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#124434 11-09-2010 09:49 PM
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pwd2010 Offline OP
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Went to ENT to have a cyst drained in the back of my throat and biopsy performed. I have HPV strain 16 oropharengeal dysplagia. Asymmetrical view interior and small palpable lump under chin are present. What kind of treatment, if any, might I expect? Really not into watch and see as this has been present for 6 months that I've noticed. No real pain except occasional ear pain/itch on the affected side.
Also, can my husband contract this in his mouth from kissing?!
Thanks for any help!

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Where did you get that diagnosis? I have never heard of HPV dysphagia. Doesn't mean anything other than I have never heard of it. HPV or not dysphagia needs to be closely watched as it can turn into cancer.

Also see www.oralcancerfoundation.org/dental/.../Oropharyngeal-Dysphagia-HNC.pdf



David

Age 58 at Dx, HPV16+ SCC, Stage IV BOT+2 nodes, non smoker, casual drinker, exercise nut, Cisplatin x 3 & concurrent IMRT x 35,(70 Gy), no surgery, no Peg, Tx at Moffitt over Aug 06. Jun 07, back to riding my bike 100 miles a wk. Now doing 12 Spin classes and 60 outdoor miles per wk. Nov 13 completed Hilly Century ride for Cancer, 104 miles, 1st Place in my age group. Apr 2014 & 15, Spun for 9 straight hrs to raise $$ for YMCA's Livestrong Program. Certified Spin Instructor Jun 2014.
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pwd2010 Offline OP
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ENT..It seemed a reasonable dx because I had the same on my cervix. It's not dysphagia, as in trouble swallowing, but a thickened cell change, precancerous. I suppose its not often found this early..since the cervix treatment 15 years ago, I have been paranoid it would wind up in my throat, such similar environments. Follow up is soon..just wasn't sure what I could/should expect. I guess she may want to take out the lump?
I appreciate your response.

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There is no correlation between the cervical HPV and oral HPV, at least not yet proven. I did ask Moffitt about your HPV dysplasia and here is what they said:

"All of us believe that there is an HPV related dysplasia that occurs prior to tumor formation � however, this has been almost impossible to find as there is currently no screening � so no opportunity to find these pre-cancerous lesions � and metastases occurs so quickly that the pre-cancerous stage may be short in duration. The lack of a clearly definable per-cancerous lesion of the oropharynx has left us un able to design vaccine trials with oropharynx disease as an endpoint � a real problem."

Again stay on top of the dysplasia as it can turn cancerous.





David

Age 58 at Dx, HPV16+ SCC, Stage IV BOT+2 nodes, non smoker, casual drinker, exercise nut, Cisplatin x 3 & concurrent IMRT x 35,(70 Gy), no surgery, no Peg, Tx at Moffitt over Aug 06. Jun 07, back to riding my bike 100 miles a wk. Now doing 12 Spin classes and 60 outdoor miles per wk. Nov 13 completed Hilly Century ride for Cancer, 104 miles, 1st Place in my age group. Apr 2014 & 15, Spun for 9 straight hrs to raise $$ for YMCA's Livestrong Program. Certified Spin Instructor Jun 2014.

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