Examination of 93 cases of perianal warts and suggestion of a new classification
Purpose The anatomical distribution of perianal warts is associated with patient characteristics such as sexual orientation. The purpose of this study is to confirm this experiential knowledge using a quantitative classification system and analysis and to obtain findings useful for future treatment....
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| Format: | Article |
| Language: | English |
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Korean Society of Coloproctology
2023-06-01
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| Series: | Annals of Coloproctology |
| Subjects: | |
| Online Access: | http://coloproctol.org/upload/pdf/ac-2021-00969-0138.pdf |
| _version_ | 1797785484734234624 |
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| author | Jo Unotoro Keigo Matsuo Takehiro Arai Shigeru Okada Teruki Kawanishi Ryoichi Ikegami Shuzo Mori Hiroshi Matsuno |
| author_facet | Jo Unotoro Keigo Matsuo Takehiro Arai Shigeru Okada Teruki Kawanishi Ryoichi Ikegami Shuzo Mori Hiroshi Matsuno |
| author_sort | Jo Unotoro |
| collection | DOAJ |
| description | Purpose The anatomical distribution of perianal warts is associated with patient characteristics such as sexual orientation. The purpose of this study is to confirm this experiential knowledge using a quantitative classification system and analysis and to obtain findings useful for future treatment. Methods From January 2014 to December 2020, 93 patients with perianal warts presented to our hospital. Patients were analyzed for age, sex, lesion site, and recurrence type, among other factors. The lesion site was divided into skin (S) and anal epithelium (anoderm, A), and the number and degree of each were classified into grades 0 to 3. The higher grade between S and A determines its dominant type, such as type S (e.g., S3A1) and type A (e.g., S0A2). Results The average age of the patients was 39.6 years, and the percentage of patients who were not married was 54.8%. In all, 95.8% of patients were positive for low-risk human papillomavirus (HPV). Type S accounted for 80.6%, whereas type A accounted for 9.7%. Type A cases were all male and were all presumed to be men who have sex with men (MSM). This indicates that the determination of type A may be highly specific for MSM. The type at the time of recurrence was the same type at the time of the first surgery in almost all cases. Conclusion In cases of perianal warts, it is useful to analyze the lesion by considering the range and grade separately for daily clinical practice on proctologist. |
| first_indexed | 2024-03-13T00:54:44Z |
| format | Article |
| id | doaj.art-fd8f38a582724000b869cc3a53785d6f |
| institution | Directory Open Access Journal |
| issn | 2287-9714 2287-9722 |
| language | English |
| last_indexed | 2024-03-13T00:54:44Z |
| publishDate | 2023-06-01 |
| publisher | Korean Society of Coloproctology |
| record_format | Article |
| series | Annals of Coloproctology |
| spelling | doaj.art-fd8f38a582724000b869cc3a53785d6f2023-07-07T07:23:19ZengKorean Society of ColoproctologyAnnals of Coloproctology2287-97142287-97222023-06-0139324224910.3393/ac.2021.00969.01381919Examination of 93 cases of perianal warts and suggestion of a new classificationJo Unotoro0Keigo Matsuo1Takehiro Arai2Shigeru Okada3Teruki Kawanishi4Ryoichi Ikegami5Shuzo Mori6Hiroshi Matsuno7 Department of Surgery, Tokatsu-Tsujinaka Hospital, Abiko, Japan Department of Surgery, Tokatsu-Tsujinaka Hospital, Abiko, Japan Department of Surgery, Tokatsu-Tsujinaka Hospital, Abiko, Japan Department of Surgery, Tokatsu-Tsujinaka Hospital, Abiko, Japan Department of Surgery, Tokatsu-Tsujinaka Hospital, Abiko, Japan Department of Surgery, Tokatsu-Tsujinaka Hospital, Abiko, Japan Department of Surgery, Tokatsu-Tsujinaka Hospital, Abiko, Japan Department of Surgery, Tokatsu-Tsujinaka Hospital, Abiko, JapanPurpose The anatomical distribution of perianal warts is associated with patient characteristics such as sexual orientation. The purpose of this study is to confirm this experiential knowledge using a quantitative classification system and analysis and to obtain findings useful for future treatment. Methods From January 2014 to December 2020, 93 patients with perianal warts presented to our hospital. Patients were analyzed for age, sex, lesion site, and recurrence type, among other factors. The lesion site was divided into skin (S) and anal epithelium (anoderm, A), and the number and degree of each were classified into grades 0 to 3. The higher grade between S and A determines its dominant type, such as type S (e.g., S3A1) and type A (e.g., S0A2). Results The average age of the patients was 39.6 years, and the percentage of patients who were not married was 54.8%. In all, 95.8% of patients were positive for low-risk human papillomavirus (HPV). Type S accounted for 80.6%, whereas type A accounted for 9.7%. Type A cases were all male and were all presumed to be men who have sex with men (MSM). This indicates that the determination of type A may be highly specific for MSM. The type at the time of recurrence was the same type at the time of the first surgery in almost all cases. Conclusion In cases of perianal warts, it is useful to analyze the lesion by considering the range and grade separately for daily clinical practice on proctologist.http://coloproctol.org/upload/pdf/ac-2021-00969-0138.pdfwartsgenital wartsmen who have sex with menhuman papilloma virussexually transmitted infections |
| spellingShingle | Jo Unotoro Keigo Matsuo Takehiro Arai Shigeru Okada Teruki Kawanishi Ryoichi Ikegami Shuzo Mori Hiroshi Matsuno Examination of 93 cases of perianal warts and suggestion of a new classification Annals of Coloproctology warts genital warts men who have sex with men human papilloma virus sexually transmitted infections |
| title | Examination of 93 cases of perianal warts and suggestion of a new classification |
| title_full | Examination of 93 cases of perianal warts and suggestion of a new classification |
| title_fullStr | Examination of 93 cases of perianal warts and suggestion of a new classification |
| title_full_unstemmed | Examination of 93 cases of perianal warts and suggestion of a new classification |
| title_short | Examination of 93 cases of perianal warts and suggestion of a new classification |
| title_sort | examination of 93 cases of perianal warts and suggestion of a new classification |
| topic | warts genital warts men who have sex with men human papilloma virus sexually transmitted infections |
| url | http://coloproctol.org/upload/pdf/ac-2021-00969-0138.pdf |
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