Title: HPV-Related Cancer On The Rise Among Men
Category: News & Opinion
Tags: HPV virus, oral cancer, oral HPV, HPV infections, oropharyngeal cancer, throat cancer
Teaser: Nearly two-million men in the U.S. are vulnerable to a silent cancer.
Article:
Human papilloma virus, or HPV, is a sexually transmitted infection, and the more sex partners someone has, the bigger their risk. Now, a study out this week shows there’s a silent epidemic of HPV-related cancers among men. In fact, the study found that men are more likely to be infected with cancer-causing oral HPV strains than women, suggesting there are more throat cancers in men than cervical cancer in women.
Men are more likely to be infected with cancer-causing oral HPV strains
HPV
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Oropharyngeal cancer is a disease in which malignant (cancer) cells form in the tissues of the oropharynx. The oropharynx is the middle part of the throat, behind the mouth. If you’re male and between the ages of 50 to 69 years old — which according to the study, is the age group with the highest prevalence of oral HPV — here’s what you need to know about oropharyngeal cancer:
• Being infected with genital HPV can increase the risk of oropharyngeal cancer.
• Smoking can also increase your risk of oropharyngeal cancer.
• Smoking marijuana increases the risk of oropharyngeal cancer in both men and women.
• Signs and symptoms of oropharyngeal cancer include a lump in the neck and a sore throat.
• High-risk oral HPV infection was greatest among black participants in the study
• Infection was also greatest among those who reported 16 or more lifetime vaginal or oral sex partners.
• Tests that examine the mouth and throat are used to help detect, diagnose, and stage oropharyngeal cancer.
Throat cancers in men more common than cervical cancer in women
HPV is the single biggest cause of cervical cancer and oropharyngeal cancers, according to the CDC. Between 2008 and 2012, almost 39,000 U.S. citizens were diagnosed with HPV-related cancer every year. Fifty-nine percent of them women and 41 percent men, researchers report. But while Pap smears and HPV tests have reduced rates of cervical cancer in woman, rates of oral cancer are growing in men.
“There are now more of these
Laryngeal carcinoma is considered as the most common head and neck neoplasm diagnosed by the otolaryngologists (40% of patients had stage III or IV when first evaluated), while 98% have squamous cell carcinoma (the most common pathological type); in addition, the incidence of lymph node metastasis depends on the tumour stage (30% for T4 lesions).1
Summary of article: In “Bridging the HPV Knowledge Gap,” Christina Demopoulos and two others talk about the importance of knowledge on HPV and how most patients are unaware of this virus and that is it on the oral health professionals to educate them. This virus is transmitted easily through a small cut or tear in the oral cavity and is associated with a variety of oral lesion, cances, and oropahygnel cancers. The article included a statistic that about 12,000 people between ages 15 and 24 are affected everyday by HPV and its only increasing. HPV causes more than 30,000 cancer cases a year which the average age diagnosis is 62, but ther is arise of cases in the adolescents. With that being said, it is put on oral health professional to discuss the ipmo ratio of HPV with patients, and they should become more familiar with HPV because there is an association between HPV and oropharyngeal cancers. One way to bridge the HPV knowledge gap is to do what NEvada is doing. Nevada has a Immunization program which promotes for better health and they hold a lot of information conferences. Overall,
Although both men and women can get cancer, cervical cancer, which men do not get is by far the most common and dangerous.
Throughout the world, HPV is also very prevalent. Cervical cancer from HPV is the second most common cancer in women living in underdeveloped countries (WHO, 2016). Many of these underdeveloped and lower income countries do have access now to the common forms of the HPV vaccine. In 2008, more than 500,000 new cases of HPV were reported worldwide (WHO, 2016). The prevalence of cases throughout the world is about 79 million reported cases (WHO, 2016).
Of 37 cases, 9 cases occurred in major salivary glands, with eight occurrences in the parotid region - 1 PA, 1 Adenolymphoma & 6 Acinic cell adenocarcinoma (AcADCC) and one in submandibular region- 1 Polymorphous low grade adenocarcinoma (PLGA). Of 37 cases, 28 cases occurred in minor salivary glands, with palate being the most commonly affected site by both benign (63.63%) and malignant tumors (58%).
About 45,000 new cases of head and neck cancers are occurring every year in United States. Among them, estimated 20% are human papilloma virus (HPV) infected cancers. The tonsil, base of tongue and lingual tonsil, other potentially HPV-associated oropharynx, oral tongue, other oral cavity, larynx, and other HPV-unrelated oropharynx are all to be considered to be different part of head and neck cancer (HNC) in the study (Ryerson et al., 2008).
In their 2015 study Alves Ribeiro et al. found that women who began having sexual intercourse prior to age of 16 were more than four times as likely to have a HPV infection (OR 4.41; 95%CI:1.20-19.33), and nearly five times as likely for that infection to involve serotypes 16 and 18 (OR 4.68; 95% CI: 1.20-21.32). Moreover, women with a sexual debut prior to age 16 were twice as likely to have a diagnosis of cervical intraepithelial neoplasia (CIN)1 or greater (OR 2.2; 95% CI: 0.94-5.08 CITE 2. The same study also demonstrated a statistically significant association between CIN 1 and HPV infection, especially infection with HPV serotypes 16 and 18 (OR 2.76; 95% CI: 1.05-7.19) and (OR 3.53; 95% CI: 1.17-10.67) respectively (Alves Riberio et al., 2015). Over 90% of females in the United States are sexually active by age 24; correspondingly, the prevalence of high-risk HPV peaks at over 43% in the 20-24 age group (Vegunta, Kransdorf, & Mayer, 2014). By age 30, the prevalence of high-risk HPV decreases to 30.4%, and continues to decrease as age increases. It is thought that this age related decrease in prevalence can be attributed to a combination of factors, including, decreased exposure, resistance to reinfections, and HPV’s self-limiting nature (Alves Ribeiro et al., 2015; Vegunta et al., 2014).
Human papillomavirus (HPV) infection is a widespread sexually transmitted infection. Approximately 14 million Americans are infected with HPV each year ("HPV Vaccine for Preteens and Teens,"). HPV also causes several types of cancers, such as vaginal cancer and anal cancer. More than 27,000 women and men are affected by a HPV-related cancer annually ("The Link Between HPV and Cancer,"). The most common HPV cancers for women and men are cervical cancer, and oral cavity and oropharyngeal cancers, respectively. Research has demonstrated that many cancers caused by HPV can be prevented by the HPV vaccine, which is administered in 3 doses over 6 months ("The
The human papillomavirus (HPV) is one of the most common sexually transmitted infections in the world. It's also one of the most feared, due to mounting evidence showing links between HPV and cancers of the cervix, throat, anus, and penis.
What is the Human Papillomavirus? Commonly known as HPV, it is an infection that spreads through sexual contact. There are over one hundred different types of HPV; several types cause genital warts, while other high risk strands can lead to cancer of the cervix, anus, vagina, and penis. Because HPV is often asymptomatic, many people are unaware of their infection status, and thus, their potential for transmitting the virus to a sexual partner. The significance of the Human Papillomavirus is that fifty percent of Americans who are sexually active will contract it within their lives, and at any given point there are twenty million Americans already infected with it (“By the numbers: HPV Vaccine”).
Human Papilloma Virus, more commonly known as HPV, is a sexually transmitted virus. It is spread from skin-to-skin contact with an infected person, typically during sexual encounters. It is the most common sexually transmitted disease in the United States. According to the Immunize Action Coalition, “most sexually active American men and woman will contract at least one type of HPV virus during their lifetime” (A Parent 's Guide to Preteen, 2013, p. 1). To put the numbers in perspective, it infects an estimated seventy-nine million Americans today with approximately fourteen million more people being affected additionally each year (Human
From 1998 to 2003, the incidence rates for HPV-associated cancers of the tonsils and tongue increased 3.0% per year, while non-HPV cancers of the mouth and throat decreased during this time (Ramqvist and Dalianis, 2010).
According to the National Cancer Institute, not all human papillomaviruses (HPV) cause cancer. There are two types of categories; the low risk and high risk human papillomaviruses. If one contracts a high risk HPVs, they have a chance of developing cancer. High risk HPVs can lead to cervical cancer, anal cancer, oropharyngeal cancer, vaginal cancers, vulvar cancers, and penile cancers (1). The National Cancer Institute states that HPVs account for causing 5% of cancers and Nathan Seppa proclaims “that the two cancer-causing virus subtypes... HPV-16 and HPV-18, account for more than half of cervical cancers” (1 and 2). This demonstrates the overall impact HPV has on causing cancer.
The most common sexually transmitted infection (STI) is human papillomavirus (HPV) (CDC, 2013). Over half of sexually activity people will become infected with HPV at some point in their lifetime (National Cancer Institute, 2012). HPV can fall into two categories: low-risk HPV and high-risk HPV (National Cancer Institute, 2012). Low-risk HPV, also known as HPV types 6 and 11, cause about 90% of genital warts (National Cancer Institute, 2012). High-risk HPV, also known as HPV types 16 and 18, causes about 70% of cervical cancer (National Cancer Institute, 2012).
Although there are several known risk factors for getting cervical cancer, no one knows exactly why one woman gets it and another doesn't. One of the most important risk factors for cervical cancer is infection with a virus called HPV (human papillomavirus). HPV is a sexually transmitted disease that is incredibly common in the population, one study showed that 43% of college age women were infected in a 3-year period. HPV is the virus that causes genital warts, but having genital warts doesn't necessarily mean you are going to get cervical cancer. There are different subtypes, or strains, of HPV. Only certain subtypes are likely to cause cervical cancer, and the subtypes that cause warts are unlikely to cause a cancer. Often, infection with HPV causes no symptoms at all, until a woman develops a pre-cancerous lesion mostly of the cervix. Because infection with a STD is a risk factor for cervical cancer, any risk factors for developing STD are also risk factors for developing cervical cancer. Women who have had many or several male sexual partners, having sexual intercourse at an early age, or have had male sexual partners who are considered high risk (meaning that they have had several sexual partners and/or began having sexual intercourse at an early age) are at higher risks for developing Cervical