WOMENS-HEALTH Messages for January, 1998: Re: Hybrid Capture HPV DNA test

Re: Hybrid Capture HPV DNA test

From: Kelly Shanahan, MD (anonymous@obgyn.net)
Fri, 30 Jan 1998 17:48:19 -0600 (CST)

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In reply to: Harvey S. Marchbein, M.D.: "Re: Hybrid Capture HPV DNA test"

At Fri, 30 Jan 1998, Harvey S. Marchbein, M.D. wrote: >
>At Fri, 30 Jan 1998, Lori wrote:
>>
>>I just saw a news blip about this hybrid capture HPV dna test that is
>>supposed to help detect cervical cancer better than a pap smear. Is
>>this available in the US or does any one have more information on it?
>
>Lori,
>
>I use this in my practice so, yes, it is available in the US.
>
>It does not detect cancer of the cervix. It detects the presence or
>absence of a variety of subtypes of the virus H(uman) P(apilloma)
>V(irus).
>
>The test comes out :
>
>1)Negative for HPV
>
>2)Positive for low risk HPV (mainly subtypes 6 & 11 but others are
>included) This means tht the presence of this virus is more associated
>with wart formation and less with cancers although there is some
>crossover.
>
>3)Positive for high risk HPV (mainly subtypes 16 &18 but others are
>included). This means tht the presence of this virus is more associated
>with potentially cancerous possibilities and may need to be treated more
>aggressively even at its earlier stages.
>
>Hope this clears it up for you.
>
>--
>Harvey S. Marchbein, M.D. FACOG
>OBGYN.net U.S. Representative, New York
>Great Neck, New York

Just one thing I'd like to add to Dr. Marchbein's excellent answer: the test is pretty expensive. I, too, love it and find it very helpful in deciding how to treat certain abnormalities, but not all my patients can afford the HPV typing -- the lab we use charges $400.00, which ain't peanuts.

--
Kelly Shanahan, MD, FACOG
S. Lake Tahoe, CA

note: Opinions here are for educational purposes only. This information is not intended to supplant the need for you to consult with your own physician. It cannot take the place of a face to face consultation and examination.
Sorry, but private e-mails will not be answered.

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