|Preventive/screening for anal cancer
May 4, 2002
Is there any current preventive/screening for Anal cancer such as a PAP smear for cervical CA ? If so can you provide me with details. Thank you very much. Great site !!!!
Response from Dr. Dezube
I recommend an anal PAP smear for all the gay men in my practice whether or not they are HIV positive. An anal PAP smear is a very simple thing to do. A swab is inserted into the butt and rubbed along the wall lining. The cells which go on to the swab are than analyzed under the microscope for early changes of cancer. Anything but a normal PAP smear should then be further evaluated by colposcopy/high resolution anoscopy. This is a procedure by where a provider looks up your butt with a special type of scope to get a good look at the wall of the butt. A provider will often biopsy any suspicious abnormality. If the biopsy shows normal tissue or low grade dysplasia, then nothing more needs to be done other than routine follow-up. If the biopsy shows high grade dysplasia or cancer, then further evaluation and treatment is necessary. I should add that in patients with anal warts, I often recommend that they have high resolution anoscopy no matter what the PAP smear shows. The high resolution anoscopy allows the provider to assess for internal warts and early cancerous changes as above.
HIV positive, how is it possible? Will I be dead by 10 years?
Thank You for replying to
- Does Hiv Cause Sore Throat That Lasts Long Time?
- How Rare Is It To Get Hiv Transmitted Through Open Cuts?
- Supplements To Fight Cytomegalovirus
- Will My Hair Grow Back After Syphilis Treatment?
- Will Chlamydia Show Up On A Urine Culture?
- What Percentage Of People In The Usa Have Bacterial Vaginosis?
This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.
Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.