Comparison between anal cytology, high-resolution anoscopy and HPV DNA genotyping by polymerase chain reaction in the post-treatment follow-up of condylomata acuminata

ABSTRACT Aim: to evaluate the presence of subclinical HPV-induced anal lesions with anal cytology, High-Resolution Anoscopy (HRA) and HPV genotyping by polymerase chain reaction (PCR) in the follow-up of treated condylomata acuminata (CA). Methods: seventy-nine male patients were included. One mo...

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Main Authors: LUIS ROBERTO NADAL, SARHAN SYDNEY SAAD, GASPAR JESUS LOPES FILHO, HELENA PASSARELLI GIROUD JOAQUIM, THIAGO DA SILVEIRA MANZIONE, CARMEN RUTH MANZIONE, SIDNEY ROBERTO NADAL
Format: Article
Language:English
Published: Colégio Brasileiro de Cirurgiões 2020-07-01
Series:Revista do Colégio Brasileiro de Cirurgiões
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912020000100180&tlng=en
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author LUIS ROBERTO NADAL
SARHAN SYDNEY SAAD
GASPAR JESUS LOPES FILHO
HELENA PASSARELLI GIROUD JOAQUIM
THIAGO DA SILVEIRA MANZIONE
CARMEN RUTH MANZIONE
SIDNEY ROBERTO NADAL
author_facet LUIS ROBERTO NADAL
SARHAN SYDNEY SAAD
GASPAR JESUS LOPES FILHO
HELENA PASSARELLI GIROUD JOAQUIM
THIAGO DA SILVEIRA MANZIONE
CARMEN RUTH MANZIONE
SIDNEY ROBERTO NADAL
author_sort LUIS ROBERTO NADAL
collection DOAJ
description ABSTRACT Aim: to evaluate the presence of subclinical HPV-induced anal lesions with anal cytology, High-Resolution Anoscopy (HRA) and HPV genotyping by polymerase chain reaction (PCR) in the follow-up of treated condylomata acuminata (CA). Methods: seventy-nine male patients were included. One month after anal CA eradication, the patients underwent brush samples collection for anal cytology and PCR, and HRA with biopsy of acetowhite lesions. These methods were compared within all patients and between groups, according to Human Immunodeficiency Virus (HIV) infection status: HIV-negative; HIV-positive with TCD4 count above and below 350 cells/mm3. Results: the most frequent HPV types were 6 and 16. HPV DNA was isolated in 92%. HIV infection was associated with a higher number of oncogenic HPV types (p=0.038). All patients with negative PCR had negative HRA and cytology. There were no differences in cytological, HRA or histopathological findings between groups. Conclusion: the association of the findings of cytopathology, HRA and genotyping of HPV refined the diagnosis of HPV-induced lesions. The degree of immunodeficiency was not associated with increase in remnant HPV-induced anal lesions.
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spelling doaj.art-547ba219acc4416e941d2024c3537f142022-12-21T23:29:09ZengColégio Brasileiro de CirurgiõesRevista do Colégio Brasileiro de Cirurgiões1809-45462020-07-014710.1590/0100-6991e-20202543Comparison between anal cytology, high-resolution anoscopy and HPV DNA genotyping by polymerase chain reaction in the post-treatment follow-up of condylomata acuminataLUIS ROBERTO NADALhttps://orcid.org/0000-0003-2980-9869SARHAN SYDNEY SAADGASPAR JESUS LOPES FILHOHELENA PASSARELLI GIROUD JOAQUIMTHIAGO DA SILVEIRA MANZIONECARMEN RUTH MANZIONESIDNEY ROBERTO NADALABSTRACT Aim: to evaluate the presence of subclinical HPV-induced anal lesions with anal cytology, High-Resolution Anoscopy (HRA) and HPV genotyping by polymerase chain reaction (PCR) in the follow-up of treated condylomata acuminata (CA). Methods: seventy-nine male patients were included. One month after anal CA eradication, the patients underwent brush samples collection for anal cytology and PCR, and HRA with biopsy of acetowhite lesions. These methods were compared within all patients and between groups, according to Human Immunodeficiency Virus (HIV) infection status: HIV-negative; HIV-positive with TCD4 count above and below 350 cells/mm3. Results: the most frequent HPV types were 6 and 16. HPV DNA was isolated in 92%. HIV infection was associated with a higher number of oncogenic HPV types (p=0.038). All patients with negative PCR had negative HRA and cytology. There were no differences in cytological, HRA or histopathological findings between groups. Conclusion: the association of the findings of cytopathology, HRA and genotyping of HPV refined the diagnosis of HPV-induced lesions. The degree of immunodeficiency was not associated with increase in remnant HPV-induced anal lesions.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912020000100180&tlng=enPapillomavirus InfectionAnal CanalCondylomata AcuminataPolymerase Chain ReactionHigh-Resolution AnoscopyAnal Intraepithelial Neoplasia
spellingShingle LUIS ROBERTO NADAL
SARHAN SYDNEY SAAD
GASPAR JESUS LOPES FILHO
HELENA PASSARELLI GIROUD JOAQUIM
THIAGO DA SILVEIRA MANZIONE
CARMEN RUTH MANZIONE
SIDNEY ROBERTO NADAL
Comparison between anal cytology, high-resolution anoscopy and HPV DNA genotyping by polymerase chain reaction in the post-treatment follow-up of condylomata acuminata
Revista do Colégio Brasileiro de Cirurgiões
Papillomavirus Infection
Anal Canal
Condylomata Acuminata
Polymerase Chain Reaction
High-Resolution Anoscopy
Anal Intraepithelial Neoplasia
title Comparison between anal cytology, high-resolution anoscopy and HPV DNA genotyping by polymerase chain reaction in the post-treatment follow-up of condylomata acuminata
title_full Comparison between anal cytology, high-resolution anoscopy and HPV DNA genotyping by polymerase chain reaction in the post-treatment follow-up of condylomata acuminata
title_fullStr Comparison between anal cytology, high-resolution anoscopy and HPV DNA genotyping by polymerase chain reaction in the post-treatment follow-up of condylomata acuminata
title_full_unstemmed Comparison between anal cytology, high-resolution anoscopy and HPV DNA genotyping by polymerase chain reaction in the post-treatment follow-up of condylomata acuminata
title_short Comparison between anal cytology, high-resolution anoscopy and HPV DNA genotyping by polymerase chain reaction in the post-treatment follow-up of condylomata acuminata
title_sort comparison between anal cytology high resolution anoscopy and hpv dna genotyping by polymerase chain reaction in the post treatment follow up of condylomata acuminata
topic Papillomavirus Infection
Anal Canal
Condylomata Acuminata
Polymerase Chain Reaction
High-Resolution Anoscopy
Anal Intraepithelial Neoplasia
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912020000100180&tlng=en
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