喉頭
Online ISSN : 2185-4696
Print ISSN : 0915-6127
ISSN-L : 0915-6127
シンポジウム1 「喉頭気管乳頭腫の最前線」
再発性気道乳頭腫症に対するHPVワクチン併用手術治療の効果
松﨑 洋海牧山 清平井 良治
著者情報
キーワード: HPV, RRP, ワクチン
ジャーナル フリー

2021 年 33 巻 02 号 p. 65-68

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Recurrent respiratory papillomatosis (RRP) is a type of papillomatosis that frequently recurs in the airway after surgery. To suppress the aggressiveness of this disease, several adjuvant therapy options have been presented. However, no concrete approach for managing RRP has been developed. We conducted a series of studies to examine the effect of human papillomavirus (HPV) vaccination as adjuvant therapy for RRP and review the findings here. We first demonstrated the specific frequency of the HPV-6 or HPV-11 infection rate of laryngeal papilloma among various laryngeal diseases, including polyps, nodules, cysts, leukoplakias, and carcinomas. Another study showed significant increases in the HPV antibody titer in 12 RRP patients after HPV vaccination. We further showed that the HPV infection status changed from “positive” to “negative” by 12 months after surgery following HPV vaccination among nearly 70% of 12 RRP patients. Our latest study showed a significant reduction in both the disease severity and tumor existence rate after surgery following HPV vaccination for approximately 80% of 16 RRP patients. Our previous findings suggest that HPV vaccination may be a viable adjuvant therapy option for RRP.

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