Annals of Tropical Medicine and Public Health
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Table of Contents   
LETTER TO THE EDITOR  
Year : 2017  |  Volume : 10  |  Issue : 1  |  Page : 291
Anal cytology screening among women


1 Sanitation 1 Medical Center, Bangkok, Thailand
2 Hainan Medical University, Haikou, Hainan, China

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Date of Web Publication5-May-2017
 

How to cite this article:
Joob B, Wiwanitkit V. Anal cytology screening among women. Ann Trop Med Public Health 2017;10:291

How to cite this URL:
Joob B, Wiwanitkit V. Anal cytology screening among women. Ann Trop Med Public Health [serial online] 2017 [cited 2019 Nov 18];10:291. Available from: http://www.atmph.org/text.asp?2017/10/1/291/205582
Dear Sir,

Anal malignancy has become a new concern at present. It has become a new public health threat in several countries. To detect the disease early, a good screening test is required. Anal cytology screening has been proposed for just a few years. The recent report on “Knowledge and Acceptability of Anal Cytology Screening among Women” is very interesting.[1] Blankenship et al. concluded that “medical providers should improve counseling about anal cytology screening among at-risk women to familiarize them with the procedure, describe its role in detecting anal neoplasia, and address expectations surrounding pain to increase its acceptability.”[1] Indeed, the anal cytology screening in a new thing in clinical practice and the acceptability of the patients is the big issue. The clinical usefulness of the test is mentioned [2] but the problem of patients' ac ceptance should be discussed. Only 28% in the present report [1] showed interest in undergoing screening. This rate might be different in other settings. In several developing countries, the topics relating to anogenital area are usually a taboo and this can be the big obstacle preventing acceptance on screening. This cannot be simply overcome by a short health education from the physician in charge. Self-collection technique is proposed to help patients feel less embarrassment.[3] It has been as well proven that there is no difference of quality between physician- and self-collected samples.[4]

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Conflicts of interest

There are no conflicts of interest.

 
   References Top

1.
Blankenship SA, Debnath P, Szlachta-McGinn AW, Maguire K, Garcia JJ, Aserlind A, et al. Knowledge and acceptability of anal cytology screening among women. J Low Genit Tract Dis 2016;20:90-6.  Back to cited text no. 1
[PUBMED]    
2.
Park IU, Ogilvie JW Jr, Anderson KE, Li ZZ, Darrah L, Madoff R, et al. Anal human papillomavirus infection and abnormal anal cytology in women with genital neoplasia. Gynecol Oncol 2009;114:399-403.  Back to cited text no. 2
[PUBMED]    
3.
Ortiz AP, Alejandro N, Pérez CM, Otero Y, Soto-Salgado M, Palefsky JM, et al. Acceptability of cervical and anal HPV self-sampling in a sample of Hispanic women in Puerto Rico. P R Health Sci J 2012;31:205-12.  Back to cited text no. 3
    
4.
Ortiz AP, Romaguera J, Pérez CM, Otero Y, Soto-Salgado M, Méndez K, et al. Human papillomavirus infection in women in Puerto Rico: Agreement between physician-collected and self-collected anogenital specimens. J Low Genit Tract Dis 2013;17:210-7.  Back to cited text no. 4
    

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Correspondence Address:
Dr. Beuy Joob
Sanitation 1 Medical Center, Bangkok
Thailand
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1755-6783.205582

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