HPV's Impact on Oral Health: Warts, Lesions, and Cancer Risks

HPV and Oral Warts and Oral Cancer Oral Black Spots and Protrusions

Hello Doctor, I was recently diagnosed with HPV infection leading to cervical intraepithelial neoplasia (CIN1), and I am very concerned about my previous oral sexual activities potentially causing oral warts or epithelial lesions that could lead to cancer, such as oral melanosis.
A few days ago, I noticed a black raised lesion on the left side of my oral mucosa, approximately 0.1 cm in size.
It doesn’t hurt unless I touch it.
The next day, another black spot appeared, about the size of a pinhead, flat like a mole.
The raised black lesion broke while eating, but the flat black spot has been there for 3-4 days and is neither painful nor itchy.
Could this be oral cancer or a pigmented lesion?
2.
There is a flesh-colored bump on my tongue.
Near the base of my tongue, there is a noticeable flesh-colored bump that matches the color of my tongue, as shown in the photo.
Could this be a wart or a lesion?
3.
If I want to seek medical evaluation, can I go to a general ENT clinic? Should I see an oral surgeon or an ENT specialist?

Kou Zhao Nu Hai, 20~29 year old female. Ask Date: 2016/10/10

Dr. Li Jiaxuan reply Otolaryngology

Due to your cervical epithelial lesions, it is recommended that you visit the ENT outpatient department for examination.
If necessary, laser or traditional excisional surgery may be performed.
Wishing you a safe recovery.

Reply Date: 2016/10/10

More Info

Understanding the impact of Human Papillomavirus (HPV) on oral health is crucial, especially given its association with various conditions, including warts, lesions, and cancers. Your concerns about HPV, particularly in relation to oral health, are valid and warrant a thorough discussion.

Firstly, HPV is a group of more than 200 related viruses, some of which are known to cause warts, while others are linked to cancers, including cervical and oropharyngeal cancers. The types of HPV that are most commonly associated with cancer are HPV 16 and HPV 18, but other types, such as HPV 58, can also contribute to cancer risk, particularly in the context of cervical cancer. The transmission of HPV can occur through various forms of sexual contact, including oral sex, which raises concerns about the potential for oral lesions or cancers resulting from HPV.

Regarding your specific symptoms, the black protrusions you described in your oral cavity could be indicative of several conditions. While it is possible for HPV to cause oral warts (often referred to as oral papillomas), the appearance of black spots or lesions in the mouth can also be due to other causes, such as benign melanocytic lesions, irritation, or even precancerous changes. The fact that one of the lesions broke during eating and that the other has persisted without pain or itching is noteworthy. Persistent lesions, especially those that change in appearance or do not heal, should be evaluated by a healthcare professional.

In terms of your concerns about oral cancer, it is important to note that oral cancers can present with various symptoms, including persistent sores, lumps, or changes in the texture of the oral mucosa. The presence of a black spot or a new growth on the tongue warrants further investigation. It is advisable to consult with a healthcare provider who specializes in oral health, such as an oral surgeon or an ear, nose, and throat (ENT) specialist. Both specialties can evaluate oral lesions, but an oral surgeon may be more focused on the specific conditions of the mouth.

As for the type of healthcare provider you should see, both ENT specialists and oral surgeons can assess your symptoms. If you have access to an oral surgeon, they may provide a more specialized evaluation of oral lesions. If you choose to see an ENT, they can also address any concerns related to the throat and neck, which may be relevant given your history of HPV.

In conclusion, your concerns about HPV and its potential impact on your oral health are significant. It is essential to seek a professional evaluation of the lesions you have described. Early detection and diagnosis are key to managing any potential complications associated with HPV. Additionally, discussing your HPV status and any related symptoms with your healthcare provider can help you understand your risks and the necessary steps for monitoring and treatment. Regular check-ups and screenings are vital, especially for individuals with a history of HPV-related conditions.

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