✦ LIBER ✦

Anorectal cytology as a screening tool for anal squamous lesions

✍ Scribed by Friedlander, Maria A. ;Stier, Elizabeth ;Lin, Oscar

Book ID: 102106296
Publisher: John Wiley and Sons
Year: 2003
Tongue: English
Weight: 213 KB
Volume: 102
Category: Article
ISSN: 0008-543X
DOI: 10.1002/cncr.11888

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✦ Synopsis

BACKGROUND.

Anorectal cytology has been increasingly used as a screening method for anal squamous lesions, particularly in high-risk, homosexual, patients with human immunodeficiency virus infection. The diagnostic cytologic, anoscopic, and histologic criteria bear some resemblance to the criteria used in cervicovaginal samples with few differences. It is important to recognize these differences because they can lead to an erroneous diagnosis of dysplasia and unnecessary procedures.

METHODS. Seventy

-eight anorectal cytology specimens from 51 patients were reviewed blindly. Of the 51 patients, 33 were HIV positive. The cytology specimens consisted of 75 ThinPrep (Cytyc, Boxborough, MA) and 3 conventional Papanicolaou-stained smear specimens. The revised diagnosis was compared with the original diagnosis, corresponding histology specimens, and anoscopic results, when available.

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