Association between genital intraepithelial lesions and anal squamous intraepithelial lesions in HIV-negative women
The objective of the study was to evaluate the risk of anal squamous intraepithelial lesions (ASILs) in immunocompetent women with genital squamous intraepithelial lesions (GSILs). This was a cross-sectional study that included 260 immunocompetent women divided into 2 study groups: 1 group included...
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| Published in | American journal of obstetrics and gynecology Vol. 205; no. 2; pp. 115.e1 - 115.e5 |
|---|---|
| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
New York, NY
Mosby, Inc
01.08.2011
Elsevier |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0002-9378 1097-6868 1097-6868 |
| DOI | 10.1016/j.ajog.2011.03.011 |
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| Abstract | The objective of the study was to evaluate the risk of anal squamous intraepithelial lesions (ASILs) in immunocompetent women with genital squamous intraepithelial lesions (GSILs).
This was a cross-sectional study that included 260 immunocompetent women divided into 2 study groups: 1 group included 184 women diagnosed with GSIL by genital colposcopy and biopsy, and the other included 76 controls. All subjects were submitted to anoscopy followed by a biopsy if pertinent.
Of 184 GSIL women, 32 (17.4%) had ASIL (
P < .001). The risk of ASIL was 13.1 times greater for GSIL women when there were 3 or 4 genital sites involved. All cases of high-grade ASIL were found in women with cervical GSILs. Among risk factors, anal intercourse without a condom demonstrated an important association with ASIL (prevalence ratio adjusted for age = 2.6).
There seems to be a strong association between ASIL and multicentric GSIL. Another factor related to ASIL was the practice of unprotected anal intercourse. |
|---|---|
| AbstractList | The objective of the study was to evaluate the risk of anal squamous intraepithelial lesions (ASILs) in immunocompetent women with genital squamous intraepithelial lesions (GSILs).OBJECTIVEThe objective of the study was to evaluate the risk of anal squamous intraepithelial lesions (ASILs) in immunocompetent women with genital squamous intraepithelial lesions (GSILs).This was a cross-sectional study that included 260 immunocompetent women divided into 2 study groups: 1 group included 184 women diagnosed with GSIL by genital colposcopy and biopsy, and the other included 76 controls. All subjects were submitted to anoscopy followed by a biopsy if pertinent.STUDY DESIGNThis was a cross-sectional study that included 260 immunocompetent women divided into 2 study groups: 1 group included 184 women diagnosed with GSIL by genital colposcopy and biopsy, and the other included 76 controls. All subjects were submitted to anoscopy followed by a biopsy if pertinent.Of 184 GSIL women, 32 (17.4%) had ASIL (P<.001). The risk of ASIL was 13.1 times greater for GSIL women when there were 3 or 4 genital sites involved. All cases of high-grade ASIL were found in women with cervical GSILs. Among risk factors, anal intercourse without a condom demonstrated an important association with ASIL (prevalence ratio adjusted for age=2.6).RESULTSOf 184 GSIL women, 32 (17.4%) had ASIL (P<.001). The risk of ASIL was 13.1 times greater for GSIL women when there were 3 or 4 genital sites involved. All cases of high-grade ASIL were found in women with cervical GSILs. Among risk factors, anal intercourse without a condom demonstrated an important association with ASIL (prevalence ratio adjusted for age=2.6).There seems to be a strong association between ASIL and multicentric GSIL. Another factor related to ASIL was the practice of unprotected anal intercourse.CONCLUSIONThere seems to be a strong association between ASIL and multicentric GSIL. Another factor related to ASIL was the practice of unprotected anal intercourse. The objective of the study was to evaluate the risk of anal squamous intraepithelial lesions (ASILs) in immunocompetent women with genital squamous intraepithelial lesions (GSILs). This was a cross-sectional study that included 260 immunocompetent women divided into 2 study groups: 1 group included 184 women diagnosed with GSIL by genital colposcopy and biopsy, and the other included 76 controls. All subjects were submitted to anoscopy followed by a biopsy if pertinent. Of 184 GSIL women, 32 (17.4%) had ASIL ( P < .001). The risk of ASIL was 13.1 times greater for GSIL women when there were 3 or 4 genital sites involved. All cases of high-grade ASIL were found in women with cervical GSILs. Among risk factors, anal intercourse without a condom demonstrated an important association with ASIL (prevalence ratio adjusted for age = 2.6). There seems to be a strong association between ASIL and multicentric GSIL. Another factor related to ASIL was the practice of unprotected anal intercourse. Objective The objective of the study was to evaluate the risk of anal squamous intraepithelial lesions (ASILs) in immunocompetent women with genital squamous intraepithelial lesions (GSILs). Study Design This was a cross-sectional study that included 260 immunocompetent women divided into 2 study groups: 1 group included 184 women diagnosed with GSIL by genital colposcopy and biopsy, and the other included 76 controls. All subjects were submitted to anoscopy followed by a biopsy if pertinent. Results Of 184 GSIL women, 32 (17.4%) had ASIL ( P < .001). The risk of ASIL was 13.1 times greater for GSIL women when there were 3 or 4 genital sites involved. All cases of high-grade ASIL were found in women with cervical GSILs. Among risk factors, anal intercourse without a condom demonstrated an important association with ASIL (prevalence ratio adjusted for age = 2.6). Conclusion There seems to be a strong association between ASIL and multicentric GSIL. Another factor related to ASIL was the practice of unprotected anal intercourse. The objective of the study was to evaluate the risk of anal squamous intraepithelial lesions (ASILs) in immunocompetent women with genital squamous intraepithelial lesions (GSILs). This was a cross-sectional study that included 260 immunocompetent women divided into 2 study groups: 1 group included 184 women diagnosed with GSIL by genital colposcopy and biopsy, and the other included 76 controls. All subjects were submitted to anoscopy followed by a biopsy if pertinent. Of 184 GSIL women, 32 (17.4%) had ASIL (P<.001). The risk of ASIL was 13.1 times greater for GSIL women when there were 3 or 4 genital sites involved. All cases of high-grade ASIL were found in women with cervical GSILs. Among risk factors, anal intercourse without a condom demonstrated an important association with ASIL (prevalence ratio adjusted for age=2.6). There seems to be a strong association between ASIL and multicentric GSIL. Another factor related to ASIL was the practice of unprotected anal intercourse. |
| Author | Gonçalves, Ana K. Horta, Antônio A. Eleutério, José Jacyntho, Cláudia M.A. Giraldo, Paulo C. Grandelle, Rosana Fonseca, Thaís |
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| Cites_doi | 10.1016/j.ejogrb.2008.09.014 10.1002/bjs.4967 10.1002/cncr.20365 10.1016/j.soc.2003.12.005 10.1097/AOG.0b013e3181ea1834 10.1016/0140-6736(91)91233-K 10.1056/NEJMoa021641 10.1016/j.ejogrb.2005.06.028 10.1086/318071 10.1093/jnci/92.18.1500 10.1016/S0140-6736(89)90830-1 10.1097/00128360-200410000-00002 10.1002/ijc.2910430615 10.1056/NEJM198710153171601 10.1093/jnci/93.11.843 10.1016/0140-6736(92)92961-E 10.1007/BF02553937 |
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| Keywords | colposcopy anal canal anus neoplasms cervical intraepithelial neoplasia Human Immunopathology Premalignant lesion Gynecology Genital system Retroviridae AIDS Immune deficiency Lentivirus Obstetrics Infection Virus Anal squamous intraepithelial lesion Viral disease Digestive diseases Intestinal disease Female Human immunodeficiency virus Woman Intraepithelial neoplasia Anorectal disease |
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| Title | Association between genital intraepithelial lesions and anal squamous intraepithelial lesions in HIV-negative women |
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