4 - HPV Flashcards
over 130 different human papillomaviruses
some types like _ and _ for squamous papillomas or HPV _ causing non-genital warts
are not sexually transmitted
6, 11 - squamous papillomas
2 - non-genital warts
Some HPV types are sexually transmitted
HPV _ _ venerral warts (condyloma acuminatum)
HPV _ and _ are high risk examples
6,11 venereal warts - condyloma acuminatum
16, 18, sexually transmitted , other 31, 33 high risk for cancer
low risk 2 (verruca vulgaris) 6,11,
HPV _
any age
common sites - tongue, uvula, soft palate, lip - but any location
most common sot tissue mass arising from the soft palate
usually solitary
squamous papilloma
HPV 6,11 - low risk for cancer
usually pedunculated, but can be sessile
exophytic with fingerlike prokections giving a “cauliflower” or wartlike appearance
projections can be pointed or blunted low infectivity, low virulence soft painless color depends on _
squamous papilloma
HPV 6,11 - low risk for cancer
amount of keratin
tx and px of squamous papilloma
HPV 6,11 - low risk for cancer
tx - conservative excision
px - recurrence unlikely
spontanouseou remission possible
dermatologic term for common wart contagious or no, self inoculation (transfer form one part of body to other) any age. esp children extremely common on skin - hand common on oral mucosa? pedunculated or sessile
verruca vulgaris
contagious
HPV 2 - low risk
infrequent on oral mucosa
painless papule(s)
papillary projections or rough surface
oral mucosa lesions usually vermilion border, labial mucosa, anterior tongue
verruca vulgaris HPV 2
tx for HPV 2 Verruca vulgaris
skin - topical, surgery
oral - surgery, laser, cryotherapy, electrosurgery
px - may recur, spontaneous remission possible
_ most common STi in US
more than 40 types spread thru direct sexual contact
vaginal, anal, oral sex
can also be spread by close skin-to-skin contact
can be low/high risk for cancer
HPV - human papillomacirus
2,6,11 - low risk
16,18,31,33 - high risk
HPV _ low risk
may also have co-infection with high risk type
contagious, anogenital region. mouth, larynx sessile pink short, blunted nontender exophytic teenagers, young adults but all ages
condyloma acuminatum
HPV 6,11 - low risk for cancers
*larger than papillomas
~1-3cm
often multiples**
oral mucosa lesions usually labial mucosa, lingual frenum, soft palate
tx and px of condyloma acuminatum
HPV 6,11 - low risk for cancers
excision, cryotherapy, laser(concern for airborne virus)
topical agents for anogenital lesions
px - anogenital condylomata infected with HPV 16,18 have higher risk for malignant transformation to SCC
ORAL CONDYLOMATA HAVE NOT SHOWN THIS