2017
DOI: 10.1136/postgradmedj-2016-134603
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Oral sex and human papilloma virus-related head and neck squamous cell cancer: a review of the literature

Abstract: Head neck squamous cell carcinomas (HNSCCs) are a significant cause of morbidity and mortality all around the world. Just like tobacco and alcohol, Human papilloma virus (HPV) infection is now recognized to play a role in the pathogenesis of a subset of HNSCCs. Unprotected sexual behaviours with the HPV carrier plays an important role in transmission of this virus. The global incidence of head and neck cancers is declining, but the incidence of HPV related head and neck cancers is rapidly increasing over the l… Show more

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Cited by 33 publications
(19 citation statements)
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“…The most important risk factors identi ed so far for HNSCC are excessive tobacco (3,4) and alcohol consumption (5-7) together with high-risk types of human papillomavirus (HPV) (8)(9)(10). Although the global incidence of HNSCC is declining, the incidence of HPV related HNSCC, especially oropharyngeal and oral squamous cell carcinoma (OPSCC, OSCC, respectively) is rapidly increasing over the last few decades (11). Recent ndings emphasize the importance of epigenetic changes, such as DNA methylation and alterations including micro RNAs (miRNA), in HNSCC progression and implicate the very role of tobacco and alcohol (12) as well as HPV (13) in those changes.…”
Section: Introductionmentioning
confidence: 99%
“…The most important risk factors identi ed so far for HNSCC are excessive tobacco (3,4) and alcohol consumption (5-7) together with high-risk types of human papillomavirus (HPV) (8)(9)(10). Although the global incidence of HNSCC is declining, the incidence of HPV related HNSCC, especially oropharyngeal and oral squamous cell carcinoma (OPSCC, OSCC, respectively) is rapidly increasing over the last few decades (11). Recent ndings emphasize the importance of epigenetic changes, such as DNA methylation and alterations including micro RNAs (miRNA), in HNSCC progression and implicate the very role of tobacco and alcohol (12) as well as HPV (13) in those changes.…”
Section: Introductionmentioning
confidence: 99%
“…Until now, there is no study exploring the above associations in Chinese population, in which the composition of HNSCCs is quite different from that in non-Hispanic Whites population. Speci cally, oropharyngeal cancers account for the most of HPV-positive HNSCCs in the United States, and the HPV-positive oropharyngeal cancer cases in previous non-Hispanic Whites study were about 91.4% of all the oropharyngeal cancer cases, while in Chinese population the most of oropharyngeal cancer cases are HPV-negative, meaning they are primarily caused by cigarette smoking [29][30][31][32][33]. In addition, the etiology of smoking-related HNSCCs is different from that of HPVpositive HNSCCs [34][35][36].…”
Section: Introductionmentioning
confidence: 99%
“…Human papillomaviruses (HPVs) are non-enveloped DNA viruses with more than 220 different types identified to date [1][2][3]. Approximately, 40 of these HPV types are transmitted sexually through anogenital-to-anogenital sex or anogenital-to-oral sex [4,5], and 19 HPV types can cause cancers. Anogenital HPV infections are associated with cervical cancer, vaginal cancer, penile cancer, anal cancer, and genital warts [6][7][8][9][10] whereas oral HPV infections are associated with head and neck cancers (HNCs; oral, oropharyngeal, laryngeal cancers, etc.)…”
Section: Introductionmentioning
confidence: 99%