Hello Dr.
I had a filiform wart under my lower lip for months. I had it removed after finding out it was HPV related. The filiform wart reappeared on my chin and face and was also removed. However, the reason I am worried is because when I had that wart, I had genital contact with my boyfriend and we kissed as well. I read that the HPV strains that typically cause filiform warts (HPV1,2,4,27,29 mostly) are usually harmless and not the same as those that cause genital warts though HPV can act weird. My questions are:
1- Is it a high probability that my filiform wart right under the lower lip was initially caused by a genital strain (HPV6,11) and specifically a high-risk one (HPV16,18)? Or is it more likely to have been caused by the harmless strains. I know that warts appearing in and around oral cavity can be dangerous and I am not sure if my wart would be classified as an oral wart by definition (because of its location around the lip) or as a regular common cutaneous skin wart (since common filiform warts appear around the lip as well).
2- Is it a high likelihood for that filiform wart to have spread to my boyfriend’s genitals, or even mine knowing that I used same razor/shaving machine to shave face and genital area (and there might have been blood or lesions in both areas).
3- Since this filiform wart was right around the lower lip, this means it probably came in frequent contact with my tongue, teeth, lips and mouth. Could this imply that I might have a latent oral HPV infection (since my doctor detected no visible lesions inside my mouth)? And if so, is there any danger or high oncogenic risk in this whole story?
In a nutshell: Am I overworrying here? How likely is cancer to emerge from this whole filiform wart story that has been too heavy on my mind?
I have asked a previous dr. here as you'll notice. I just feel that a second final expert opinion would serve as a final closure for this issue. Thank you very much.