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Clin Colon Rectal Surg 2018; 31(06): 361-367
DOI: 10.1055/s-0038-1668106
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Multidisciplinary Approach to the Management and Treatment of Anal Dysplasia

Jeffrey Douaiher
1   Kaiser Permanente Medical Center, Walnut Creek, CA; Division of General Surgery, Kaiser Permanente Northern California, Oakland, CA
,
Sean J. Langenfeld
1   Kaiser Permanente Medical Center, Walnut Creek, CA; Division of General Surgery, Kaiser Permanente Northern California, Oakland, CA
› Author Affiliations
Further Information

Publication History

Publication Date:
02 November 2018 (online)

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Abstract

The incidence of anal intraepithelial neoplasia (AIN) has been increasing over the years. AIN acts as a precursor lesion for anal squamous cell cancer. Factors leading to progression of AIN into malignancy are complex and involve grade of the lesion, human papillomavirus and HIV coinfection, as well as patient-related risk factors such as immunocompromised state and men who have sex with men. The multifaced aspects of this disease make its management challenging, as it involves several disciplines including pathology, primary care, infectious disease, and colorectal specialties. Each of these fields brings its own expertize to the management of AIN, and their collaborative, coordinated work culminates into best practice and optimized outcomes in the care of the AIN patient.

Keywords

multidisciplinary approach - anal dysplasia - coordination of care - anal cancer screening
 

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