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Cross-sectional study of anal intraepithelial lesions in women with cervical neoplasia without HIV.

Cross-sectional study of anal intraepithelial lesions in women with cervical neoplasia without HIV.
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Heráclio SA, de Souza ASR, de Souza PRE, Katz L, Lima Junior SF, Amorim MMR,


Heráclio SA, de Souza ASR, de Souza PRE, Katz L, Lima Junior SF, Amorim MMR, (click to view)

Heráclio SA, de Souza ASR, de Souza PRE, Katz L, Lima Junior SF, Amorim MMR,

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International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics 2017 10 28() doi 10.1002/ijgo.12367

Abstract
OBJECTIVE
To evaluate the prevalence of anal intraepithelial lesions and associated risk factors in women with cervical neoplasia.

METHODS
The present cross-sectional study enrolled patients with intraepithelial or invasive cervical neoplasia who had been referred to the lower genital tract pathology outpatient department of the Instituto de Medicina Integral Prof. Fernando Figueira, Recife, Brazil, between December 1, 2008, and December 31, 2009; patients with HIV infections were excluded. All participants underwent anal cytology and high-resolution anoscopy; sociodemographic and clinical risk factors were identified using multivariate analysis.

RESULTS
There were 324 patients included and 37 (11.4%) had anal intraepithelial neoplasia. Factors associated with anal intraepithelial neoplasia in the multivariate analysis were being older than 35 years of age (P=0.002), having completed no more than 4 years of education (P=0.012), anomalous anal cytology (P=0.003), and anomalous high-resolution anoscopy findings (P<0.001); subclinical HPV lesions on vulvoscopy (P=0.057) were not associated with anal intraepithelial neoplasia. CONCLUSION
The prevalence of anal intraepithelial neoplasia was high among patients with cervical neoplasia who did not have HIV, particularly patients older than 35 years. This article is protected by copyright. All rights reserved.

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