Anal cancer screening in a high-risk behavior group: A local picture

Journal of Coloproctology - Tập 40 - Trang 156-162 - 2020
Fernanda Elias Ferreira Rabelo1,2, Fábio Henrique de Oliveira1,2, Bárbara Diniz Greco de Melo1, Eduardo Rafael Oliveira Borges1, Nicholas Resende Pena1, Rayara Pupo Ferreira1, Thais Oliveira Prates1, Juliana Fracalossi Paes3
1Universidade Federal de São João Del Rei (UFSJ), Campus Centro Oeste, Divinópolis , MG, Brazil
2Sociedade Brasileira de Coloproctologia, Brazil
3Laboratório Citologia e Anatomia Patológica (CIAP), Divinópolis, MG, Brazil

Tóm tắt

Abstract Study objectives To perform anal lesion and anal cancer screening in men living with HIV/AIDS. Methods This is a descriptive, observational, cross-sectional study. Data were obtained from the Specialized Assistance Service (SAE) in Divinópolis, Minas Gerais. A sociodemographic, epidemiological, and sexual behavior questionnaire was applied; material was collected for cytology, high-resolution anoscopy (AAR) was performed, and an acceptability questionnaire applied. Main results Of the 50 men living with HIV/AIDS invited to participate in this study, 6% were excluded because they were illiterate, 40% refused to participate, and 54% participated in the survey. Among these, all answered the self-administered questionnaire. However, ten (37.0%) underwent proctological examination and anal cytology. Of these, two did not respond to the acceptability questionnaire. No anal lesions were identified during AAR and no biopsy was required. A 10% change in anal cytology was found. Conclusions Through the study it was possible to construct a flow of referrals from the SAE to the UFSJ Coloproctology outpatient clinic. Moreover, the existence of internal stigmas on the part of the participants regarding the proctological examination and the lack of information about anal cancer screening are challenges to be overcome.

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