David,

I was told by a MO who follows likely HPV cases at my Cancer Center that your Dx, if you understood it correctly, was very unprofessional and troubling coming from a NIH CCC like Moffitt.

She pointed out that is normal to discuss the risk factors with patients and point out any that might be probable, but casual smoking in high school and college some twenty or more years ago isn't a likely much less definitive risk factor.

There are still about 20% of OC cases without risk factors and no known cause.

Have you ever spoken to the department head at Moffitt about this?