<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1409-1429</journal-id>
<journal-title><![CDATA[Revista Costarricense de Salud Pública]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. costarric. salud pública]]></abbrev-journal-title>
<issn>1409-1429</issn>
<publisher>
<publisher-name><![CDATA[Asociación Costarricense de Salud Pública]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1409-14292018000100016</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Cáncer orofaríngeo y virus del papiloma humano en cabeza y cuello: relaciones fisiopatológicas y epidemiológicas]]></article-title>
<article-title xml:lang="en"><![CDATA[Oropharyngeal carcinoma and papiloma virus in head and neck: phisiopathological and epidemiological relations]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Quijano Gutiérrez]]></surname>
<given-names><![CDATA[Roberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital México  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Costa Rica</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<volume>27</volume>
<numero>1</numero>
<fpage>16</fpage>
<lpage>23</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S1409-14292018000100016&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S1409-14292018000100016&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S1409-14292018000100016&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen El Virus del Papiloma Humano (VPH) es una enfermedad diagnóstico frecuente, transmitida por contacto entre piel y mucosas. Se han descrito múltiples relaciones etiológicas con neoplasias en órganos del sistema genital y reproductor y a nivel de cabeza y cuello. Éste se ha agrupado y caracterizado mediante análisis filogenéticos y en su secuencia de nucleótidos y aminoácidos. EL VPH progresa por las capas de epitelio de piel o mucosa induciendo malignización celular. El diagnóstico se realiza mediante diversas técnicas de PCR o de hibridación in situ. El carcinoma orofaríngeo es una patología neoplásica con una presentación clínica variada. Su asociación a VPH es inmunohistoquímicamente detectable, y se asocia a una presentación más frecuente en jóvenes, en hombres, con una localización anatómica mejor definida, y con una expresión clínica más florida y temprana. Actualmente se ha documentado un incremento en los casos de carcinoma orofaríngeo a pesar del descenso de su principal factor de riesgo; el tabaquismo. Su incidencia y mortalidad continúan siendo relativamente bajas en comparación con otros tumores en cabeza y cuello. Este incremento se ha asociado etiológicamente a la infección de VPH con subtipos de mayor riesgo de malignidad como el VPH 16 y 18. A nivel nacional existen diferencias estadísticas con respecto a los datos foráneos, sin embargo la cantidad de estudios realizados en nuestra población y los sesgos asociados al subregistro de la enfermedad son un factor importante a tomar en cuenta. Es necesario realizar una mayor cantidad de estudios en la población costarricense para determinar el comportamiento real de esta enfermedad y su relación etiológica con el carcinoma de orofaringe en nuestro país.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract The Human Papilloma Virus (HPV) is a frequently diagnosed sexually transmitted disease, transmitted by contact between skin and mucous membranes. There are multiple etiological relationships between HPV infections and neoplasms in organs of the reproductive and genital system and at head and neck. Those belonging to HPV have been grouped and characterized by phylogenetic analysis and by its sequence of nucleotides and amino acids. HPV progresses through the layers of skin or mucosal epithelium inducing malignant transformation in these cells. The diagnosis of this infection is performed using various techniques of PCR and in situ hybridization. Oropharyngeal carcinoma is a neoplastic disease with a varied clinical presentation. Its association with HPV is detectable by immunohistochemic methods. It&#8217;s also associated more frequent with young people, men, presentation with a better defined anatomic location and an earlier clinical expression. Currently it has been documented an increase in cases of oropharyngeal carcinoma despite the fall of their main risk factor; smoking. Its incidence and mortality continue to be relatively low in comparison with other head and neck tumors. This increase has etiologically been associated with HPV infection; and with subtypes of increased risk of malignancy such as HPV 16 and 18; as with changes in the behavior of the disease. National statistics differ from the foreign data, however the low amount of studies in our population and the biases associated with underreporting of the disease are an important factor to take into account. It is necessary to perform a greater number of studies in the Costa Rican population to determine the actual behavior of this disease and its etiological relation to carcinoma of the oropharynx.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Virus del Papiloma Humano (VPH)]]></kwd>
<kwd lng="es"><![CDATA[carcinoma orofaríngeo]]></kwd>
<kwd lng="es"><![CDATA[cáncer de cabeza y cuello]]></kwd>
<kwd lng="es"><![CDATA[Leucoplaquia oral]]></kwd>
<kwd lng="es"><![CDATA[Carcinoma de células escamosas]]></kwd>
<kwd lng="es"><![CDATA[Papilomatosis]]></kwd>
<kwd lng="en"><![CDATA[Human papillomavirus (HPV)]]></kwd>
<kwd lng="en"><![CDATA[Oropharyngeal cancer]]></kwd>
<kwd lng="en"><![CDATA[Head and neck cancer]]></kwd>
<kwd lng="en"><![CDATA[Oral leucoplakia]]></kwd>
<kwd lng="en"><![CDATA[Squamous cell carcinoma]]></kwd>
<kwd lng="en"><![CDATA[Papillomatosis]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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