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HPV Cancer Hits 8,000 Men, 18,000 Women a Year

Source: WebMD.com HPV cancer isn't just a female problem, new CDC figures show. Although HPV causes 18,000 cancers in women each year, it also causes 8,000 cancers in men, the CDC calculates. To get the figures, CDC researchers analyzed data collected from 2004 to 2008 in two large cancer registries. HPV, human papillomavirus, is the cause of nearly all cervical cancers. But that's obviously not the only cancer caused by this sexually transmitted virus. HPV also causes about two-thirds of mouth/throat (oropharyngeal) cancers, 93% of anal cancers, and more than a third of penile cancers. Men are four times more likely than women to get HPV mouth/throat cancer, while women are more likely than men to get HPV anal cancer. Clearly, HPV is not just a female problem. Yet it was only last year that one of the two FDA-approved HPV vaccines was recommended for teen boys. Gardasil was recommended for girls in 2006; Cervarix was recommended for girls in 2009. "HPV vaccines are important prevention tools to reduce the incidence of non-cervical cancers," the CDC notes in a report in the April 20 issue of Morbidity and Mortality Weekly Report. "Transmission of HPV also can be reduced through condom use and limiting the number of sexual partners." HPV vaccines are most effective when given before people become sexually active. Yet in 2010, less than a third of teen girls had received all three doses of HPV vaccines. Numbers aren't yet available for boys. The slow uptake of the vaccine [...]

2012-04-25T11:21:53-07:00April, 2012|Oral Cancer News|

Oral cancer on the rise in the US; Americans unaware of major risk factors

Source: Dental Tribune NEWPORT BEACH, Calif., USA: New research conducted on behalf of the Oral Cancer Foundation has found that many Americans are unaware of the fact that the human papillomavirus (HPV), a sexually transmitted virus, is the fastest-growing risk factor for oral cancer. The data supports the current consensus that awareness of oral cancer and early discovery measures is low, and that most Americans do not recognize that the profile of the oral cancer patient has evolved from heavy smokers and drinkers to anyone who is sexually active. According to the OCF, approximately 40,000 Americans will be newly diagnosed with oral cancer in 2012. This is the fifth consecutive year in which there has been an increase in the incidence rate of the dangerous disease. Oral cancer is often caught in the late stages, when the five-year survival rate is less than 50 percent. When diagnosed in the early stages of development, oral cancer patients have an 80 to 90 percent survival rate. The results of the national survey, conducted by market research consultancy Kelton among a representative sample of 1,024 Americans aged 18 and over, indicated that more than four in five Americans know that smoking (83 percent) and chewing tobacco (83 percent) are risk factors. However, the survey also revealed that they remain in the dark about other potential causes of oral cancer, including alcohol consumption and HPV, the most common sexually transmitted infection. The survey showed that women tend to be slightly more aware of the [...]

2012-04-25T10:14:26-07:00April, 2012|OCF In The News, Oral Cancer News|

When life hands you cancer, make cancer-ade: via lemonade stand, 6yo boy raises $10K for dad’s chemo

Source: Boingboing.net A story making the rounds this week: Drew Cox, a 6 year old boy in Texas, "decided to sell lemonade to help his father with medical bills." His dad, Randy Cox, has a rare form of metastatic cancer, diagnosed a few months ago. The family says Drew's lemonade stand earned more than $10,000. They have an online fundraising site here, where they're trying to raise more. I am currently undergoing chemotherapy for breast cancer, diagnosed about four months ago. When I saw various versions of this story popping up on news sites, several thoughts came to mind. First, hooray for this child. I hope his dad gets the treatment he needs, that the treatment is successful, and that the family doesn't go into debt or have to forego treatment for lack of funds. But second: this is a disgrace. I hate it when stories like this are flogged in media as "feel-good" stories. This story should make America feel ashamed, not feel good. Seriously? A working father gets cancer, and the family has to rely on charity, and a lemonade stand manned by their 6 year old son, to obtain life-sustaining medical treatment? It's not the first such lemonade/chemo-money story to make the rounds in the media, wrapped up in feel-good. When life hands you cancer, the news narrative seems to be, just make cancer-ade! Well, I have cancer. I have insurance. I still pay what is for me a huge out-of-pocket sum, even after my insurance, for [...]

2012-04-18T14:54:16-07:00April, 2012|Oral Cancer News|

Prognostic Significance of HPV Status in Oropharyngeal Cancer

OncologySTAT Editorial Team Dr. Maura Gillison is Professor of Medicine, Epidemiology, and Otolaryngology at Ohio State University in Columbus. OncologySTAT: The results of the Radiation Therapy Oncology Group (RTOG) 0129 trial showed that the human papillomavirus (HPV) is an independent prognostic factor in oropharyngeal cancer. Could you tell us about the rationale for this study? Dr. Gillison: Over the last 10 years, our research has shown that cancers of the oropharynx are actually 2 completely different diseases that can look quite similar. One subset is caused HPV infection, and the other is more closely associated with long-term use of alcohol and tobacco. Initial studies suggested that the presence of HPV in a patient’s tumor had prognostic significance, but study limitations made that conclusion dubious. We set out to determine whether or not HPV was indeed an independent prognostic factor in head and neck cancer. To show whether there was a direct relationship between HPV infection and head and neck cancer, we needed to prospectively study a uniformly treated and uniformly staged patient population. Thus, we used the study population from the trial conducted by the RTOG. We divided the patients into 2 groups—those whose tumors were caused by HPV and those whose tumors were not—and we compared survival outcomes for the 2 groups. The results showed that HPV status was the single most important predictor of patient outcome, even more so than disease stage and other well-known prognostic factors such as performance status and presence of anemia. In fact, after [...]

2012-04-18T10:16:03-07:00April, 2012|Oral Cancer News|

HPV Vaccine Recommendation for Boys Viewed as Necessary

Source: OncLive.com  As the incidence of head and neck cancers linked to the human papillomavirus (HPV) continues to rise, a federal advisory panel has recommended that all 11- and 12-year-old boys be vaccinated against the virus, igniting further controversy in an area where acceptance of a public health policy has been slow. The recommendation from the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention (CDC) would expand the use of the vaccine beyond the original target population of 11- and 12-year-old girls for whom it is recommended as protection against cervical cancer. Ezra E. W. Cohen, MD, firmly supports the latest recommendation. “It’s the right move by the CDC,” he said in an interview. “I think it’s a long time coming.” Cohen said that the fact that the original recommendations targeted cervical cancer created a cultural perception that the vaccine was only intended for girls. Yet the HPV virus affects men as well. According to the CDC, HPV is associated with about 18,000 cancers in women and 7000 cancers in men each year. Overall, the incidence of HPV-positive oropharynx cancers increased by 225% between 1988 and 2004, according to National Cancer Institute research. There were an estimated 6700 cases of HPV-positive oropharynx cancers in 2010, up from 4000 to 4500 in 2004. Cohen said he believes such numbers are going to continue to rise. Even by taking proactive steps in 2011, the vaccine is only intended for children and young adults. HPV that is already [...]

2012-04-18T10:05:13-07:00April, 2012|Oral Cancer News|

HPV DNA, E6?I-mRNA expression and p16(INK4A) immunohistochemistry in head and neck cancer – how valid is p16(INK4A) as surrogate marker?

Source: HighWire- Stanford University It has been proposed that p16(INK4A) qualifies as a surrogate marker for viral oncogene activity in head and neck cancer (HNSCC). By analyzing 78 HNSCC we sought to validate the accuracy of p16(INK4A) as a reliable marker of active HPV infections in HNSCC. To this end we determined HPV DNA (HPVD) and E6?I mRNA (HPVR) expression status and correlated these results with p16(INK4A) staining. In tonsillar SCC 12/20 were HPVD+ and 12/12 of these showed active HPV infections whereas in non-tonsillar SCC 10/58 were HPVD+ and 5/10 showed active HPV infections. Thus, we prove about 8% of non-tonsillar SCC to be also correlated with HPV-associated carcinogenesis. Strikingly, 3/14 (21.4%) of tonsillar and non-tonsillar HPVD+/HPVR+ cases did not show p16(INK4A) overexpression and these cases would have been missed when applying initial p16(INK4A) staining only. However, in 13 cases negative for HPV, DNA p16(INK4A) was overexpressed. In conclusion, our data confirm tonsillar SCC to be predominantly but not only associated with active HPV infections. Furthermore, our data show that p16(INK4A) overexpression is not evident in a subgroup of HNSCC with active HPV infection. Definitive HPV data should therefore be utilised in diagnostics and treatment modalities of HPV positive and HPV negative HNSCC patients, resulting in a paradigm shift regarding these obviously different tumour entities. This news story was resourced by the Oral Cancer Foundation, and vetted for appropriateness and accuracy.

2012-04-17T12:58:24-07:00April, 2012|Oral Cancer News|

HPV Vaccine May Prevent Recurrence of Precancerous Conditions

Source: abcnews.com The human papillomavirus (HPV) vaccine has been touted as a way to prevent cervical cancer and genital warts, but a new study suggests the vaccine may also prevent women diagnosed with precancers from developing recurrences. Researchers randomly assigned more than 1,350 women diagnosed with genital warts or certain precancerous conditions to receive either three injections of the HPV vaccine or a placebo. The women were followed for about four years. Women who received the vaccine had 46.2 percent lower risk of developing another HPV-related disease after treatment for their genital warts or their precancerous condition. Typically, women treated for these types of conditions are at risk for subsequent disease later, but the study offers evidence that "vaccination offered substantial benefit" in terms of lowering that risk, wrote the international team of authors, led by Elmar Joura, an associate professor at the University of Vienna in Austria. Experts not involved with the research told ABC News that the research is significant because it suggests for the first time that the HPV vaccine may offer benefits beyond prevention. "We always thought about the vaccine from the prevention, and this suggests it can lower the risk of developing a second episode of disease," said Dr. Anna Giuliano, director of the Center for Infection Research in Cancer at the Moffitt Cancer Center in Tampa. Giuliano cited another study published online in January that found the HPV vaccine reduces the recurrence of abnormal anal cell growths in men. "We're now seeing a pattern [...]

2012-04-17T10:16:45-07:00April, 2012|Oral Cancer News|

Young Girls More Likely to Report Side Effects after HPV Vaccine

Source: Therapeutics Daily PORTLAND, Ore., April 3, 2012 /PRNewswire/ -- Younger girls are more likely than adult women to report side effects after receiving Gardasil, the human papillomavirus vaccine. The side effects are non-serious and similar to those associated with other vaccines, according to a new study funded by the Centers for Disease Control and Prevention and published in the Journal of Women's Health. As part of an ongoing study and evaluation of this relatively new vaccine, researchers surveyed 899 girls and young women (ages 11-26) within two weeks after they received the Gardasil vaccine injection in the upper arm. The survey, which took place in 2008, also found that while most girls and young women did know that the vaccine can prevent cervical cancer, and that three doses are recommended, many didn't know that the vaccine can also prevent genital warts and abnormal pap smears. "Gardasil is an important cancer-prevention vaccine, but too few girls are getting it. Our study found that young girls do have some knowledge about the vaccine, but they need to know more. If these girls and their parents know what to expect, they will likely be less afraid of getting the vaccine," said study lead author Allison Naleway, PhD, a senior investigator with the Kaiser Permanente Center for Health Research in Portland, Ore. Since 2006, the CDC has recommended Gardasil for girls ages 11-12, and for older girls and women (ages 13-26) who did not receive the vaccine when they were younger. The CDC [...]

2012-04-11T09:43:23-07:00April, 2012|Oral Cancer News|

Exposure to Nicotine and Carcinogens among South Western Alaskan Native Cigarette Smokers and Smokeless Tobacco User

Source: AACR Journals Background Prevalence of tobacco use, both cigarette smoking and smokeless, including iqmik (homemade smokeless tobacco prepared with dried tobacco leaves mixed with alkaline ash), and tobacco-related cancer is high in Alaska Native people (AN). To investigate possible mechanisms of increased cancer risk we studied levels of nicotine and tobacco-specific nitrosamines (TSNA) in tobacco products and biomarkers of tobacco toxicant exposure in South Western AN people. Methods Participants included 163 cigarette smokers (CS), 76 commercial smokeless tobacco (ST), 20 iqmik, 31 dual CS and ST (DT) and 110 non-tobacco (NT) users. Tobacco use history, samples of tobacco products used and blood and urine samples were collected. Results Nicotine concentrations were highest in cigarette tobacco and TSNAs highest in commercial ST products. AN participants smoked on average 7.8 cigarettes per day (CPD). Nicotine exposure, assessed by several biomarker measures, was highest in iqmik users, and similar in ST and CS. TSNA exposure was highest in ST users, and polycyclic aromatic hydrocarbon exposure highest in CS. Conclusions Despite smoking fewer CPD, AN CS had similar daily intake of nicotine compared to the general US population. Nicotine exposure was greatest from iqmik, likely related to high pH due to preparation with ash suggesting high addiction potential compared to other ST products. TSNA exposure was much higher with ST compared to other product use, possibly contributing to high rates of oral cancer. Impact Our data help understanding high addiction risk of iqmik use and cancer-causing potential of various forms of tobacco use [...]

2012-04-09T09:31:27-07:00April, 2012|Oral Cancer News|

Snus spat erupts in Norway

Source: Ice News A row has erupted over snuff tobacco in Norway after a state researcher said the government should be promoting it as a way of stopping smoking. Health officials have dismissed the criticisms of Karl Erik Lund, however, saying the substance, known as snus in Norway, is highly addictive and can cause cancer. Mr Lund, of the state institute for alcohol and drug research SIRUS, told Aftenposten newspaper that Norway should start being honest with its people by telling them that snus is “much less dangerous” than smoking. Dr Maja-Lisa Løchen, a professor of preventive medicine at the Univerity of Tromsø, however, told the newspaper that she was “furious” that they had given the story “so much space”. “No research has documented that using snus is an effective way to stop smoking,” Dr Løchen told Aftenposten. “On the contrary, some smokers can wind up using both forms of tobacco.” Løchen added that users, who usually place the snus under their lips to absorb the nicotine, also risk contracting other forms of cancer. She added that the health ministry would not be recommending the product. Snus is banned in many European countries but has a long tradition of use in Norway and Sweden where it is still legal. This news story was resourced by the Oral Cancer Foundation, and vetted for appropriateness and accuracy.

2012-04-06T09:53:42-07:00April, 2012|Oral Cancer News|
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