Anal cytology screening for lesions among HIV-positive patients.
49% of the 560 clinic patients were screened for two years, of whom 32% were women. 28% had abnormal anal cytology, and they were also more likely to have anal disease on perianal visual inspection and a history of genital warts. They were also more likely to be caucasian, homosexual or bisexual and have a lower CD4+ count. Routine anal cytology screening is a feasible tool to incorporate into routine HIV care. Cytological abnormalities were found in patients without obvious risk factors, suggesting that all HIV-positive patients should have anal cancer screening. The follow-up for abnormal cytology represents the most difficult aspect of the programme, including getting patients to come for anoscopy. (1)
(1.) Scott H, Khoury R, Moore BA, et al. Routine anal cytology screening for anal squamous intraepithelial lesions in an urban HIV clinic. Sexually Transmitted Diseases 2008;35(2):197-202.
|Printer friendly Cite/link Email Feedback|
|Title Annotation:||ROUND UP: Reproductive cancers|
|Publication:||Reproductive Health Matters|
|Article Type:||Brief article|
|Date:||Nov 1, 2008|
|Previous Article:||Human papillomavirus (HPV) vaccination, UK.|
|Next Article:||Cervical intraepithelial neoplasia and higher long-term risk of cancer.|