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Nasal HPV link to Cancer

I appears from the source below HPV is linked to Nasal and Sinus Cancer

I was wondering how HPV would be passed to the Nasal passage? Perhaps self inoculation?

And also what sort of symptoms would appears and how long would it take for this to develop into cancer.

Any info would be great! Thanks

https://www.cancer.gov/types/head-and-neck/patient/paranasal-sinus-treatment-pdq
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