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Human Papilloma Virus

HPV

CAPT Mike Hughey, MC, USNR

Operational Obstetrics & Gynecology Bureau of Medicine and Surgery 2000

Slide 1

Clinical Warts

Cauliflower-like lesions
White or flesh-colored May cause itching/burning May have no symptoms

Operational Obstetrics & Gynecology Bureau of Medicine and Surgery 2000

Slide 2

Sub-clinical Warts
Flat

Virtually invisible
May cause itching/burning May have no symptoms Identify with vinegar and 4-10X magnification

Operational Obstetrics & Gynecology Bureau of Medicine and Surgery 2000

Slide 3

Transmission
Skin to skin contact Condoms offer little protection Don't treat partners unless symptomatic

Operational Obstetrics & Gynecology Bureau of Medicine and Surgery 2000

Slide 4

Relationship to Cancer

Appears to be a prerequisite to cervical cancer


Vast majority of those with HPV do not develop cancer Smoking, immune response are co-factors

Operational Obstetrics & Gynecology Bureau of Medicine and Surgery 2000

Slide 5

Treatment of Warts
All treatment involves destroying the patients skin which has grown in a strange and annoying way. You are not eliminating the virus, nor eliminating any chance of re-occurrence. Dont overtreat.

Operational Obstetrics & Gynecology Bureau of Medicine and Surgery 2000

Slide 6

Treatment with Cryosurgery

Liquid nitrogen
Nitrous oxide/CO2 gun Use only on wart DONT USE INSIDE THE VAGINA

Multiple treatments

Operational Obstetrics & Gynecology Bureau of Medicine and Surgery 2000

Slide 7

Treatment with Podophyllin


Wash off in 4-6 hours

Hepatotoxic, nephrotoxic
Small amounts

Don't use inside vagina


MULTIPLE TREATMENTS

Operational Obstetrics & Gynecology Bureau of Medicine and Surgery 2000

Slide 8

Other Treatments
Bichloracetic Acid (BCA or TCA) Cut them out Burn them off Electrocute them

Nothing (50% resolve in 1 year)

Operational Obstetrics & Gynecology Bureau of Medicine and Surgery 2000

Slide 9

Operational Obstetrics & Gynecology Bureau of Medicine and Surgery 2000

Slide 10

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