Thanks for this. Related - do you know whether path reports in the UK routinely identify whether head and neck cancer tumours are HPV+ or not? Patients in the US seem to know whether their cancer is HPV related or not and some posters on the oral foundation site seem to suggest that this knowledge could (eventually) affect treatment decisions. Non smokers whose tumours are HPV+ seem to do better than patients who have likely developed H&N cancer as a result of smoking. Thus some argue, although it is contested as there have not been proper clinical trials, that non smoker HPV patients may not require as radical treatment programmes as smokers.
I realise that clinicians are unlikely to advise non smoker HPV patients to undergo less radical treatments until further clinical trials have proved that this is appopriate. However, I just wondered whether H&N tumours currently undergo HPV testing. I have never dared ask our team in Brighton.
BTW I had a coversation with a young GP recently and he had no idea about the link between HPV and H&N cancer. Does this suggest that there is a need for education campaigns targetting health professionals?