Table 3.
The Relationships of Community Pathology–Diagnosed Cervical Intraepithelial Neoplasia (CIN) 3 and CIN2, Stratified on p16 Immunohistochemistry (IHC) Result, With Biomarkers of Cervical Cancer Risk: the Biopsy Testing Positive for Human Papillomavirus Type 16 (HPV16), an Antecedent High-Grade Intraepithelial Lesion (HSIL) or More Severe (HSIL+) Cytologic Interpretation, and an Expert Panel (EP) Review Histopathologic Diagnosis of CIN Grade 3 (CIN3) or More Severe (CIN3+) or CIN Grade 2 (CIN2) or More Severe (CIN2+)
| Biomarker Result | p16 IHC-Negative CIN2 | p16 IHC-Positive CIN2 | CIN3 | |||||
|---|---|---|---|---|---|---|---|---|
| N | % | N | % | N | % | P a | P trend b | |
| HPV16+ | 91 | 21.41 | 415 | 38.18 | 658 | 54.47 | <.001 | <.001 |
| HSIL+ cytologyc | 80 | 21.11 | 206 | 21.02 | 447 | 42.53 | <.001 | <.001 |
| EP diagnosis of CIN3+ | 22 | 5.18 | 249 | 22.91 | 789 | 65.31 | <.001 | <.001 |
| EP diagnosis of CIN2+ | 118 | 27.76 | 700 | 64.40 | 1064 | 88.08 | <.001 | <.001 |
| HPV16+, HSIL+, and/or EP diagnosis of CIN3+ | 163 | 38.35 | 633 | 58.23 | 1038 | 85.93 | <.001 | <.001 |
| HPV16+, HSIL+, and EP diagnosis of CIN3+ | 3 | 0.71 | 27 | 2.48 | 192 | 15.89 | <.001 | <.001 |
Below the individual biomarker results, the relationships of the diagnoses with combinations of any (or) or all (and) biomarkers are shown.
p16 IHC–positive CIN2 versus CIN3.
Trend for p16 IHC–negative CIN2 versus p16 IHC–positive CIN2 versus CIN3.
Forty-six p16 IHC–negative CIN2, 107 p16 IHC–positive CIN2, and 157 CIN3 missing antecedent cytology.