Advertisement
The Body: The Complete HIV/AIDS Resource
Follow Us Follow Us on Facebook Follow Us on Twitter Download Our App
Professionals >> Visit The Body PROThe Body en Espanol
   
Ask the Experts About

AIDS-Related CancersAIDS-Related Cancers
          
Rollover images to visit our other forums!
  
  • Email Email
  • Glossary Glossary


anal mapping
Mar 2, 2001

Dr, I am a 35 year old HIV+ male, diagnosed 4/90 w/1000+ CD4's at the time, currently 500-600 CD4's and a viral load below 5,000. I was treated prior to HIV infection for anal condyloma (6+ years prior) and have recently discovered they're back. The pathology report determined there was a presence of stage 1 and stage 2 AIN cells and the physician believes I should take part in a procedure called, "anal mapping". What can you tell me about this procedure? How significant is the presence of stage 2 cells, and how quickly should I respond?

Response from Dr. Dezube

The bottom line (sorry for the pun) is that I do think you should have the AIN 1 and 2 taken care of. AIN stands for pre-anal cancer; the cancer cells have NOT yet broken through the membrane. This is good news in that the cancerous cells have not spread yet. Given your high CD4 count, the AIN cells will in time progress. If you had just AIN 1, I would recommend just having a repeat look in your anal region in another 6 months. Often AIN 1 lesions will go away by themselves. However, AIN 2 lesions tend to progress. Although different clinicians will mean different things with such terminology by anal mapping, what you should have done is an anoscopy (someone looking up your canal) to document the extent of your disease, and then surgery to remove it. Often lasers are used to burn the base of the lesions to prevent them from coming back. Aldara cream is very effective against anal warts. Sometimes if the AIN lesions are close to the opening, you can apply Aldara cream internally using a hemorrhoid medication applicator (Note that this use of Aldara cream is not improved). There is NOT a sense of urgency. I would recommend at this point anoscopy and possible surgery sometime in the next few months. GOOD LUCK.


Previous
HIV+ with Multiple Myeloma
Next
Kidney cancer?

  
  • Email Email
  • Glossary Glossary


 
Advertisement




Q&A TERMS OF USE

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.

Review our complete terms of use and copyright notice.

Powered by ExpertViewpoint

Advertisement