Shah Ankit, Malik Akshat, Garg Apurva, Mair Manish, Nair Sudhir, Chaturvedi Pankaj
Department of Head and Neck Oncology, Tata Memorial Hospital, Mumbai, India.
Postgrad Med J. 2017 Nov;93(1105):704-709. doi: 10.1136/postgradmedj-2016-134603. Epub 2017 Aug 4.
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 last few decades. However, most institutions do not mandate documentation of sexual history or counselling of patients regarding sexual practices like they do for tobacco and alcohol addictions in HNSCC patients. The aim of this review of literature is to analyse if there is a strong evidence to correlate oral sex with HPV related HNSCC and counsel the patient's regarding sexual behaviours.
头颈部鳞状细胞癌（HNSCCs）是全球发病和死亡的一个重要原因。如今，与烟草和酒精一样，人乳头瘤病毒（HPV）感染被认为在一部分HNSCCs的发病机制中起作用。与HPV携带者进行无保护性行为在该病毒传播中起重要作用。全球头颈癌发病率正在下降，但在过去几十年里，HPV相关头颈癌的发病率却在迅速上升。然而，大多数机构并不像对头颈部鳞状细胞癌患者的烟草和酒精成瘾情况那样，要求记录患者的性史或就性行为问题为患者提供咨询。这篇文献综述的目的是分析是否有充分证据将口交与HPV相关的头颈部鳞状细胞癌联系起来，并就性行为问题为患者提供咨询。
