Screening of Anal HPV Precancerous Lesions: A Review after Last Recommendations

被引:1
|
作者
Natale, Alessio [1 ,2 ]
Brunetti, Tullio [1 ,2 ]
Orioni, Gionathan [1 ,2 ]
Gaspari, Valeria [1 ]
机构
[1] IRCCS Azienda Osped Univ Bologna, Dermatol Unit, Policlin S Orsola Malpighi, I-40138 Bologna, Italy
[2] Alma Mater Studiorum Univ Bologna, Dept Med & Surg Sci, I-40126 Bologna, Italy
关键词
HPV anal cancer; HPV precancerous lesions; screening; papillomavirus; SQUAMOUS INTRAEPITHELIAL LESIONS; HIGH-RESOLUTION ANOSCOPY; HUMAN-PAPILLOMAVIRUS INFECTION; CANCER PRECURSOR LESIONS; VIRUS-POSITIVE MEN; AMERICAN SOCIETY; RECTAL CYTOLOGY; RISK-FACTORS; HIV; NEOPLASIA;
D O I
10.3390/jcm13175246
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Over the last decades, the incidence of anal cancer has increased worldwide. The discovery of the HPV virus as its primary cause and the natural progression of the disease, involving precancerous lesions, have resulted in significant interest in screening for anal cancer. The use of cytology testing, high-risk HPV DNA research, high-resolution anoscopy, and their combination has been adopted with variable success in detecting anal HPV precancerous lesions. Various studies have been carried out to evaluate the sensitivity and specificity of these techniques in different populations. High-risk populations for developing anal cancer have been identified through study of incidence and prevalence. Therefore, different scientific societies and experts worldwide have provided different recommendations for screening, but a universal approach has not yet been established. The inhomogeneity of different risk groups, the variable accessibility to specifical techniques, and the lack of data regarding the cost-benefit ratio of screening are the main problems to address in order to define a consensus guideline acceptable worldwide. The purpose of this paper is to provide a comprehensive review of the literature on HPV precancerous lesions and its screening, particularly after the release of recent recommendations.
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页数:13
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