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The identification in the early 1980s of human papillomavirus (HPV) DNA in cervical
carcinoma generated interest in molecular classification of the virus, and prompted
studies regarding the oncogenic potential of genital HPVs. Subsequent studies confirming
the presence of HPV in greater than 90% of precancerous cervical lesions and close
to 100% of cervical cancers has raised concerns regarding the adequacy of Papanicolaou
(Pap) smear testing for the detection of precancerous lesions/HPV infection. A variety
of detection methods adjunctive to cytologic testing have been described, including
detection at the macroscopic level, cerviography, colposcopy, and serologic and molecular-based
HPV testing. Recently, there has been intense interest in molecular-based detection
and typing of HPV-induced genital lesions. This has resulted in the development of
a variety of molecular- based detection methods including Southern transfer, dot blotting,
in situ hybridization, hybrid capture, and PCR-based assays. This article provides
an overview of each of the molecular methods, and addresses the potential future role
of molecular-based HPV testing.
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