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Screening for anal cancer in the HIV positive population

Leonard Sowah03-17-2020 08:58

There is data that suggest that anal cancer rates in the US population has been increasing. A study by ...

Vickie Cobb-Lucien03-18-2020 08:58

Hello, I performed anal paps on HIV+ MSM annually and HIV- MSM every 3yrs. I had two cases last year ...

Daniel Pearce03-19-2020 09:15

I also have been seeing HIV patients since 1988 and have performed annual digital rectal exams on those ...

Leonard Sowah03-19-2020 11:04

There is no good data on progression at this time. Most clinicians and researchers in the field will ...

Robert Wallace03-20-2020 10:11

Thank you for your reply ------------------------------ Dr Bob Wallace MD AAHIVS Love the Golden ...

Daniel Warner03-18-2020 08:58

We are performing anal pap on all HIV positive patients and if positive for HPV subtypes 16/18/45 ...

Leonard Sowah03-19-2020 09:16

That sounds like a good idea, the guidelines in this field are not really clearly defined and practices ...

Schevaughn Carr-Celestine03-19-2020 09:14

I do anal Pap smears annually on my MSM. ------------------------------ Schevaughn Carr-Celestine Morris ...

Erik Wert03-22-2020 08:16

I do do anal paps on all my MSM, Fenway Health has preliminary guidelines, which tends to indicate ...

Jeff Taylor03-23-2020 09:39

The ANCHOR study should provide a definitive answer to whether screening & Tx of HSIL prevents ...

Leonard Sowah03-24-2020 10:04

Jeff thanks for the information, I believe we met at the comorbidities conference in NY last year. ...

Roque Anthony Velasco03-20-2020 10:11

We have a robust High-Resolution Anoscopy Program in my clinic. For anal cytology and high risk HPV ...

Ulrike Buchwald04-08-2020 17:45

May I ask whether HPV testing (high risk or specific for HPV 16/18) is paid for by insurance? Which ...

James Adams04-15-2020 16:00

Hi Ulrike: Sorry it has taken so long to respond to your question. So we use Labcorp for both our ...

Ulrike Buchwald04-15-2020 20:22

Thank you very much James, this is very helpful information. Are you ordering the anal cytology ...

Monique Welbeck03-20-2020 10:11

I would love to perform annual screening but since we do not have anyone in the area that is willing ...

Daniel Pearce03-21-2020 12:22

Yes MW, that is the rule I have agreed with for years. It took us several years in LA to find a proctologist ...

Jeff Taylor03-22-2020 08:03

As a patient advocate, PLWHIV & anal cancer survivor, I strongly advocate that providers not withhold ...

Kurtis Mohr03-23-2020 11:01

As an evolving HIV provider (I'm a Family Physician), I'm always referring to guidelines for assistance ...

Leonard Sowah03-24-2020 10:04

Your center could consider training and supporting a provider to start screening for the providers ...

Quintin Robinson03-23-2020 09:39

I perform anal paps on all PLWH including women and HIV+ men who do not have sex with men or engage ...

Leonard Sowah03-24-2020 10:05

Hey Quintin my friend, good to know you are doing anoscopies, I will like to share a recent study by ...

Daniel Pearce03-25-2020 09:53

It baffled me at first why the anus is a site for such cancer in those who do not have intercourse ...

Seja Jackson03-23-2020 15:53

Great question that has been debated for many years. Think there is not a great answer. I test all ...

Leonard Sowah03-24-2020 10:04

The data on HIV negative MSM is weaker, some recommend screening that group but starting at a older ...

James Adams03-26-2020 10:23

Hi everyone, I screen my HIV + patients over 25-30 with anal cytology + HPV testing, and I also do High ...

David Cupit05-14-2020 15:54

hello! I'm very interested in this topic. I want to do a systematic review for my DNP on this. I have ...

Ulrike Buchwald05-15-2020 18:14

Hi David, Despite uncertainties in the progression rate of high grade anal dysplasia (HSIL) to anal ...