Condylomata ( Genital Warts ; HPV ) :
-Incubation period after exposure ranges from 3 weeks to 8 months ;
-Most infections are transiet and cleared within 2 years ;
-Viral strains that cause condyloma do not cause cancer ;
-May enlarge during pregnancy .
-Usually detected at the time of a Pap smear ;
Tests:
-Pelvic exam ;
-Cervical cytology ;
-Colposcopy and biopsy to assess for premalignant lesions (dysplasia) ;
Labs:
-Biopsy specimens at colposcopy ;
-HPV viral subtyping as an adjunct to Pap testing may be indicated to assess the concomitant presence of high-risk HPV types ;
Treatment :
-Chemical or physical destruction ;
-Immunologic therapy ;
-Surgical excision ;
-Spontaneous regression is also possible .
HPV strains causing warts may coexist with strains that cause cervical premalignant changes .