Human Papillomavirus and Oral Lesions: What is the Best Diagnostic Method?

J Craniofac Surg. 2022 May 1;33(3):e279-e281. doi: 10.1097/SCS.0000000000008113. Epub 2021 Sep 15.

Abstract

Oropharyngeal squamous cell carcinoma is the most common neoplasm of head and neck cancers related to the presence of human papillomavirus (HPV). in the dental, maxillofacial and ENT fields, the finding of mediated HPV lesions is quite common. The diagnostic techniques currently available are different and can be more or less invasive depending on the type of lesion and the need for the clinician. In this study, two clinical cases subjected to a double diagnostic technique were considered in order to exclude any possible risk of false negatives. The polymerase chain reaction (PCR) technique showed a lower sensitivity or in any case dictated by a limited number of HPV strains analyzed. Histological examination nowadays turns out to be the best diagnostic method despite requiring a surgical phase.

MeSH terms

  • Alphapapillomavirus*
  • Carcinoma, Squamous Cell* / diagnosis
  • Carcinoma, Squamous Cell* / pathology
  • DNA, Viral / analysis
  • Head and Neck Neoplasms*
  • Humans
  • Oropharyngeal Neoplasms* / diagnosis
  • Papillomaviridae / genetics
  • Papillomavirus Infections* / diagnosis

Substances

  • DNA, Viral