Year 2022 / Volume 114 / Number 12
Original
Anal intraepithelial neoplasia screening in patients with human immunodeficiency virus infection

713-718

DOI: 10.17235/reed.2022.8489/2021

Myriam Fernández Isart, Julia Serra Esteban, Juan José Segura Sampedro, Isabel Amengual Antich, Marco Antonio Martínez Ortega, Ana Forteza Valades, Melchor Riera Jaume, Francesc Xavier González Argente,

Abstract
Introduction: the incidence of anal cancer has increased in recent years, making screening and early detection of anal intraepithelial neoplasia (AIN) a necessity in patients at risk. Methods: a descriptive observational study of homosexual patients (MSM) or women with cervical intraepithelial neoplasia (CIN) III, with human immunodeficiency virus (HIV) infection, included in an AIN detection screening program was carried out between March 2016 and September 2019. Results: we have performed 695 anal smears, 156 with results of LSIL (low-grade lesion) or HSIL (high-grade lesion) (22.4 %), and 116 high resolution anoscopy (HRA), 75.3 % of patients with altered cytology. We have 403 biopsies, being 84 % pathological, 197 biopsies of AIN I (49 %), 96 of AIN II and III (24 %), 44 condylomas (11 %) and the rest (16 %), normal mucosa. Conclusion: the high prevalence of premalignant lesions and the improvement in the staging of lesions after treatment recommend this protocol.
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15/01/2023 0:07:43
Intento leer en Español, no me permite leer los artículos completos


10/01/2023 17:46:20
Intento leer en Español, no me permite leer los artículos completos


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Fernández Isart M, Serra Esteban J, Segura Sampedro J, Amengual Antich I, Martínez Ortega M, Forteza Valades A, et all. Anal intraepithelial neoplasia screening in patients with human immunodeficiency virus infection . 8489/2021


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Publication history

Received: 02/12/2021

Accepted: 21/02/2022

Online First: 14/03/2022

Published: 12/12/2022

Article revision time: 74 days

Article Online First time: 102 days

Article editing time: 375 days


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