Opportunistic detection of anal intraepithelial neoplasia at colonoscopy
| Autor: | Jenny McCloskey, Clara M Forbes, Geoffrey M Forbes |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Population detection Colonoscopy Gastroenterology anal intraepithelial neoplasia 03 medical and health sciences 0302 clinical medicine colonoscopy human papilloma virus Internal medicine medicine education Human papilloma virus Retrospective review education.field_of_study Hepatology medicine.diagnostic_test business.industry Anal intraepithelial neoplasia food and beverages Original Articles Condyloma Acuminatum medicine.disease 030220 oncology & carcinogenesis Papilloma Original Article 030211 gastroenterology & hepatology Detection rate business |
| Zdroj: | JGH Open: An Open Access Journal of Gastroenterology and Hepatology |
| ISSN: | 2397-9070 |
| DOI: | 10.1002/jgh3.12424 |
| Popis: | Background and Aim Human papilloma virus‐associated anal intraepithelial neoplasia (AIN) precedes most anal cancers and can be detected at colonoscopy. We aimed to quantify AIN detection rates in a general population undergoing colonoscopy. Methods A retrospective review of a community‐based practice for 2 years until December 2019 was conducted. Results A total of 2525 patients (1051 males and 1474 females; median age 59 years) had 2608 colonoscopies. Ten patients (two males and eight females; median age 57.5 years) had incidentally detected AIN (condyloma acuminatum or AIN1, n = 4; AIN2 or 3, n = 6). AIN was detected in 1 of 261 (95% CI 1/142–1/480) colonoscopies and 1 of 163 (95% CI 1/83–1/321) colonoscopies in women over 40 years old. Conclusions Opportunistically detecting AIN, especially in women over 40 years old, should be an important adjunct to colonoscopy‐based colorectal neoplasia detection. Human papilloma virus‐associated anal intraepithelial neoplasia (AIN) precedes most anal cancers and can be detected at colonoscopy. We aimed to quantify AIN detection rates in a general population undergoing colonoscopy. A retrospective review of a community‐based practice for 2 years until December 2019 was conducted. A total of 2525 patients (1051 males and 1474 females; median age 59 years) had 2608 colonoscopies. Ten patients (two males and eight females; median age 57.5 years) had incidentally detected AIN (condyloma acuminatum or AIN1, n = 4; AIN2 or 3, n = 6). AIN was detected in 1 of 261 (95% CI 1/142–1/480) colonoscopies and 1 of 163 (95% CI 1/83–1/321) colonoscopies in women over 40 years old. Opportunistically detecting AIN, especially in women over 40 years old, should be an important adjunct to colonoscopy‐based colorectal neoplasia detection. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text