Prevalence of abnormal anal cytology in HIV-infected women: a hospital-based study.

Sirida Pittyanont,Kornkarn Bhamarapravatana,Komsun Suwannarurk,Malee Techapornroong,Panya Sananpanichkul,Nutchanok Thawonwong,Prapap Yuthavisuthi

doi:10.7314/apjcp.2014.15.15.6405

Sirida Pittyanont, Kornkarn Bhamarapravatana + Show 5 more

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https://doi.org/10.7314/apjcp.2014.15.15.6405

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Abstract

To study the prevalence of abnormal anal cytology by Papanicolaou (Pap) technique in HIV- infected women who attended a HIV clinic at Prapokklao Hospital, Chanthaburi, Thailand. HIV-infected women who attended a HIV clinic at Prapokklao Hospital from March 2013 to February 2014 were recruited for anal Pap smears. Participants who had abnormal results of equally or over "abnormal squamous/glandular cells of undetermined significance" (ASC-US) were classified as abnormal anal cytology. A total of 590 anal Pap smears were performed at HIV clinic of Prapokklao Hospital during the study period. There were only 13 patients who had abnormal Pap tests, which were: 11 ASC-US and 2 HSIL (high grade squamous intraepithelial lesion). The prevalence of abnormal anal Pap smears in HIV-infected women who attended HIV clinic at Prapokklao Hospital was 2.2 percent. Percentage of high risk HPV in patients who had abnormal Pap test was 88.9 (8/9). The prevalence of abnormal anal Papanicolaou smears in HIV-infected women who attended the HIV clinic at Prapokklao hospital was quite low in comparison to the earlier literature.

Highlights

Anal cancer is a disease in which malignant cells are formed in the epithelial tissue of the anus
Materials and Methods: human immunodeficiency virus (HIV)-infected women who attended a HIV clinic at Prapokklao Hospital from March 2013 to February 2014 were recruited for anal Pap smears
Anal SIL (ASIL) screening program could help to prevent anal cancer in a high-risk population.The aim of this study was to determine the prevalence of human papillomavirus (HPV)-related abnormalities of the anal cancer in HIV-positive women by the use of cytology to see if the lesion risk factor could be found

Summary

Introduction

Anal cancer is a disease in which malignant cells are formed in the epithelial tissue of the anus. There was no previous report of specific anal cancer incidence in Thailand. To study the prevalence of abnormal anal cytology by Papanicolaou (Pap) technique in HIVinfected women who attended a HIV clinic at Prapokklao Hospital, Chanthaburi, Thailand. Materials and Methods: HIV-infected women who attended a HIV clinic at Prapokklao Hospital from March 2013 to February 2014 were recruited for anal Pap smears. Results: A total of 590 anal Pap smears were performed at HIV clinic of Prapokklao Hospital during the study period. The prevalence of abnormal anal Pap smears in HIV-infected women who attended HIV clinic at Prapokklao Hospital was 2.2 percent. Conclusions: The prevalence of abnormal anal Papanicolaou smears in HIV-infected women who attended the HIV clinic at Prapokklao hospital was quite low in comparison to the earlier literature

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