Neck Papillomas: HPV Infection and Vaccination Guidance - Otolaryngology

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Inquiry about neck papilloma?


Hello Doctor, about half a month ago, I discovered a painful lump on the right side of my neck.
Recently, I underwent surgery at an otolaryngology clinic to have it removed for testing.
During my follow-up appointment to discuss the results, the doctor indicated that it was a papillomavirus, classified as a benign tumor, and attributed it to a constitutional issue.
Although I felt relieved to hear it was benign, I went home and researched the virus, which I found is commonly referred to as HPV.
I learned that its primary mode of transmission is through sexual activity.
While I have had sexual experiences, they were limited to oral sex without a condom; in all other situations, I used protection.
I am puzzled and would like to ask the doctor why I still contracted this virus and developed a tumor in my neck.
Additionally, given that I am aware of my HPV status, would you still recommend getting the quadrivalent or nonavalent HPV vaccine?

Niming, 20~29 year old female. Ask Date: 2019/12/30

Dr. Zheng Jueyi reply Otolaryngology


Hello: The HPV family consists of 100 types of viruses.
Papillomas in the back of the neck may be less related to sexual activity, as the virus is ubiquitous, and other skin contact can also lead to infection with the papillomavirus.
Vaccination primarily helps prevent cervical cancer and genital warts, but it may be less related to neck papillomas.
Wishing you peace and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2019/12/30

More Info


Understanding HPV and its implications, especially in relation to neck papillomas, is crucial for managing your health. Human Papillomavirus (HPV) is a group of more than 200 related viruses, with some types being associated with benign conditions like warts, while others are linked to various cancers. The presence of a papilloma in your neck indicates that you have been infected with a strain of HPV that typically causes benign growths.
It's important to note that HPV can be transmitted through skin-to-skin contact, not just through sexual intercourse. This means that even if you have been careful during sexual activities, you could still have contracted the virus through other means, such as close contact with an infected area of skin or mucous membranes. The virus is quite prevalent in the general population, and many people may carry it without showing any symptoms.
Regarding your question about vaccination, even if you have already been diagnosed with HPV, receiving the HPV vaccine can still be beneficial. The quadrivalent (4vHPV) and nonavalent (9vHPV) vaccines protect against multiple strains of HPV, including those that are most commonly associated with cervical cancer and other HPV-related diseases. If you are infected with one type of HPV, the vaccine can still protect you from other types that you may not have been exposed to yet.
The recommendation to get vaccinated despite an existing HPV infection is based on the understanding that the vaccine can help prevent future infections from other strains of the virus. However, it is essential to discuss this with your healthcare provider, who can assess your specific situation and provide personalized advice.
As for the timing of vaccination, it is generally recommended to get vaccinated as soon as possible, regardless of your current HPV status. The vaccine is most effective when given before the onset of sexual activity, but it can still provide benefits later in life.
In summary, while the presence of a neck papilloma indicates an HPV infection, it does not preclude you from receiving the HPV vaccine. The vaccine can help protect against other strains of HPV and reduce the risk of future complications. It is advisable to have a thorough discussion with your healthcare provider about your vaccination options and any other preventive measures you can take to manage your health effectively. Regular follow-ups and screenings are also essential, especially if you have a history of HPV-related conditions.

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