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Probl. Anal. Issues Anal., , Volume 8(26), Issue 3
Coronavirus News Center. The increase in anal squamous cell carcinoma SCC over the past 20 years has led to surveillance programs for anal dysplasia in many institutions, based on the assumption that finding and destroying the lesions will prevent anal cancer, similar to the reason why polyps are removed during colonoscopy to prevent colon cancer, said lead investigator Marco Tomassi, MD, a general surgeon with Kaiser in San Diego. Instead, high risk patients — those with HIV, past cervical cancer, anogenital warts, among others — are screened with digital rectal exams and anoscopy every months, and only anal warts and other grossly abnormal growths are removed. Physicians there do not routinely use high resolution anoscopy HRA , Pap smears, and other techniques to identify and destroy microscopic foci of dysplasia, as in more intensive programs. To see how the approach has worked, Dr. Tomassi and his colleagues reviewed the incidence of anal SCC among almost 6 million Kaiser patients from through
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The inside of the anus is lined with small glands. These glands can be infected when the mucus they secrete gets blocked. This leads to an abscess. A fistula is a tunnel that connects the skin around the anus with an infected gland inside the rectum.
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