[Practical considerations for high resolution anoscopy in patients infected with human immunodeficiency virus]

Abstract

Anal cancer is uncommon in the general population, however its incidence is increasing significantly in certain risk groups, mainly in men who have sex with men, and particularly those infected with human immunodeficiency virus. High resolution anoscopy technique is currently considered the standard in the diagnosis of anal intraepithelial neoplasia, but at present there is no agreed standard method between health areas. High resolution anoscopy is an affordable technique that can be critical in the screening of anal carcinoma and its precursor lesions, but is not without difficulties. We are currently studying the most effective strategy for managing premalignant anal lesions, and with this article we attempt to encourage other groups interested in reducing the incidence of an increasing neoplasia.

Keywords: Anal cancer; Anal intraepithelial neoplasia; Anoscopia de alta resolución; Cáncer anal; High resolution anoscopy; Human immunodeficiency virus; Human papillomavirus; Neoplasia intraepitelial anal; Virus de la inmunodeficiencia humana; Virus del papiloma humano.