2013, Number 9
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Arch Med Actual Trac Gen Inf 2013; 5 (9)
Neoplasia intraepitelial anal
Ojeda OJ, Ojeda PJ
Language: Spanish
References: 38
Page:
PDF size: 824.60 Kb.
ABSTRACT
Anal intraepithelial neoplasia (AIN) is an entity with incidence and natural history little known because there is no organized
screening program. Relevant studies made in the United States have focused on the Male Sex with Men (MSM) and the
land of women likely to develop NIA has been little explored.
The tests performed by identifying risk factors, anal cytology, high-resolution anoscopy, histological corroboration in this
population have yielded these results.
It has taken Bethesda system for cytological interpretation and classification of Low and High and Low for histology.
Molecular tests play an important role especially when there are multiple virus infections.
The methods of treatment of high-grade lesions has not reached optimal figures, perhaps with Co2 laser regional
anesthesia can improve healing figures
Formal training colposcopists the country is required to value women at risk of NIA.
The multidisciplinary group interaction colposcopist with colo-proctologist, dermatologist, molecular biologist and
pathologist strengthen the diagnosis and treatment of this entity.
Vaccines against human papillomavirus seem to have a promising future in both women and men.
It requires study in Mexico metacentric to bring to the world the great experience of our country colposcopists.
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