[HPV-related cancer: should young men be vaccinated?].
HPV infection, a sexually transmissible disease, causes squamous cell carcinoma in a small fraction of infected individuals, years after exposure. Several cancers both in female and male, such as cervical cancer, anal carcinoma and up to 50% of oropharyngeal tumors are related to serotypes 16 and 18 of HPV. Several studies evaluating vaccination of young women before HPV exposure showed very good protection against cervical dysplasia and carcinoma in situ. Health authorities' guidelines now widely recommend vaccination of female between 11 and 14 years old. Results of recent trials also reveal good protective effect in men, raising the question of immunizing both young women and men. Important medical and socio-economic issues will need to be addressed before implementing such program.
Service d'oncologie, Département des spécialités de médecine, HUG, 1211 Genève 14. assma.benaissa@hcuge.ch
Assma
A
Ben Aissa
Nicolas
N
Mach
D000293:Adolescent; D002294:Carcinoma, Squamous Cell / Q000276:immunology / Q000401:mortality / Q000517:prevention & control; D002648:Child; D005260:Female; D052162:Human papillomavirus 16 / Q000276:immunology / Q000472:pathogenicity / Q000502:physiology*; D052161:Human papillomavirus 18 / Q000276:immunology / Q000472:pathogenicity / Q000502:physiology*; D006801:Humans; D008297:Male; D030361:Papillomavirus Infections / Q000150:complications / Q000276:immunology / Q000517:prevention & control* / Q000635:transmission; D011230:Precancerous Conditions / Q000209:etiology / Q000517:prevention & control; D012737:Sex Factors; D002583:Uterine Cervical Neoplasms / Q000276:immunology / Q000401:mortality / Q000517:prevention & control*; D014611:Vaccination / Q000379:methods*; D002578:Uterine Cervical Dysplasia / Q000276:immunology / Q000401:mortality / Q000517:prevention & control*