[Question #5676] HPV Questions

19 months ago
Backdrop. Since the end of 2015 until May of 2019, I had a skin tag. So I thought. By the way, this skin tag turned out to be a wart. The wart was on my skin with multiple women. To date, I've had no previous partner call me. Also, my fiancee to be since 2016 September hasn't broke out. And she had a pap smear in 2017 while carrying our child, who is now two. The pap smear was normal.

May 2019, after speaking with a doctor who said it wasn't a wart and to not worry, gave me an option of doing a biopsy. I accepted and paid for the biopsy. 

My results 
Squamous Papilloma compatible with Condyloma 
No- High-Grade Dysplasia 
Or Malignancy Seen
0.4X 0.3X 0.1 shaved sized sample 

My questions
1. I've read that my biopsy result exemplifies that of a under developed wart (Off the Internet of Course.
2. My doctor said, she doesn't think I will ever have a break out again?
3. Will my partner ever break out, if she hasn't since 2016?
4. Are their different types of genital warts?
5. Everything I read, points to Squamous Papilloma being in the mouth and not spreading or growing big inside, can these characteristics be the same as if it was on the penis?
6. I'm 29 years of age. Will hpv be cured in my lifetime. 
7. Do you guys have any information on ”Clinical trial shows promise of immune treatment against HPV infections that lead to cancer” From Diane Harper?
Thanks in advance 
19 months ago
Can somebody answer my question 
Edward W. Hook M.D.
Edward W. Hook M.D.
19 months ago
Please be patient.  Our forum is not covered 24/7.  We answer all quesitons ithin 24 hours of submission and typically sooner than that.  On to your questions:

1. I've read that my biopsy result exemplifies that of a under developed wart (Off the Internet of Course.
There are over 100 different types of HPV.  Only a fraction of those typically cause genital infections and of those that cause genital tract infections, far fewer than 1% of all infections progress to cancer.  The proportion of visible warts/HPV which progress to cancer is lower still.  Squamous papillomas are associated with HPV viruses which typically do not infect the genital tract and while they may be a nuisance, they are typically benign and not a health risk. Further, the HPV which cause squamous papilloma appear to be less infectious during sexual contact than they types that traditionally cause genital warts.

2. My doctor said, she doesn't think I will ever have a break out again?
I agree.  Typically if a wart is going to recur it does so in 3-6 months.  Further the nature of your lesion is such that recurrence is a relatively rare event.

3. Will my partner ever break out, if she hasn't since 2016?
No

4. Are their different types of genital warts?
Yes, see comment above about HPV types and the tendency of different types to both cause different sorts of lesions (not all HPV infections cause warts) and to infect different types of skin (the HPV that causes plantar warts on people's feet does not infect the genital for instance)
5. Everything I read, points to Squamous Papilloma being in the mouth and not spreading or growing big inside, can these characteristics be the same as if it was on the penis?
Yes

6. I'm 29 years of age. Will hpv be cured in my lifetime. 
We know that HPV can be prevented with the HPV vaccine.  Persons can be cured with a variety of therapies, including excision such as you underwent.

7. Do you guys have any information on ”Clinical trial shows promise of immune treatment against HPV infections that lead to cancer” From Diane Harper?
Dr. Harper is a respected investigator.  I do not know of the specific study you are referring to, sorry

I hope this information is helpful.  I really would not worry further regarding the lesion you described above.  EWH

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