Oral Health Risks: HPV, Tumors, and Persistent Pain

Q: Oral Health Risks: HPV, Tumors, and Persistent Pain

Hello： Even if a virus can cause cancer, it typically takes ten to twenty years. <br>In your case, you might want to consider herpes zoster; please consult an infectious disease specialist. <br>Wishing you a speedy recovery.

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Hello Doctor, in late August 2004, I had unprotected oral sex with a sex worker, which resulted in persistent pain in my mouth, throat, and tongue.
I subsequently visited an otolaryngology clinic where the doctor performed a salivary examination and an endoscopic examination.
The endoscopy revealed a hematoma approximately 2 centimeters in size.
I took medication for two months, including antibiotics and anti-inflammatory drugs, and I complied with the treatment, but there has been no improvement.
I wanted to see a urologist, but the nurse advised that based on my symptoms, I should see an otolaryngologist.
Eventually, the otolaryngologist referred me to psychosomatic medicine, specifically psychiatry.

I have numerous small spots on the hard palate; my throat continues to hurt; the base of my tongue, under my tongue, and the surrounding areas are persistently painful, but there are no ulcers or open wounds.
I also feel pain from my parotid gland to my neck; I feel nauseous but cannot vomit; I have phlegm that I cannot clear; and I experience chest pain and discomfort.
Especially when my heart beats, I feel sharp pains in my chest.
My throat remains red and inflamed, and the chest pain is becoming increasingly severe day by day.
As for the hematoma, it has neither increased nor decreased in size; it has remained the same all this time.

Recently, I read an article about nasopharyngeal cancer, stating that HPV can lead to tonsillar cancer.
Isn't HPV the virus associated with genital warts? What are the chances of curing nasopharyngeal cancer and tonsillar cancer? Could I transmit this to my family? Please help me.

kk, 30~39 year old female. Ask Date: 2005/01/07

Dr. Fan Sheng reply Oncology

Hello: Even if a virus can cause cancer, it typically takes ten to twenty years.
In your case, you might want to consider herpes zoster; please consult an infectious disease specialist.
Wishing you a speedy recovery.

Reply Date: 2005/01/07

More Info

Your situation raises several important concerns regarding oral health, HPV (human papillomavirus), and the potential implications of your symptoms. Let's break down the issues and provide a comprehensive understanding.

Firstly, HPV is indeed a sexually transmitted virus, and certain strains are associated with various cancers, including oropharyngeal cancers (which affect the throat, base of the tongue, and tonsils). The strains most commonly linked to these cancers are HPV types 16 and 18, but other types, including 51 and 68, can also pose risks. HPV can be transmitted through oral sex, and while many people may carry the virus without symptoms, persistent infections can lead to complications.

Your symptoms, including persistent throat pain, the presence of a hematoma, and the discomfort in your mouth and neck, warrant thorough investigation. The fact that you have been experiencing these symptoms for an extended period, despite treatment, is concerning. It's essential to consider that while HPV can lead to cancer, it typically takes years or even decades for such developments to occur. Immediate symptoms like yours are more likely related to an acute condition or infection rather than cancer.

The hematoma you mentioned, which has not changed in size, could be a benign issue, but it should be monitored closely. Persistent pain and inflammation in the throat, along with the other symptoms you described (nausea, chest pain, etc.), could suggest a range of conditions, including chronic infections, inflammatory diseases, or even psychosomatic issues, as suggested by the referral to a mental health professional.
Regarding your concerns about cancer, it's crucial to understand that early detection significantly improves treatment outcomes. If you are worried about oropharyngeal or tonsillar cancer, it is advisable to seek a specialist who can perform a thorough examination, possibly including imaging studies or biopsies if necessary.
As for the risk of transmission to family members, HPV is primarily transmitted through intimate skin-to-skin contact. While it is less likely to be transmitted through casual contact, maintaining good hygiene and discussing your health status with your partner is essential. Vaccination against HPV is also an effective preventive measure for both men and women, which can significantly reduce the risk of developing HPV-related cancers.

In summary, while your symptoms are concerning and warrant further investigation, it is essential to approach this situation with a comprehensive medical evaluation. Consulting with an ENT specialist or an infectious disease expert may provide more clarity on your condition. Additionally, consider discussing the possibility of HPV vaccination with your healthcare provider, as it can help protect against the most dangerous strains of the virus. Your health and peace of mind are paramount, so do not hesitate to seek further medical advice and support.

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