What should we do about anal condyloma and anal intraepithelial neoplasia? Results of a survey.

Details

Serval ID
serval:BIB_9829A9EE7F1A
Type
Article: article from journal or magazin.
Collection
Publications
Title
What should we do about anal condyloma and anal intraepithelial neoplasia? Results of a survey.
Journal
Colorectal Disease
Author(s)
Dindo D., Nocito A., Schettle M., Clavien P.A., Hahnloser D.
ISSN
1463-1318 (Electronic)
ISSN-L
1462-8910
Publication state
Published
Issued date
2011
Volume
13
Number
7
Pages
796-801
Language
english
Notes
Publication types: Journal ArticlePublication Status: ppublish
Abstract
AIM: There is a lack of standardization regarding diagnosis, treatment and surveillance of patients with anal HPV infection.
METHOD: An Internet-based survey was sent to members of international, surgical and dermatological societies. Answers were obtained from 1017 dermatologists and 393 colorectal surgeons (n = 1410).
RESULTS: More dermatologists than surgeons provided noninvasive treatment of anal condyloma with 5% imiquimod (80.4 vs 28.2%; P < 0.001), whereas the situation was reversed for surgical excision (56.8 vs 91.3%; P < 0.001). To detect dysplastic lesions, 42.0% of surgeons used acetic acid only, 23.2% used this in combination with high-resolution anoscopy and 19.5% applied intra-anal cytological smears. Likewise, 64.6% of dermatologists applied acetic acid only, 16.5% combined acetic acid with high-resolution anoscopy and 30.2% performed intra-anal cytological smears (all P < 0.001 compared with surgeons). The therapy for anal intraepithelial lesions was not influenced by the grade of dysplasia, but it was by immune status.
CONCLUSION: There were significant differences in practice between colorectal surgeons and dermatologists. These findings highlight the need for international and cross-disciplinary clinical guidelines.
Keywords
Anus Neoplasms/diagnosis, Anus Neoplasms/prevention & control, Carcinoma in Situ/diagnosis, Carcinoma in Situ/prevention & control, Carcinoma, Squamous Cell/diagnosis, Carcinoma, Squamous Cell/prevention & control, Colorectal Surgery, Condylomata Acuminata/diagnosis, Condylomata Acuminata/therapy, Data Collection, Dermatology, Humans, Internet, Papillomavirus Infections/diagnosis, Papillomavirus Infections/therapy, Physician's Practice Patterns, Population Surveillance/methods
Pubmed
Web of science
Create date
07/10/2014 14:18
Last modification date
20/08/2019 14:59
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