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.
引用
收藏
页码:169 / 172
页数:4
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