High prevalence of high grade anal intraepithelial neoplasia in HIV-infected women screened for anal cancer

June Y. Hou; David Smotkin; Robert Grossberg; Mark Suhrland; Rebecca Levine; Harriet O. Smith; Abdissa Negassa; Thomas C. McAndrew; Mark H. Einstein

doi:10.1097/QAI.0b013e318251afd9

High prevalence of high grade anal intraepithelial neoplasia in HIV-infected women screened for anal cancer

June Y. Hou, David Smotkin, Robert Grossberg, Mark Suhrland, Rebecca Levine, Harriet O. Smith, Abdissa Negassa, Thomas C. McAndrew, Mark H. Einstein

Research output: Contribution to journal › Article › peer-review

16 Scopus citations

Abstract

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.

Original language	English (US)
Pages (from-to)	169-172
Number of pages	4
Journal	Journal of Acquired Immune Deficiency Syndromes
Volume	60
Issue number	2
DOIs	https://doi.org/10.1097/QAI.0b013e318251afd9
State	Published - Jun 1 2012
Externally published	Yes

All Science Journal Classification (ASJC) codes

Infectious Diseases
Pharmacology (medical)

Keywords

Anal cancer screening
Anal cytology
HPV-associated disease
High-resolution anoscopy

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10.1097/QAI.0b013e318251afd9

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title = "High prevalence of high grade anal intraepithelial neoplasia in HIV-infected women screened for anal cancer",

abstract = "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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AU - Hou, June Y.

AU - Smotkin, David

AU - Grossberg, Robert

AU - Suhrland, Mark

AU - Levine, Rebecca

AU - Smith, Harriet O.

AU - Negassa, Abdissa

AU - McAndrew, Thomas C.

AU - Einstein, Mark H.

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AB - 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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High prevalence of high grade anal intraepithelial neoplasia in HIV-infected women screened for anal cancer

Abstract

All Science Journal Classification (ASJC) codes

Keywords

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