Middle-aged men do not smoke or drink betel nut and suffer from oropharyngeal cancer. Doctor reminds to get HPV vaccine

Dr. Xu Junjie (right) reminded that men and women may be infected with HPV virus and should be actively vaccinated against HPV. The picture is a situational photo, and the characters in the picture have nothing to do with this article. (Photo by reporter Chen Jianzhi)

[Reporter Chen Jianzhi / Taichung Report]A 50-year-old man surnamed Chen in Taichung recently found a lump in his neck and often felt a sore throat. He sought medical examination and found tonsil ulcers. After biopsy, he was diagnosed with HPV (Human Papilloma Virus) infection. Caused tonsil squamous epithelial cancer, because he did not smoke, drink, or eat betel nut, but suffered from oropharyngeal cancer, which made him feel puzzled. The doctor reminded that HPV virus infection is not divided into ethnic groups, and if you have symptoms, you should seek medical attention as soon as possible.

According to Xu Junjie, an otolaryngologist at the National University Hospital, the oropharynx is located on the back of the mouth, including the base of the tongue, tonsils, soft palate, and overhangs. Among them, tonsil cancer is the majority of oropharyngeal cancer in Taiwan, and the early symptoms are not obvious, or There are only symptoms such as sore throat, foreign body sensation in the throat, and neck lumps. In the past, 90% of oropharyngeal cancer patients had bad habits such as smoking, drinking, and chewing betel nut. In recent years, it has been gradually discovered that infection with HPV virus also causes oropharyngeal cancer. One of the risk factors.

Xu Junjie pointed out that the HPV virus is mainly transmitted through sexual behavior, and it may also be infected by contact with skin wounds, mucous membranes or body fluids. If the public facilities that go to have HPV virus, such as swimming pools, hot springs, etc., they may also be infected by contact. However, HPV used to be regarded as the culprit of cervical cancer and was considered a patent for women. However, with the increase in vaccine injections, the incidence and mortality of cervical cancer have gradually decreased. Studies have found that the largest proportion has changed from cervical cancer to cervical cancer. HPV-related oropharyngeal cancer, and males are the most common type.

Xu Junjie introduced that there are more than 400 types of HPV virus, of which types 6 and 11 are low carcinogenic types, which may cause acuminate condyloma (cauliflower). HPV high carcinogenic types include 16, 18, 52, and 58. The risk of disease includes cervical cancer, cervical adenocarcinoma, anal cancer, vaginal cancer, penile cancer, oropharyngeal cancer, etc. Except for the bivalent HPV vaccine only applicable to women, men can be vaccinated with quadrivalent HPV vaccine and 9-valent HPV vaccine. HPV vaccine.

According to a study by the Centers for Disease Control of the United States, the probability of being infected with HPV is as high as 80% in a person’s life. Most HPV infections can be autoimmunely cleared by the human body. A few viruses that cannot be cleared by themselves will continue to infect and lead to evolution. For cancer.

Xu Junjie reminded that men and women may be infected with HPV and should be actively vaccinated against HPV. Men are a high-risk group for HPV-related oropharyngeal cancer and can be vaccinated with the nine-valent HPV vaccine, with a preventive effect of up to 86%. For patients suffering from oropharyngeal cancer due to HPV virus infection, they can also be vaccinated with HPV vaccine after the end of the treatment course to reduce the risk of re-infection with HPV virus in the future.

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