.9)25 (41.7)1.00
   Seropositive to ≥2 beta 2 HPV16 (47.1)35 (58.3)0.98 (0.58–1.67)
Gamma HPV
 Seronegative to 33 cutaneous HPV types 6 (15.0)9 (13.2)1.00
34 (85.0)59 (86.8)0.93 (0.46–1.90)
 Gamma HPV Seronegative25 (42.4)32 (35.2)1.00
34 (57.6)59 (64.8)1.21 (0.78–1.87)
Mu HPV
 Seronegative to 33 cutaneous HPV types6 (22.2)9 (20.5)1.00
21 (77.8)35 (79.5)0.78 (0.37–1.65)
 Mu HPV seronegative38 (64.4)56 (61.5)1.00
21 (35.6)35 (38.5)1.05 (0.68–1.61)
Nu HPV
 Seronegative to 33 cutaneous HPV types6 (66.7)9 (39.1)1.00
3 (33.3)14 (60.9)0.96 (0.38–2.44)
 Nu HPV seronegative56 (94.9)77 (84.6)1.00
3 (5.1)14 (15.4)1.31 (0.73–2.34)

to any cutaneous HPV ( types) versus negative to all. to at least one genus specific type versus negative to all cutaneous () types. to at least one genus specific HPV versus seronegative to all genus-specific HPV types. to at least one beta 1 type versus seronegative to 33 cutaneous HPV types. to at least one beta 2 type versus seronegative to 33 cutaneous HPV types. to ≥2 beta 1 HPV types versus seronegative to all cutaneous types or positive to at least one beta 1 HPV type. to ≥2 beta 2 HPV types versus seronegative to all cutaneous types or positive to at least one beta 2 HPV type. HR = hazards ratio, CI = confidence interval. for age and gender.