Faculty Opinions recommendation of Management of precancerous anal intraepithelial lesions in human immunodeficiency virus-positive men who have sex with men: Clinical effectiveness and cost-effectiveness.

Author(s):  
Heather Yeo
Cancer ◽  
2017 ◽  
Vol 123 (23) ◽  
pp. 4709-4719 ◽  
Author(s):  
Ashish A. Deshmukh ◽  
Elizabeth Y. Chiao ◽  
Scott B. Cantor ◽  
Elizabeth A. Stier ◽  
Stephen E. Goldstone ◽  
...  

2019 ◽  
Vol 222 (1) ◽  
pp. 62-73 ◽  
Author(s):  
V W Jongen ◽  
O Richel ◽  
E Marra ◽  
M L Siegenbeek van Heukelom ◽  
A van Eeden ◽  
...  

Abstract Background Human immunodeficiency virus (HIV)–positive men who have sex with men (MSM) are at risk of anal squamous cell carcinoma. Data are limited on the natural history of the precursor to this carcinoma, anal squamous intraepithelial lesions (SILs). Methods HIV-positive MSM were screened for histopathological SILs by means of high-resolution anoscopy (HRA). For participants without SILs at baseline, we estimated the cumulative incidence and risk factors for SILs. For those with low-grade SILs (LSILs) at baseline, the risk of progression to high-grade SILs (HSILs) and the clearance rate were estimated at the lesion level. Results Of 807 men without SILs at baseline, 107 underwent follow-up HRA between 1 to 4.5 years later. At the second visit 18 men (16.8%) showed LSIL, and 25 (23.4%) HSIL. Age was associated with incident LSILs (adjusted odds ratio [aOR], 2.10 per 10-year increase in age; P = .01). Of 393 men with LSILs at baseline, 114 underwent follow-up HRA 0.5 to 2.5 years later. Of the 177 LSILs found at baseline, 87 (49.2%) had cleared at the second visit, and 29 (16.4%) had progressed to HSILs. Conclusion Incident LSILs and HSILs were common during follow-up among HIV-positive MSM without dysplasia at baseline. Among men with LSILs at baseline, nearly half of these lesions cleared, and a small portion progressed.


2018 ◽  
Vol 68 (8) ◽  
pp. 1377-1387 ◽  
Author(s):  
Elske Marra ◽  
Matthijs L Siegenbeek van Heukelom ◽  
Annemiek Leeman ◽  
Tim Waterboer ◽  
Chris J L M Meijer ◽  
...  

2018 ◽  
Vol 28 (12) ◽  
pp. 874-880 ◽  
Author(s):  
Johanna Chapin-Bardales ◽  
Axel J. Schmidt ◽  
Rebecca J. Guy ◽  
John M. Kaldor ◽  
Skye McGregor ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document