Is an oropharyngeal HPV infection more frequently detectable in women with a genital HPV infection?

Eur Arch Otorhinolaryngol. 2024 Feb;281(2):1041-1046. doi: 10.1007/s00405-023-08314-0. Epub 2023 Nov 10.

Abstract

Purpose: If not eliminated by the immune system and persisting over years, oropharyngeal high-risk HPV infection can lead to cancer development in the oropharynx. HPV infection is very commonly found in the genital region and can serve as an HPV reservoir. In this study, we investigate whether women with a genital HPV infection are at a higher risk of harboring an undetected oropharyngeal HPV infection via genital-oropharyngeal transmission.

Methods: Women presenting for routine gynecological checkups were included in this study. All participants received an HPV brush test from the genital region as well as from the oropharynx. Additionally, probable risk factors for an HPV infection were assessed in a structured questionnaire.

Results: 142 women were included in this study. The rate of oropharyngeal HPV infection was low with 2/142 (1,4%) women positive for a low-risk HPV genotype. In the genital brush test, 54/142 (38%) women were tested HPV positive of which 41/142 (29%) were positive for a high-risk HPV genotype.

Conclusions: The rate of an oropharyngeal HPV detection in our population was low with 2/142 women harboring a low-risk HPV infection.

Keywords: HPV infection; HPV transmission; Human papillomavirus; Oropharyngeal cancer.

MeSH terms

  • Female
  • Genitalia
  • Humans
  • Male
  • Oropharyngeal Neoplasms*
  • Papillomaviridae / genetics
  • Papillomavirus Infections* / diagnosis
  • Papillomavirus Infections* / epidemiology
  • Risk Factors