Papillomas: Are They Related to HPV?

The issue of papilloma?

Hello, at the end of February this year, I developed sharp genital warts at the anal opening and about two fingers deep inside.
I underwent electrocautery, and since then, I have been checking myself every month.
In May, I felt a lump two fingers deep inside, and when I consulted a doctor, he said it was a papilloma, not a wart, and that it was nothing to worry about.
I would like to ask if this is related to human papillomavirus (HPV) since both terms include "papilla." Should I seek a second opinion from another doctor? Thank you.

Xiao Shi, 20~29 year old female. Ask Date: 2016/06/13

Dr. Ke Fangxu reply Surgery

Whether it is a recurrence of genital warts or not, a digital rectal examination may be necessary.
Sometimes, it is not easy to diagnose during the early stages of recurrence.
Generally, it is recommended to wait for a month to see if there is any growth; if not, there is usually no cause for concern.
Anal papules are not related to the human papillomavirus (HPV), just as a sun cake is not related to the sun.
If you are truly worried, seeking a second opinion from another physician is an option, but it is still advisable to have a familiar physician conduct the examination to avoid having a different doctor each time you seek care.

Reply Date: 2016/06/13

More Info

Understanding the relationship between papillomas, HPV, and their implications for health can be quite complex. Let's break down your concerns regarding the diagnosis of a squamous papilloma, its connection to human papillomavirus (HPV), and the necessary follow-up actions.

What is a Squamous Papilloma?
A squamous papilloma is a benign (non-cancerous) tumor that arises from squamous epithelial cells, which are flat cells found in various tissues, including the skin and mucous membranes. These growths can appear as small, wart-like lesions and are often associated with HPV, particularly in the context of genital warts (condylomata acuminata). However, not all papillomas are caused by HPV, and the presence of a papilloma does not necessarily indicate an active HPV infection.

Is Squamous Papilloma a Sexually Transmitted Infection?
While squamous papillomas can be associated with HPV, they are not classified as sexually transmitted infections (STIs) in the same way that genital warts are. HPV is a common virus, and many individuals may carry it without showing any symptoms or developing any lesions. The presence of a squamous papilloma may suggest a previous HPV infection, but it does not automatically mean that the virus is currently active or that it is transmissible.

Treatment Options
Treatment for squamous papillomas typically involves removal, especially if they cause discomfort or concern. Common methods include:
1. Electrosurgery: This technique uses electrical currents to remove the growth.

2. Cryotherapy: This involves freezing the papilloma with liquid nitrogen, causing it to fall off.

3. Laser Therapy: A focused beam of light is used to vaporize the papilloma.

Your healthcare provider may recommend one of these treatments based on the size and location of the papilloma.

Should You Get an HPV DNA Test?
Given that you had a previous HPV test that showed no infection, and your recent Pap smear was normal, the need for an additional HPV DNA test may not be necessary unless there are specific concerns. However, if you have had multiple instances of warts or papillomas, it might be prudent to discuss with your healthcare provider whether a follow-up HPV test is warranted. This can help determine if there is an active infection that needs to be addressed.

Follow-Up and Monitoring
It's essential to maintain regular follow-ups with your healthcare provider, especially if you notice any changes in the papilloma or if new lesions develop. Monitoring is crucial, as it helps ensure that any potential issues are addressed promptly.

Conclusion
In summary, while squamous papillomas can be associated with HPV, they are not inherently indicative of an active infection or a sexually transmitted disease. Treatment options are available, and the decision to conduct further HPV testing should be made in consultation with your healthcare provider. Regular monitoring and open communication with your doctor are key to managing your health effectively. If you have any lingering doubts or concerns, seeking a second opinion from another healthcare professional can provide additional reassurance.

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