Esophageal Tumor Risks in Newborns and HPV Testing

The probability of infants developing esophageal organ tumors?

Hello Dr.
Tsao, I would like to inquire about something.
I had a natural delivery, but I was informed afterward that I have genital warts.
I was really taken aback and didn't understand how the examinations were conducted that led to this discovery only after the natural birth.
If I had known earlier, I would have opted for a cesarean section, but discussing this is pointless now.
I have a few questions I would like to ask:
1.
What is the approximate probability of a baby developing an esophageal tracheal fistula?
2.
What testing methods are available to determine if a baby has been infected with HPV, and is there a vaccine available for infants?

Bālè, 30~39 year old female. Ask Date: 2021/09/17

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, if you have genital warts and are concerned about your child potentially contracting them in the throat, it's important to note that infants do not receive the vaccine.
It is advisable to take your child to a pediatric otolaryngologist if there are any issues.
Wishing you good health.

Reply Date: 2021/09/17

More Info

Dear Patient,
Thank you for reaching out with your questions regarding the risks of esophageal tumors in newborns and HPV testing. I understand that receiving a diagnosis of HPV (commonly referred to as "warts" or "cauliflower" lesions) can be overwhelming, especially when it comes to concerns about your newborn's health. Let’s address your questions one by one.

1. Risk of Esophageal Tumors in Newborns: The incidence of esophageal tumors in newborns is extremely low. Primary esophageal tumors, such as squamous cell carcinoma or adenocarcinoma, are rare in infants and children. Most esophageal tumors in this age group are benign, such as esophageal leiomyomas. The risk factors for esophageal tumors generally include genetic predispositions, environmental factors, and certain medical conditions, but these are not typically applicable to newborns. Therefore, while it is natural to be concerned, the likelihood of your newborn developing an esophageal tumor is very low.

2. Testing for HPV in Infants: Currently, there are no routine tests specifically designed to check for HPV in infants. HPV is primarily transmitted through direct skin-to-skin contact, and while it can be passed from mother to child during delivery, the vast majority of infants exposed to HPV do not develop any symptoms or health issues. If there are concerns about HPV-related lesions, a healthcare provider may perform a physical examination. However, testing for HPV in infants is not standard practice.
As for vaccination, the HPV vaccine is recommended for preteens (ages 11-12) but can be given as early as age 9. The vaccine is designed to protect against the types of HPV that most commonly cause cervical, anal, and other genital cancers, as well as some head and neck cancers. Unfortunately, there is no HPV vaccine available for infants, as the vaccine is most effective when administered before the onset of sexual activity.

In summary, while your concerns are valid, the risk of esophageal tumors in newborns is very low, and there are no standard tests for HPV in infants. The HPV vaccine is available for older children and adolescents, and it is an important preventive measure against HPV-related diseases.

If you have further questions or concerns about your health or your child's health, please do not hesitate to reach out to your healthcare provider. They can provide personalized advice and support based on your specific situation.

Wishing you and your family good health.

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