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Post therapy HPV related tonsilar carcinoma and oral transmissability
Hello, hope you are doing well.
I am a 40yo male with a history of tobacco and alcohol use, diagnosed about 18 months ago with metastatic squamous cell carcinoma, left tonsil primary. Post primary site excision pathology was positive for HPV, though the strain escapes me at the moment. (7? 11? 13?). Therapy consisted of Cisplatinum x 2 (400? mg? g?) and IMRT at whatever the standard model was at that point. (The files are around here somewhere if higher precision would help) Residual effects from therapy are minimal at this point.
My first high probability of HPV exposure was 20 years ago (Partner with abnormal pap and subsequent loop excision), and we both promptly went through the standard "WTF? OMG! I could have an STD?!? NOOOO!!!" phase, calmed down, read up, and have since been pretty sanguine about this pandemic for many years.
That said, even folks who should know better get nervous about contagion, and while I'm comfortable educating people first-hand, in some cases I lack adequate knowledge to re-assure them. For example, when a woman very reasonably asks whether kissing me increases their cancer risk, answering "Technically probably so, but practically no, and I'd be more worried about your cheeseburger habit" usually leads to a very long discussion on viruses, transmission vectors, acceptable risks, etc. This is interesting, but not very romantic and only marginally reassuring because most of my knowledge is pieced together.
So, at long last, my question is: Where can I find a comprehensive, authoritative, detailed discussion of HPV strains and their effect on individuals in a family environment. I can translate medical literature for folks, but something more accessible would ease dispersion. (Preferably something with a nice, shiny "Board Certified" sticker on it)
Thanks,
-Greg
This discussion is related to Status of a past HPV infection.
I am a 40yo male with a history of tobacco and alcohol use, diagnosed about 18 months ago with metastatic squamous cell carcinoma, left tonsil primary. Post primary site excision pathology was positive for HPV, though the strain escapes me at the moment. (7? 11? 13?). Therapy consisted of Cisplatinum x 2 (400? mg? g?) and IMRT at whatever the standard model was at that point. (The files are around here somewhere if higher precision would help) Residual effects from therapy are minimal at this point.
My first high probability of HPV exposure was 20 years ago (Partner with abnormal pap and subsequent loop excision), and we both promptly went through the standard "WTF? OMG! I could have an STD?!? NOOOO!!!" phase, calmed down, read up, and have since been pretty sanguine about this pandemic for many years.
That said, even folks who should know better get nervous about contagion, and while I'm comfortable educating people first-hand, in some cases I lack adequate knowledge to re-assure them. For example, when a woman very reasonably asks whether kissing me increases their cancer risk, answering "Technically probably so, but practically no, and I'd be more worried about your cheeseburger habit" usually leads to a very long discussion on viruses, transmission vectors, acceptable risks, etc. This is interesting, but not very romantic and only marginally reassuring because most of my knowledge is pieced together.
So, at long last, my question is: Where can I find a comprehensive, authoritative, detailed discussion of HPV strains and their effect on individuals in a family environment. I can translate medical literature for folks, but something more accessible would ease dispersion. (Preferably something with a nice, shiny "Board Certified" sticker on it)
Thanks,
-Greg
This discussion is related to Status of a past HPV infection.
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