Cancers Associated with Human Papillomavirus, United States—2013–2017
Human papillomavirus (HPV) is a recognized cause of cancer. Although most HPV infections are asymptomatic and clear spontaneously, persistent infections can progress to precancer or cancer. HPV causes most cervical cancers, as well as some cancers of the vagina, vulva, penis, anus, and oropharynx (cancers of the back of the throat, including the base of the tongue and tonsils). Cancer registries do not routinely collect information about HPV status, so in this report, HPV-associated cancers are defined as those that occur in parts of the body where HPV is often found. In the charts below, anal cancers include anal and rectal squamous cell carcinomas.
Figure 1. Number of New HPV-Associated Cancer Cases Each Year
Based on data from 2013 to 2017 about 45,300 new cases of HPV-associated cancers occurred in the United States each year, including about 25,400 among women, and about 19,900 among men.
Cervical cancer is the most common HPV-associated cancer among women, and oropharyngeal cancers (cancers of the back of the throat, including the base of the tongue and tonsils) are the most common among men.
Figure 2. Rate of HPV-Associated Cancers by Sex and Cancer Type
Figure 3. Rate of HPV-Associated Cancers by Sex and Race/Ethnic Group
The incidence rate (number of cases per 100,000 persons, age-adjusted to the 2000 U.S. standard population) of HPV-associated cancers varied by cancer type, sex, and race/ethnic group. In each race/ethnic group, women had higher incidence than men. However, there were differences by cancer site. For example, men had higher incidence of HPV-associated cancers of the oropharynx than women. White men and women had the highest incidence rates and Asian/Pacific Islander men and women had the lowest incidence rates compared with other racial groups. Non-Hispanic men and women had higher incidence rates than Hispanic men and women.
Figure 4. Estimated Annual Number of Cancer Cases Attributable to HPV by Sex, Cancer Type, and HPV Type
For each cancer type, we estimated HPV-attributable cancers by multiplying the number of cancer cases by the percentage attributable to HPV based on a genotyping study. We estimated that 35,900 cancers (79%) were attributable to HPV each year during 2013–2017. Of these, we estimated that 33,000 cancers could have been prevented by the 9-valent HPV vaccine, including 28,800 caused by HPV types 16 and 18, and 4,200 caused by HPV types 31, 33, 45, 52, and 58. HPV-negative cancers are not shown in the graph; it is estimated that about 10% of cervical and anal cancers, 30% of oropharyngeal, vaginal, and vulva cancers and 40% of penile cancers are HPV-negative.
HPV vaccination is cancer prevention. Please visit CDC’s HPV website for information about HPV vaccinations.
Data in this brief come from U.S. Cancer Statistics, the official federal cancer statistics.
Information about new cancer cases come from cancer registries participating in CDC’s National Program of Cancer Registries and/or NCI’s Surveillance, Epidemiology, and End Results program for 2013–2017, covering 100% of the U.S. population. The analysis and methods were based on: Viens et al. Human papillomavirus-associated cancers—United States, 2008–2012. MMWR 2016;65(26):661–666.
Notes About the Data
Population-based cancer registries do not routinely collect information about HPV status; however, the data can be used to monitor the number of cancers associated with HPV and estimate the number probably caused by HPV.
An HPV-associated cancer is a specific cellular type of cancer that is diagnosed in a part of the body where HPV is often found. These parts of the body include the cervix, vagina, vulva, penis, anus, and oropharynx (back of the throat, including the base of the tongue and tonsils). These cellular types include carcinomas of the cervix and squamous cell carcinomas of the vagina, vulva, penis, anus (including rectal squamous cell carcinoma), and oropharynx.
An HPV-attributable cancer is a cancer probably caused by HPV, and is estimated by multiplying the number of HPV-associated cancers by the percentage attributable to HPV. Based on a CDC study that used population-based data to genotype HPV types from cancer tissue, about 90% of cervical and anal cancers, 70% of oropharyngeal, vaginal, and vulvar cancers, and 60% of penile cancers are attributable to HPV.
Centers for Disease Control and Prevention. Cancers Associated with Human Papillomavirus, United States—2013–2017. USCS Data Brief, no 18. Atlanta, GA: Centers for Disease Control and Prevention, US Department of Health and Human Services; 2020.