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High Prevalence of High Grade Anal Intraepithelial Neoplasia in HIV-Infected Women Screened for Anal Cancer
被引:19
|作者:
Hou, June Y.
[1
,2
,3
,4
,5
,6
]
Smotkin, David
[1
,2
,3
,4
,5
,6
]
Grossberg, Robert
[1
,2
,3
,4
]
Suhrland, Mark
[1
,2
,3
,4
]
Levine, Rebecca
[1
,2
,3
,4
]
Smith, Harriet O.
[1
,2
,3
,4
,5
,6
,7
]
Negassa, Abdissa
[5
,6
]
McAndrew, Thomas C.
[5
,6
]
Einstein, Mark H.
[1
,2
,3
,4
,5
,6
,7
]
机构:
[1] Montefiore Med Ctr, Dept Obstet & Gynecol & Womens Hlth, Bronx, NY 10461 USA
[2] Montefiore Med Ctr, Dept Med, Bronx, NY 10461 USA
[3] Montefiore Med Ctr, Dept Pathol, Bronx, NY 10461 USA
[4] Montefiore Med Ctr, Dept Surg, Bronx, NY 10461 USA
[5] Albert Einstein Coll Med, Dept Obstet & Gynecol & Womens Hlth, Bronx, NY 10467 USA
[6] Albert Einstein Coll Med, Dept Epidemiol & Populat Hlth, Bronx, NY 10467 USA
[7] Albert Einstein Canc Ctr, Bronx, NY 10461 USA
基金:
美国国家卫生研究院;
关键词:
anal cancer screening;
anal cytology;
high-resolution anoscopy;
HPV-associated disease;
LESIONS;
CYTOLOGY;
RISK;
PERFORMANCE;
POPULATION;
ADULTS;
MEN;
D O I:
10.1097/QAI.0b013e318251afd9
中图分类号:
R392 [医学免疫学];
Q939.91 [免疫学];
学科分类号:
100102 ;
摘要:
There is no consensus on optimal screening for anal cancer (AC) in HIV+ women. Seven hundred fifteen unique asymptomatic women in a high-prevalence HIV+ community were screened for AC with anal cytology and triage to high-resolution anoscopy after routine screening was implemented in a large urban hospital system. Of these, 75 (10.5%) had an abnormal anal cytology and 29 (38.7%) of those with an abnormality had high-grade anal intraepithelial neoplasia (AIN). Women with poorly controlled HIV were significantly more likely to have high-grade AIN (P = 0.03). Given the high rate of AIN in screened HIV-infected women, routine AC screening in all HIV-infected women should be strongly considered.
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页码:169 / 172
页数:4
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