Condyloma and Anal Dysplasia

Surg Clin North Am. 2024 Jun;104(3):517-527. doi: 10.1016/j.suc.2023.11.004. Epub 2023 Dec 14.

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.

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

Publication types

  • Review

MeSH terms

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