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Anal cancer screening in men who have sex with men

Anal cancer screening in men who have sex with men Paul Fox Chelsea & Westminster Hospital, St Stephen’s Centre, Purpose of review London, UK To determine whether current evidence and expert opinion support the routine use of Correspondence to Dr Paul Fox, MA, FRCP, Consultant anal cytology and high-resolution anoscopy in men who have sex with men. Physician, Chelsea & Westminster Hospital, Recent findings St Stephen’s Centre, 369 Fulham Road, London SW10 9NH, UK Most recently published guidelines do not recommend routine anal cytology, but anal E-mail: Paul.Fox@eht.nhs.uk cancer is undoubtedly a serious and growing problem for HIV-positive patients. Two Current Opinion in HIV and AIDS 2009, recent cohort studies have provided data that suggest that the precursor lesion (high- 4:64–67 grade squamous intraepithelial lesion) might not be more prevalent in patients on highly active antiretroviral therapy than in historical pre-highly active antiretroviral therapy cohorts or in HIV-negative men who have sex with men. If substantiated by further studies, this would make it easier to focus intervention with high-resolution anoscopy on a smaller group of patients. This would be helpful because high-resolution anoscopy remains a resource that is both costly and difficult to access in most countries. The sensitivity and specificity of anal cytology is poor and adjuncts to http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Current Opinion in HIV and Aids Wolters Kluwer Health

Anal cancer screening in men who have sex with men

Current Opinion in HIV and Aids , Volume 4 (1) – Jan 1, 2009

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References (26)

ISSN
1746-630X
eISSN
1746-6318
DOI
10.1097/COH.0b013e32831a6fe0
Publisher site
See Article on Publisher Site

Abstract

Paul Fox Chelsea & Westminster Hospital, St Stephen’s Centre, Purpose of review London, UK To determine whether current evidence and expert opinion support the routine use of Correspondence to Dr Paul Fox, MA, FRCP, Consultant anal cytology and high-resolution anoscopy in men who have sex with men. Physician, Chelsea & Westminster Hospital, Recent findings St Stephen’s Centre, 369 Fulham Road, London SW10 9NH, UK Most recently published guidelines do not recommend routine anal cytology, but anal E-mail: Paul.Fox@eht.nhs.uk cancer is undoubtedly a serious and growing problem for HIV-positive patients. Two Current Opinion in HIV and AIDS 2009, recent cohort studies have provided data that suggest that the precursor lesion (high- 4:64–67 grade squamous intraepithelial lesion) might not be more prevalent in patients on highly active antiretroviral therapy than in historical pre-highly active antiretroviral therapy cohorts or in HIV-negative men who have sex with men. If substantiated by further studies, this would make it easier to focus intervention with high-resolution anoscopy on a smaller group of patients. This would be helpful because high-resolution anoscopy remains a resource that is both costly and difficult to access in most countries. The sensitivity and specificity of anal cytology is poor and adjuncts to

Journal

Current Opinion in HIV and AidsWolters Kluwer Health

Published: Jan 1, 2009

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