Anal cancer screening

Although anal cancer is common in HIV positive men who have sex with men, few centres offer systematic screening. Regular digital ano-rectal examination (DARE) is a type of screening that has been recommended by some experts. How widely this forms part of HIV management guidelines is unclear.

7p vilisa271 22-09-2020 12 1   Download

Men who have sex with men (MSM) living with HIV are at increased risk for anal cancer. We evaluated satisfaction with first-time anal cancer screening using high resolution anoscopy (HRA) as a cross sectional survey among men who have sex with men (MSM) attending a community-engaged clinic in Abuja, Nigeria.

9p vikuala271 13-06-2020 5 1   Download

The efficacy of a screen-and-treat program is influenced not only by accuracy of the screening test but also by the ability of the treatment, in this case cryotherapy, to eliminate CIN2+ lesions identified by screening. While cryotherapy was highly successful in this trial, eliminating 75 to 77 percent of CIN2+ lesions, this was lower than previously reported 85 to 90 percent cure rates for clinical trials in developed countries and for less rigorous studies in developing regions.

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Bangladesh has no organized screening program, but recently the government decided to expand opportunistic VIA screening, making it one of the first countries to introduce VIA for its national cervical cancer screening program. 13 A report on this program14 announced that more than 100,000 women over 30 years of age had been screened, with a VIA positivity rate of less than 5 percent—a very low rate, which was attributed to extensive training and to the predominantly Muslim population. ...

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Finally, research is needed to identify other groups that may benefit from anal screening, including women, and to document the efficacy of anal screening programs in lowering the incidence of anal cancer among those at risk. Widespread screenings of high risk groups may be a cost effective opportu- nity to prevent anal cancer and may well result in lower rates of this disease. Public health leaders should give serious consider- ation to encouraging bi-annual screening for all gay and bisexual men, and annual screen- ing for those gay and bisexual men who are living with HIV....

16p taisaokhongthedung 09-01-2013 36 1   Download