关键词: Anal dysplasia Anal intraepithelial neoplasia (AIN) Anal warts Bowen disease Condyloma acuminata Human papilloma virus Intramucosal carcinoma Squamous cell carcinoma in-situ

Mesh : Humans Anus Neoplasms / diagnosis therapy pathology virology Carcinoma in Situ / diagnosis therapy pathology virology Condylomata Acuminata / diagnosis therapy virology Papillomavirus Infections / complications diagnosis Precancerous Conditions / diagnosis pathology therapy virology Squamous Intraepithelial Lesions / diagnosis pathology virology

来  源:   DOI:10.1016/j.suc.2023.11.004

Abstract:
Anal intraepithelial neoplasia (AIN) are precancerous lesions and are sequela of human papilloma virus (HPV) infection. AIN is classified as low-grade squamous intraepithelial lesion or high-grade squamous intraepithelial lesion. Screening with anal cytology and anoscopy should be considered for high-risk populations. Diagnosis is made through high resolution anaoscopy and biopsy. Options for treatment include ablation and several topical therapies; however, recurrence rates are high for all treatment options, and an ongoing surveillance is necessary to prevent progression to anal squamous cell carcinoma. HPV vaccination is recommended to prevent disease.
摘要:
肛门上皮内瘤变(AIN)是癌前病变,是人乳头瘤病毒(HPV)感染的后遗症。AIN分为低度鳞状上皮内病变或高度鳞状上皮内病变。对于高危人群,应考虑使用肛门细胞学和肛门镜检查进行筛查。通过高分辨率镜检查和活检进行诊断。治疗方案包括消融和几种局部治疗;然而,所有治疗方案的复发率都很高,持续监测是必要的,以防止发展为肛门鳞状细胞癌。建议接种HPV疫苗以预防疾病。
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