학술논문

High Prevalence of Anal Human Papillomavirus–Associated Cancer Precursors in a Contemporary Cohort of Asymptomatic HIV-Infected Women
Document Type
article
Source
Clinical Infectious Diseases. 60(10)
Subject
Cervical Cancer
Digestive Diseases
Clinical Research
Prevention
Sexually Transmitted Infections
Infectious Diseases
Cancer
Cost Effectiveness Research
HIV/AIDS
2.2 Factors relating to the physical environment
Aetiology
2.1 Biological and endogenous factors
Infection
Good Health and Well Being
Adult
Anus Neoplasms
Asymptomatic Diseases
Biopsy
Cohort Studies
Condylomata Acuminata
Cross-Sectional Studies
Cytological Techniques
Female
HIV Infections
Histocytochemistry
Humans
Middle Aged
Papillomaviridae
Papillomavirus Infections
Precancerous Conditions
Prevalence
Risk Assessment
ANRS-C017 VIHGY Study Group
HIV
anal cancer screening
anal intraepithelial neoplasia
human papillomavirus
women
Biological Sciences
Medical and Health Sciences
Microbiology
Language
Abstract
BackgroundAlthough human immunodeficiency virus (HIV)-infected women are at high risk for anal cancer, few data have been published on prevalence of and risk factors for anal precancer and potential screening strategies in this risk group.MethodsA cross-sectional anal screening study was nested in a gynecological cohort of HIV-infected women. Anal swab specimens were collected for cytology and human papillomavirus (HPV) testing. High-resolution anoscopy, with biopsy when indicated, was systematically performed.ResultsAmong the 171 enrolled women, median age was 47.3 years and 98% were receiving combination antiretroviral therapy. Median CD4(+) count was 655 cells/µL and HIV load was