HPV ?????

[BC47]

Hi Doctor. Thanks for your help with my last question, and thank you for helping me get on with my life!  If you need to go back to our first thred to remember my scinario, that might help.  This question is about the wart that I discovered. I am a bit confused with the report from the Dermatopathology Lab.  The Diagnosis is as follows:  LEFT MID PENILE SHAFT- CONDYLOMA ACUMINATUM, OLD. With an addendum that reads " The tissue is negative for low and high risk HPV by chromogenic in situ hybridization technique. Also in the Doctors hand writting is         -Lo,  -Hi. The Derm that I went to see said that the wart was very old and that I had it for some time.
     I have tried to read about HPV and warts and all I seem to do is get confused.  My wife and I have been monogomus for 21 years or more.  So im not sure when, how or where I got it from.  Year after year she gets paps and all have been normal.  Does this mean that she was exposed to my wart and did not catch i?. Or could she have it and not know and still have normal paps? I have never noticed any warts on her.  We have been having regular sex at this time, could she catch it from me?  Could I develop more warts in the future? Since the report states Neg Hi and Neg Low, what is it?  I'm a bit confused so anything you can tell me will help. I am fearful that she is going to develop warts. Thanks for you time.  

[H. Hunter Handsfield, M.D.]

That's my interepretation of how you summarized the biopsy report.  But I'm not an expert in pathology and have no professional training or experience in interpreting path reports.  Most STD experts in the US rarely biopsy suspected warts; we but send patients needing biopsy to dermatologists.

[BC47]

So if as a doctor received this wording on a Pathology report, you would say that the biopsy was not that of a genital wart?

[H. Hunter Handsfield, M.D.]

Sorry, I can't clear up the confusion.  You'll have to work it out with the dermatologist.  Good luck.

[BC47]

Wow now im very confused.  My derm provided the report at my request. I told my wife about the wart or so called wart.  When the Derm removed the lets call it a bump, he asked if I wanted a biopsy to see if in fact it was a wart and I agreed.   The biposy he said confirmed that i did in fact have a genital wart, he then asked if I wanted to find out what type it was. So i said Yes. So im not sure whats up. I did in fact tell my wife that a derm said I had a genital wart. and that it was removed. She aske If we could get a copy of the report, since I told her that he said it was Neg Lo, Neg Hi risk.  He did not tell me much other than that.

[H. Hunter Handsfield, M.D.]

This could have been asked as a follow-up to your previous thread.

Dermatopathology reports are not designed or worded for patients; the report is a communication to the doctor who did the biopsy, who in turn is responsible to explain the diagnosis to the patient.  But it sounds to me like the lesion is not a wart or HPV infection at all; if it were, it would be positive for HPV, but is negative for both low risk and high risk HPV types.  Probably "CONDYLOMA ACUMINATUM, OLD" is what the dermatologist entered as the suspected diagnosis before the biopsy, and not the actual diagnosis from the pathology.  In any case, all these are questions for the dermatologist who did the biopsy; his or her replies will be more reliable than mine.  My bet is he will confirm you don't have a wart and don't have HPV.

Regards--  HHH, MD