My advice is that you ask the question in the real doctor's Forum STD, doctors with long-standing experience of just HPV, use the search and search on "oral hpv" or "oral cancer
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H. Hunter Handsfield, M.D.Blank
Mar 27, 2011
Welcome to the forum. I'll try to help ease your concerns.
Your question and others like it have become quite common; there has been quite a bit of media attention to the rapidly evolving research about some oral cancers and HPV. I'm not sure which Johns Hopkins research you refer to; there have been several such studies. But they all have similar results: cancer of the back of the throat (the oropharynx), often originating in the tonsils, often is due to HPV type 16, which also is the most common cause of cervical and anal cancer. Some stories refer generally to "head and neck cancers", but only oropharyngeal cancer is strongly associated with HPV-16. (HPV-18 is not frequently involved in these malignancies.)
Part of the answer to your concerns lies in the statistic you correctly quote: around 8,000 cases per year in the US. That is a very small number in a country of 320 million. Despite rising numbers, it remains one of the rare cancers. Regardless of your oral sex history and likely oral exposure to HPV, you are far more likely to get prostate, colon, lung, and other cancers -- even relatively uncommon cancers like leukemia and pancreatic cancer are far more frequent than HPV-16-related pharyngeal cancer.
As to whether some sort of screening should be recommended remains a work in progress. There is no standard screening method, other than examination during routine health and dental visits. Whether oral testing for HPV-16 should be recommended may become clear as more research evolves. For now, there are no standard recommendations.
Here is another thread that goes into these issues in more detail. Please take a look, then let me know if you have any brief follow-up questions about it:
http://www.medhelp.org/posts/STDs/HPV-and-oral-cancer-risk-in-male/show/1181303
Bottom line: nobody should be highly worried about HPV-related pharyngeal cancers, regardless of their oral sex history.
Regards-- HHH, MD