Screening For HPV Persistence And Cervical Cancer Risk

Source: Medical News Today Women over the age of thirty who test positive for HPV (Human Papillomavirus) should be re-tested two years later as part of cervical cancer screening, according to a study published online TK in the Journal of the National Cancer Institute. HPV infection is the main cause of cervical cancer, although most women infected with HPV do not have cervical pathology and most HPV infections in women under the age of 25 go away. Screening is recommended for women over age thirty, and the type of HPV strain to screen for is important, since only some are associated with cervical cancer risk. Furthermore, only persistently detectable infections seem to be associated with cervical cancer risk. However, few long-term studies have been done on the persistence of these infections and cervical cancer risk. To determine the association between persistent HPV infections and cervical cancer risk in women over the age of thirty, Hui-Chi Chen, PhD, of the Genomics Research Center of Academia Sinica in Taipei, Taiwan, and colleagues, followed a cohort of 11,923 women aged 30 over a period of 16 years. The women underwent baseline exams that included HPV DNA testing and cytological tests, and the tests were repeated two years later. Incidence of cervical cancer was determined from cancer registries and death registries. In total, 6,666 women participated in both baseline and second visits, whereas the other 3,456 patients underwent only the first exam. The researchers found that the 16-year risk of cervical cancer was 6.2% [...]

2011-09-20T11:15:10-07:00September, 2011|Oral Cancer News|

HPV vaccine may be as easy as just 1-2

Source: American Council on Science and Health Author: Staff Proven to be the leading cause of cervical cancer, the human papillomavirus (HPV) has recently been linked to anal and oral cancer as well. That’s why it’s important for young men and women to protect themselves against those strains of the virus with the HPV vaccine. Currently, the vaccine schedule consists of three shots that are spaced months apart, but unfortunately, a three-dose regimen may not be economically feasible for many. That’s why the results of a new study published in the Journal of the National Cancer Institute provide hope that receiving only two HPV vaccine doses — or even a single dose — may be enough to confer immunity. For the purposes of their study, researchers from the National Cancer Institute’s epidemiology division recruited 7,500 women between the ages of 18 and 25 who were HPV-negative; these women then received either three doses of the Cervarix vaccine against HPV, or a control (hepatitis A vaccine). Over a four year follow-up period, 929 women received only two doses of the vaccine, while 551 received only one. Surprisingly, the resistance to HPV infection among women who received two shots was just as high as it was among women who received all three shots. The study authors point out that a two-dose regimen has the potential to reduce cervical cancer incidence more effectively than the standard three-dose regimen since more women, especially in low-income regions, would opt to receive the shorter treatment regimen. The results, however, are [...]

2011-09-12T17:07:18-07:00September, 2011|Oral Cancer News|

New Evaluation for HPV16 Related Cancers Using “Pap-Test Equivalent”

Source: Cancer Prevention Research Abstract Human papillomavirus (HPV) is responsible for the rising incidence of oropharyngeal squamous cell cancers (OSCC) in the United States, and yet, no screening strategies have been evaluated. Secondary prevention by means of HPV detection and cervical cytology has led to a decline in cervical cancer incidence in the United States. Here, we explored an analogous strategy by evaluating associations between HPV16 infection, cytopathology, and histopathology in two populations at elevated risk for OSCCs. In the first, a cross-sectional study population (PAP1), cytology specimens were collected by means of brush biopsy from patients presenting with oropharyngeal abnormalities. In the second (PAP2), a nested case–control study, bilateral tonsillar cytology samples were collected at 12-month intervals from HIV-infected individuals. The presence of cytopathologic abnormality in HPV16-positive tonsil brush biopsies (cases) was compared with HPV16-negative samples (controls) matched on age and gender. HPV16 was detected in samples by consensus primer PCR and/or type-specific PCR. Univariate logistic regression was used to evaluate associations. In PAP1, HPV16 alone (OR: 6.1, 95% CI: 1.6–22.7) or in combination with abnormal cytology (OR: 20, 95% CI: 4.2–95.4) was associated with OSCC. In PAP2, 4.7% (72 of 1,524) of tonsillar cytology specimens from HIV-infected individuals without oropharyngeal abnormalities were HPV16 positive. Tonsillar HPV16 infection was not associated with atypical squamous cells of unknown significance (ASCUS), the only cytologic abnormality identified. Therefore, HPV16 was associated with OSCCs among individuals with accessible oropharyngeal lesions but not with cytologic evidence of dysplasia among high-risk individuals without such lesions. [...]

2011-09-05T12:06:20-07:00September, 2011|Oral Cancer News|

HPV- Related Head and Neck Cancers Increase while Non-HPV Related Head and Neck Cancers Decrease in Canada

Source: SAGE Journals Online Abstract Objective: 1) Learn how the incidence of HPV-related and non-HPV-related Head and Neck Cancers (HNC) in Canada has changed in the time period 1992 to 2008. 2) Learn how the age at diagnosis and overall survival for these cancers in Canada has changed over that period. Method: We used Canadian Cancer Registry Data (1992-2008), categorizing HNCs into 3 groups: (High (HHPV), ie, oropharynx; Moderate (MHPV), ie, oral cavity; and Low (LHPV), ie, larynx); based on the probability that HPV causes the cancer. We calculated age-adjusted incidence, median age at diagnosis, and survival for each category. Results: HHPV cancers increased in incidence at an average annual rate (AAR) of 1.02% (P = .010); MHPV and LHPV cancers decreased at an AAR of 2.38% (P = .000) and 3.67% (P = .000) respectively. The median age at diagnosis for HHPV cancers decreased by an average of 0.23 years/year (P = .000). There was no change for MHPV and an increase for LHPV of 0.10 years/year (P = .008). Survival for patients with HHPV cancers increased by 2.1%/year (P = .000), compared with an increase of 1.6% per year for MHPV (P = .003) and a marginal increase in LHPV of 0.6% per year (P = .002). Conclusion: The prevalence of HPV-related head and neck cancers in Canada is increasing, while the prevalence of non-HPV–related head and neck cancers is decreasing. This has been accompanied by a decrease in both age at diagnosis and mortality in HPV related [...]

2011-09-05T09:01:50-07:00September, 2011|Oral Cancer News|

Rate of HPV Vaccination in Teens Lagging

Source: The Associated Press Author: Staff   Only about half of the teenage girls in the U.S. have rolled up their sleeves for a controversial vaccine against cervical cancer — a rate well below those for two other vaccinations aimed at adolescents. The vaccine hit the market in 2006. By last year, just 49 percent of girls had gotten at least the first of the recommended three shots for human papilloma virus, or HPV, a sexually-transmitted bug that can cause cervical cancer and genital warts. Only a third had gotten all three doses, the Centers for Disease Control and Prevention said Thursday. In contrast, the CDC said about two-thirds of teens had gotten the recommended shot for one type of bacterial meningitis and a shot for meningitis and tetanus, diphtheria and whooping cough. Granted, it can take many years for a new vaccine to catch on and reach the 90 percent and above range for many longstanding childhood vaccines. But use of HPV vaccine has been "very disappointing" compared to other newer vaccines, said the CDC's Dr. Melinda Wharton. "If we don't do a much better job, we're leaving another generation vulnerable to cervical cancer later in life," said Wharton. Why aren't more girls getting HPV shots? The vaccine can be very expensive, and it can be a bit of a hassle. It takes three visits to the doctor over six months. But sex no doubt has something to do with it, experts said. Girls are supposed to start the [...]

2011-08-26T12:24:52-07:00August, 2011|Oral Cancer News|

Convergence in Head and Neck Cancer

Source: Eurekalert.org Powerful new technologies that zoom in on the connections between human genes and diseases have illuminated the landscape of cancer, singling out changes in tumor DNA that drive the development of certain types of malignancies such as melanoma or ovarian cancer. Now several major biomedical centers have collaborated to shine a light on head and neck squamous cell cancer. Their large-scale analysis has revealed a surprising new set of mutations involved in this understudied disease. In back-to-back papers published online July 28 in Science, researchers from the Broad Institute, Dana-Farber Cancer Institute, Johns Hopkins Kimmel Cancer Center, the University of Pittsburgh, and the University of Texas MD Anderson Cancer Center have confirmed genetic abnormalities previously suspected in head and neck cancer, including defects in the tumor suppressor gene known as p53. But the two teams also found mutations in the NOTCH family of genes, suggesting their role as regulators of an important stage in cell development may be impaired. "This adds a new dimension to head and neck cancer biology that was not on anyone's radar screen before," said Levi A. Garraway, a senior associate member of the Broad Institute, an assistant professor at Dana-Farber Cancer Institute and Harvard Medical School, and a senior author of one of the Science papers. "Head and neck cancer is complex and there are many mutations, but we can infer there is a convergence on a cellular process for which we previously did not have genetic evidence. It shows that if you [...]

Sanford researcher to study new oral cancer therapy

Source: www.mdnews.com Author: public release A new Sanford clinical trial will study the safety and effectiveness of a drug treatment on patients receiving radiation and chemotherapy for head and neck cancer. About three to five percent of all cancers reported in the United States are head and neck cancers. Although the incidence of this type of cancer is relatively low, survival rates are poor — with about a 50 percent of patients surviving over the five-year period following diagnosis, according to John Lee, MD, FACS, Principal Investigator of the trial and a Sanford Clinic Ear, Nose and Throat specialist. Lee’s early research led to the discovery that mice treated with the generic drug dichloroacetate (DCA) responded to cancer therapy 30 percent better. He has received approval from the Food and Drug Administration to begin a clinical trial with patients who are receiving treatment for head and neck cancer. The trial will be open to Sanford patients, and others nationwide. “We are proud of and continue to encourage innovative clinical trials at Sanford that helps us further understand the molecular, cellular and genetic basis of cancer,” said David Pearce, PhD, Vice President, Sanford Research in Sioux Falls. Dr. Lee, who was honored in 2010 by the American Cancer Society for his research, has been studying the link between the Human Papilloma Virus (HPV) and the development of head and neck cancers. His research team has tested the treatment of head and neck tumors in mice finding that factors that enhanced the [...]

HPV Vaccine- Should it be Available for Boys?

Source: Dr.Bicuspid.com July 14, 2011 -- With the alarming rise in the rate of oropharyngeal cancer among men being linked to the human papillomavirus (HPV), the U.S. Centers for Disease Control and Prevention (CDC) is considering whether to also recommend the HPV vaccine for boys. Two vaccines (Cervarix and Gardasil) are currently available to protect females against the HPV types that cause most cervical cancers. The CDC currently recommends both for 11- and 12-year-old girls and for females 13 through 26 years old who did not get the three recommended doses when they were younger. The number of HPV-related oral cancers cases among men in the U.S. is increasing so quickly they could surpass the number of cases of cervical cancers in women by 2020, according to research presented last month at the American Society of Clinical Oncology annual meeting in Chicago. Between 1984 and 1989, only 16% of oropharyngeal cancers were linked to HPV. But by 2000-2004, HPV was related to 75% of oropharyngeal cancers, according to the National Cancer Institute (NCI). In 2010, the institute estimated that there were 12,660 cases of oropharyngeal cancer, resulting in 2,410 deaths. About half of those cases were among males and at least 75% were caused by HPV, according to NCI researchers. Several studies and oral cancer specialists have attributed the sharp rise in HPV-positive oropharyngeal cancers to an increasing prevalence of oral sex among young people. For the past few years, the CDC's Advisory Committee on Immunization Practices (ACIP) has been [...]

Men likely at greater risk for developing HPV-positive cancers

Source: curetoday.com Author: Jon Garinn A new analysis from the National Cancer Institute suggests that the number of HPV-positive oral cancers among men could rise significantly in the next decade, possibly surpassing HPV-positive cervical cancers among women. The genital human papillomavirus (HPV) is the most common sexually transmitted infection in the U.S., according to the Centers for Disease Control and Prevention. About 20 million Americans are currently infected and about 6 million are infected each year. Using population-based cancer registry data, the researchers found that between 1988 and 2004, oropharyngeal cancers related to HPV increased by 225 percent, with men accounting for the majority of cases. Relying on U.S. Census projections and age-period-cohort models, they projected a 27 percent rise in cases by 2020. More than 40 types of HPV are spread during genital, oral or anal sex with an infected partner—some are low-risk (wart-causing) while others are high-risk (cancer-causing). In most cases, the body’s own immune system gets rid of HPV within about two years of infection. But if the body cannot clear the infection, it can develop into several cancers, including oropharyngeal and cervical, which is the second leading cause of cancer deaths in women worldwide. Gardasil, the only approved vaccine for young men and women, is effective against two types of cancer-causing HPV and two types of wart-causing HPV. Cervarix is an HPV vaccine approved only for women.

What Really Killed Farrah Fawcett?

Source: Empowher.com In a recent interview between CNN’s Piers Morgan and Ryan O’Neal, O’Neal claimed that the stress resulting from his family turmoil may have contributed to Farrah Fawcett’s death. He stated,“…we really don’t know what causes cancer…” When it comes to anal cancer, the disease that took Fawcett’s life in June of 2009, we certainly do know the cause. More than 90 percent of anal cancers are the result of Human Papillomavirus (HPV). This is the same virus responsible for cervical, vulvar, vaginal, penile and oral cancers. The list of cancers resulting from HPV continues to grow, with oral cancer (mainly affecting men) as the latest on the ongoing list. It has been known for quite some time, however, that HPV is responsible for anal cancer. Over the past three decades, anal cancer has risen among women by 78 percent, and it has risen among men by 160 percent. Those figures were taken from a study done in 2004 by the Fred Hutchinson Cancer Research Center in Seattle, Washington. It has been another seven years, and still, little is done to inform the public of this rapidly growing trend and the vaccine that can prevent the two most aggressive strains of HPV known to cause anal cancer. When Fawcett’s documentary regarding her diagnosis and treatment for anal cancer aired in 2009, anal cancer survivors and others with HPV watched intently. They wanted to see if there would be a public service announcement at the end of the documentary to [...]

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