I've seen this for the very first time of a letter from Oncology. I don't do Dr Google because it shakes me up. Can anybody tell me what this is (P16 positive) means. I was told I was negative for HPV?????
Also whilst I on here. I am now 8 months post Chemoradiation for throat cancer. I still cannot eat very much at all, I have been told stricture, scarring and swelling In my throat hence theceating priblem (some 4 months ago, havent seen anybody since late Jan). I have a long awaited ENT app on Thursday so hopefully I'll get an answer. I really expected to be eating, tasting and have functioning salivary glands by now but I haven't. What are other people experiences with this? I am so desperate having come so far to eat evennthough I sill have gunky mouth.
At least I have warmed up in this lovely weather!
Pauline
Hi Pauline. If it’s referring to your throat cancer eg it’s come from your regular oncologist i I would think if means your throat cancer was caused like mine and many others by the HPV virus and the strain is p16. HPV 16 + respond extra well to treatment
. Who told you negative ? Every letter I’ve ever had since diagnosis always has the tagline T2N2NM hpv 16 +. I woujd give your csncer burse or oncologist medical secretary s call to verify. As for the HPV virus st anyone tkne st least 80 % of world population has the virus the vast majority get rid of it without even knowing they’ve had it. A very small number lijd me and seems you our bodies don’t get rid of it and it lurks around eventually turning up an oral cancer in my case tonsils.
hope this helps .
salivary glands do take time I’m almost 5 years and now I can go several hours without a drink most days but when it’s warm I need more water food I reckon a good 12-15 mjnths before sny pleasure was got from food. You’re seeing consultant Thursday si ask him if you don’t want to ring
Hazel xx
Hazel aka RadioactiveRaz
My blog is www.radioactiveraz.wordpress.com HPV 16+ tonsil cancer Now 6 years post treatment. 35 radiotherapy 2 chemo T2N2NM.Happily getting on with living always happy to help
2 videos I’ve been involved with raising awareness of HNC and HPV cancers
Hi Pauline. P16 is a protein that appears on cells and it can be stained to make it visible on biopsy. It doesn't occur in all cancers but if you are infected with an HPV virus that does cause cancer there might be a lot of it and it shows up on the microscope slide. It's used a marker for HPV driven cancer. BUT some cancers stain P16 and are NOT HPV. The only way the histopathologist knows is to back up the P16 stain by looking for HPV DNA in the sample. This is expensive so simple P16 staining is used as a surrogate marker for HPV
You can be P16 positive but HPV negative......but not many people are. You could ask for clarity.
Regarding the eating. Is your stricture making swallowing difficult? Your team should get on top of this.
Salivary glands that are hit by RT are gone for good but there are plenty of small ones dotted around your mouth that should take over and I'm sure most RT plans try to leave one parotid gland untouched. Acupuncture helped kick start my salivary glands along with chewing gum to make them work. I couldn't taste much at six months but I could eat pretty well
Dani
Base of tongue cancer. T2N0M0 6 weeks Radiotherapy finished January 2019
I wrote a blog about my cancer. just click on the link below
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