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Surveillance des lésions anales précancéreuses et prévention

Monitoring of pre-cancerous anal lesions and preventative measures

  • Dossier Thématique / Thematic File
  • Published:
Côlon & Rectum

Résumé

La prévalence des lésions liées à human papillomavirus (HPV) et la forte augmentation d’incidence du cancer anal chez les patients infectés par le VIH imposent un dépistage systématique dans cette population. Les facteurs de risque en dehors de l’homosexualité et de l’infection VIH sont: les partenaires multiples et des antécédents d’infection sexuellement transmissible (IST). Le dépistage à recommander, en 2008, est un examen proctologique complet avec anuscopie par un opérateur expérimenté. La fréquence des récidives impose un suivi régulier de ces patients.

Abstract

The prevalence of human papillomavirus (HPV) induced lesions and a significant increase in the incidence of anal cancer in patients infected by HIV mean that systematic screening is now necessary in this population. Risk factors, other than homosexuality and HIV infection, are: multiple partners and a history of sexually transmitted infections. In 2008 it is recommended that screening should involve a complete proctological examination with anoscopy, performed by an experienced operator. Frequency of recurrence means that such patients should be regularly monitored.

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Authors and Affiliations

  1. Unité de proctologie médicochirurgicale, hôpital Bichat-Claude-Bernard, 46, rue Henri-Huchard, F-75722, Paris cedex 18, France

    L. Abramowitz

  2. Service d’hépatogastroentérologie, hôpital Bichat-Claude-Bernard, 46, rue Henri-Huchard, F-75722, Paris cedex 18, France

    T. Aparicio

Authors
  1. L. Abramowitz
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  2. T. Aparicio
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Correspondence to L. Abramowitz.

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Abramowitz, L., Aparicio, T. Surveillance des lésions anales précancéreuses et prévention. Colon Rectum 2, 138–144 (2008). https://doi.org/10.1007/s11725-008-0106-8

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  • DOI: https://doi.org/10.1007/s11725-008-0106-8

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