Some experts recommend anal cytologic screening or high-resolution anoscopy
for HIV-positive men and women, but it's worth noting that strategy hasn't been incorporated into any national practice guidelines.
The men were advised to see their primary provider to discuss whether they should have high-resolution anoscopy
Subjects with abnormal anal screening cytology are referred for a high-resolution anoscopy
(HRA) or colposcopic evaluation of the anus.
Non-controlled studies have shown variable results with trichloroacetic acid (Singh, Kuohung, & Palefsky, 2009) and high-resolution anoscopy
(HRA) targeted ablation (Cranston, Hirschowitz, Cortina, and Moe, 2008; Goldstone, Hundert, & Huyett, 2007; Nathan, Hickey, Mayuranathan, Vowler, & Singh, 2008; Pineda et al.
Investigators followed these subjects every 6 months for 36 months with polymerase chain reaction testing for HPV DNA, high-resolution anoscopy
with anal cytology, and anal biopsy and histology if there were atypia.
If cytology indicates anal cell abnormalities, then we refer them for high-resolution anoscopy
and biopsy of suspicious lesions.
Similar to colposcopy for the cervix, high-resolution anoscopy
can be done in patients with abnormal anal cytologic findings.
His talk underscored the need of trained clinicians in high-resolution anoscopy
(HRA) and of expanding expertise and availability of this procedure.
The response was assessed by cytology, high-resolution anoscopy
and biopsy two months after therapy.
Mark Spitzer said in an interview that the organization doesn't have guidelines on routine anal cytologic screening because there is not yet sufficient scientific evidence to show that anal cytology and high-resolution anoscopy
work to reduce the incidence of anal cancer.
Women who joined the anal HPV study never had anal cancer and agreed (1) to give an anal swab specimen for HPV testing, and (2) to undergo high-resolution anoscopy
, a procedure that provides a magnified view of the anal canal.