High-resolution anoscopy: Is it necessary in the management of anal epithelial neoplasia

Brady, Justin T.; Ko, Bona; Stein, Sharon L.

doi:10.1053/j.scrs.2017.04.009

Cited by 2 publications

(3 citation statements)

References 35 publications

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“…Evidence from the literature appears to demonstrate that HRA is a difficult procedure with a long learning curve. Unique anatomical features of the anal region such as mucosal folds or the presence of hemorrhoids can make HRA even more challenging to master (2).…”

Section: Practical Information For Clinicians Interested In Using Hramentioning

confidence: 99%

“…The incidence of anal squamous cell carcinoma (ASCC) is rising quickly (1). In the United States alone, the incidence has doubled within the last three decades (2). High-risk populations -such as human immunodeficiency virus (HIV) patients, human papilloma virus (HPV)-infected patients, men who have sex with men (MSM), and transplant recipients -are especially affected by ASCC (1).…”

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confidence: 99%

“…On a cost-per-use basis, HRA is also a very expensive procedure (15). In addition to these factors, the lack of consistent and well-supported guidelines on the use of HRA make it even more challenging for clinicians to incorporate the procedure into their practice (2).…”

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confidence: 99%

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An Update on the Current Role of High Resolution Anoscopy in Patients With Anal Dysplasia

et al. 2018

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The incidence of anal squamous cell carcinoma (ASCC) in the U.S. is increasing, particularly in immunocompromised patients. Preventative screening is used to monitor precancerous dysplasia known as anal intraepithelial neoplasia (AIN), which can progress to ASCC. High Resolution Anoscopy (HRA) is one screening procedure that uses a colposcope with acetic acid and Lugol's iodine solution to visualize the anal epithelium for AIN. HRA has offered potential in managing AIN, but as more evidence emerges it is unclear whether HRA provides definitive benefit. This narrative review updates readers on the efficacy of HRA in screening AIN, compares HRA to other techniques, compares the use of HRA in various high-risk populations, and offers practical information on the use of HRA. Keyword searches were conducted using MEDLINE, Web of Science, and Cochrane Library. Current literature is mixed regarding the utility of HRA. Further randomized controlled trials are needed to definitively assess the role of HRA.

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Section: Practical Information For Clinicians Interested In Using Hramentioning

confidence: 99%

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confidence: 99%

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An Update on the Current Role of High Resolution Anoscopy in Patients With Anal Dysplasia

et al. 2018

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Screening with Anal Cytology in Colombia: Initial Experience and Need for High-Resolution Anoscopy

Blair

Martínez-Vernaza

Ordóñez-Blanco

et al. 2021

Journal of Surgical Research

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High-resolution anoscopy: Is it necessary in the management of anal epithelial neoplasia

Cited by 2 publications

References 35 publications

An Update on the Current Role of High Resolution Anoscopy in Patients With Anal Dysplasia

An Update on the Current Role of High Resolution Anoscopy in Patients With Anal Dysplasia

Screening with Anal Cytology in Colombia: Initial Experience and Need for High-Resolution Anoscopy

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