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HPV Causing More Oral Cancer in Men
www.physorg.com ^ | 02/02/2008 | MIKE STOBBE

Posted on 02/05/2008 10:56:28 AM PST by Red Badger

The sexually transmitted virus that causes cervical cancer in women is poised to become one of the leading causes of oral cancer in men, according to a new study.

The HPV virus now causes as many cancers of the upper throat as tobacco and alcohol, probably due both to an increase in oral sex and the decline in smoking, researchers say.

The only available vaccine against HPV, made by Merck & Co. Inc., is currently given only to girls and young women. But Merck plans this year to ask government permission to offer the shot to boys.

Experts say a primary reason for male vaccinations would be to prevent men from spreading the virus and help reduce the nearly 12,000 cases of cervical cancer diagnosed in U.S. women each year. But the new study should add to the argument that there may be a direct benefit for men, too.

"We need to start having a discussion about those cancers other than cervical cancer that may be affected in a positive way by the vaccine," said study co-author Dr. Maura Gillison of Johns Hopkins University.

The study was published Friday in the Journal of Clinical Oncology.

Human papillomavirus, or HPV, is the leading cause of cervical cancer in women. It also can cause genital warts, penile and anal cancer - risks for males that generally don't get the same attention as cervical cancer.

Previous research by Gillison and others established HPV as a primary cause of the estimated 5,600 cancers that occur each year in the tonsils, lower tongue and upper throat. It's also been known that the virus' role in such cancers has been rising.

The new study looked at more than 30 years of National Cancer Institute data on oral cancers. Researchers categorized about 46,000 cases, using a formula to divide them into those caused by HPV and those not connected to the virus.

They concluded the incidence rates for HPV-related oral cancers rose steadily in men from 1973 to 2004, becoming about as common as those from tobacco and alcohol.

The good news is that survival rates for the cancer are also increasing. That's because tumors caused by HPV respond better to chemotherapy and radiation, Gillison said.

"If current trends continue, within the next 10 years there may be more oral cancers in the United States caused by HPV than tobacco or alcohol," Gillison said.

Studies suggest oral sex is associated with HPV-related oral cancers, but a cause-effect relationship has not been proved. Other researchers have suggested that even unwashed hands can spread it to the mouth as well.

Gillison pointed toward sex as an explanation for the increase in male upper throat cancers. However, HPV-related upper throat cancers declined significantly in women from 1973 to 2004.

Merck's vaccine, approved for girls in 2006, is a three-dose series priced at about $360. It is designed to protect against four types of HPV, including one associated with oral cancer.

Merck has been testing the vaccine in an international study, but it is focused on anal and penile cancer and genital warts, not oral cancers, said Kelley Dougherty, a Merck spokeswoman.

"We are continuing to consider additional areas of study that focus on both female and male HPV diseases and cancers," Dougherty said.

Merck officials praised Gillison's research, saying it will elevate the importance of HPV-related oral cancers.

Government officials and the American Cancer Society say they don't know yet whether Merck's vaccine will be successful at preventing disease in men. No data from the company's study are available yet.

Indeed, it's not clear yet that the vaccine even prevents the HPV infection in males, let alone cancer or any other illness, said Debbie Saslow of the American Cancer Society.

Merck plans to seek U.S. Food and Drug Administration approval for the vaccine in men later this year, meaning a government decision would be likely in 2009.


TOPICS: Culture/Society; News/Current Events
KEYWORDS: hpv; males; promiscuity; std
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To: Red Badger

21 posted on 02/05/2008 11:08:53 AM PST by evets (beer)
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To: Red Badger

I suspect this is mostly the gay community, helping to spread diseases as usual.


22 posted on 02/05/2008 11:09:10 AM PST by Cicero (Marcus Tullius)
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To: Red Badger

I heard that ** 80% ** of Women have some type of HPV by age 50 !!


23 posted on 02/05/2008 11:09:30 AM PST by LiveFreeOrDie2001
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To: b4its2late

Okay........

24 posted on 02/05/2008 11:10:01 AM PST by Red Badger ( We don't have science, but we do have consensus.......)
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To: tx_eggman

“32 years of monogamy leave me unconcerned about my risks.”

On the other hand CDC says that ~23% of sexually active women age 50-59 carry the HPV virus. Unless you and wife were dead bang (so to speak) virgins when you married, no guarantees. Percentages go up for the younger deciles till you hit around 50% for ages 20-24. It’s a jungle out there, I tell you, a jungle.


25 posted on 02/05/2008 11:10:16 AM PST by newroark
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To: LiveFreeOrDie2001

Cauliflower purple might work.....

26 posted on 02/05/2008 11:11:39 AM PST by Red Badger ( We don't have science, but we do have consensus.......)
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To: Red Badger; DuncanWaring; RockinRight

You know, it never occurred to me, until it was pointed out, that this could relate to homosexual activity, rather than men catching it from women who already had it.

Shows how behind the times I am!

Aah, the world once made some sense to me . . .


27 posted on 02/05/2008 11:12:14 AM PST by cvq3842
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To: newroark

Yea and I’m single looking for a gal, good luck to me & others.

...I ain’t giving that up though.


28 posted on 02/05/2008 11:12:19 AM PST by LiveFreeOrDie2001
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To: tx_eggman
"32 years of monogamy leave me unconcerned about my risks."

Same here for over 21 years.

It's amazing how little you have to worry about such things if you just try and live your life with morals and values.

29 posted on 02/05/2008 11:12:54 AM PST by Pablo64 (What is popular is not always right. What is right is not always popular.)
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To: Red Badger

Dude - I doubt it’s Purple...


30 posted on 02/05/2008 11:13:35 AM PST by LiveFreeOrDie2001
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To: cvq3842

I suspect this is how it was first transmitted to women, by bi-sexuals.......


31 posted on 02/05/2008 11:14:13 AM PST by Red Badger ( We don't have science, but we do have consensus.......)
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To: All

We have someone in our family who is HIV+. I spend a lot of time reading about this disease. I have a professional nursing background so I understand what I am reading.
The HPV vaccine is dangerous. Be informed before you vaccinate.
A homosexual is more apt to develope anal cancer, something like 600 times more likely, than the general public, thus the connection to oral cancers.
This is another politically correct article covering the obvious.


32 posted on 02/05/2008 11:14:18 AM PST by WestwardHo (Whom the god would destroy, they first drive mad.)
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To: LiveFreeOrDie2001
Dude - I doubt it’s Purple...

Don't make me post pictures.......;^)

33 posted on 02/05/2008 11:15:22 AM PST by Red Badger ( We don't have science, but we do have consensus.......)
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To: newroark

Actually, age 20-24 would be a vigintile, so my apology — weird histogram from the CDC on this, with the younger age groups divided into 5 year increments and then going to 10 year goupings after age 30.

http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5633a5.htm?s_cid=mm5633a5_e


34 posted on 02/05/2008 11:15:39 AM PST by newroark
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To: Red Badger

ROTFLMFAO !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!


35 posted on 02/05/2008 11:16:21 AM PST by LiveFreeOrDie2001
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To: Red Badger

Sounds about right.


36 posted on 02/05/2008 11:16:45 AM PST by cvq3842
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To: Red Badger

Purple, dude... purple.


37 posted on 02/05/2008 11:18:25 AM PST by Rick.Donaldson (http://www.transasianaxis.com - Visit for lastest on DPRK/Russia/China/Etc --Fred Thompson for Prez.)
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To: abishai

Dude.

Hillary Clinton and oral sex should not be mentioned together in any combination. It’s just bad manners.


38 posted on 02/05/2008 11:18:46 AM PST by ovrtaxt (No Rudy McRombee for me! I voted for Ron Paul. The GOP can curl up and die.)
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To: cvq3842

Buy Stock in the Company that makes testing for this.................


39 posted on 02/05/2008 11:19:22 AM PST by LiveFreeOrDie2001
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To: Red Badger

You’ve really got to watch what you eat these days.


40 posted on 02/05/2008 11:19:49 AM PST by VRWCmember (Romney 2008 - The most palatable RINO left in the race)
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