Clinical Manual for Management of the HIV-Infected ... - myCME.com

Patient Education
♦
♦
♦
Women and men with HIV infection have an
increased risk of developing anal dysplasia and
cancer. MSM are at higher risk than other men of
developing anal dysplasia.
Emphasize the importance of keeping followup
appointments to allow early detection of
precancerous lesions and appropriate monitoring and
treatment of abnormalities.
Patients who have anal dysplasia should be informed
about anal cancer symptoms, such as new-onset
anal pain, bleeding, or the development of a mass.
Patients should call their health care providers if
these symptoms develop.
References
♦
♦
♦
♦
♦
♦
Section 6—Disease-Specific Treatment | 6–3
Berry JM, Palefsky JM. Anogenital Neoplasia and
HIV. In: Peiperl L, Coffey S, Volberding PA, eds.
HIV InSite Knowledge Base [textbook online]; San
Francisco: UCSF Center for HIV Information;
November 1998. Available online at hivinsite.ucsf.
edu/InSite?page=kb-06-04-02. Accessed February 7,
2006.
Chin-Hong PV, Palefsky JM. Natural history and
clinical management of anal human papillomavirus
disease in men and women infected with human
immunodeficiency virus. Clin Infect Dis. 2002 Nov
1;35(9):1127-34.
Palefsky JM, Holly EA, Ralston ML, et al.
Prevalence and risk factors for human papillomavirus
infection of the anal canal in human immunodeficiency
virus (HIV)-positive and HIV-negative homosexual
men. J Infect Dis. 1998 Feb;177(2):361-7.
Piketty C, Darragh TM, Da Costa M, et al. High
prevalence of anal human papillomavirus infection and
anal cancer precursors among HIV-infected persons in
the absence of anal intercourse. Ann Intern Med. 2003
Mar 18;138(6):453-9.
Williams AB, Darragh TM, Vranizan K, et al. Anal
and cervical human papillomavirus infection and risk
of anal and cervical epithelial abnormalities in human
immunodeficiency virus-infected women. Obstet
Gynecol. 1994 Feb;83(2):205-11.
Wright TC Jr, Cox JT, Massad LS, et al. 2001
consensus guidelines for the management of women with
cervical cytological abnormalities. JAMA. 2002 Apr
24;287(16):2120-9.