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Author Topic: Anal cancer risk increases significantly in first year of HIV infection  (Read 1486 times)

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Offline buginme2

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This information states that a persons risk for anal cancer increases by up to 70% in the first year of HIV infection.

32% develop high grade neoplasia an 35% develop low grade anal neoplasia in the first year after being infected.  Article goes on to state "intervention with early treatment and possible vaccination may be able to prevent the future development of anal cancer."

Fun !!

Edited to add link
http://www.medpagetoday.com/meetingcoverage/IDSA/29258
« Last Edit: October 26, 2011, 12:29:23 PM by buginme2 »
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Offline buginme2

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Re: Anal cancer risk inreases significantly in first year of HIV infection
« Reply #1 on: October 26, 2011, 12:28:15 PM »
Have man people received the hpv vaccine? I asked my dr's nurse about it and she said no.  I know there are other doctors that recommend it.  I have a high rez anoscopy scheduled, this is done every year at my clinic.   I kinda want the vaccine too. 
Don't be fancy, just get dancey

Offline jkinatl2

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Re: Anal cancer risk increases significantly in first year of HIV infection
« Reply #2 on: October 26, 2011, 12:31:13 PM »
Most sexually active adults, especially gay males, already have the virus. You should be screened for it for information's sake however.

"Many people, especially in the gay community, turn to oral sex as a safer alternative in the age of AIDS. And with HIV rates rising, people need to remember that oral sex is safer sex. It's a reasonable alternative."

-Kimberly Page-Shafer, PhD, MPH

Welcome Thread

Offline MiniPozToyota

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Re: Anal cancer risk increases significantly in first year of HIV infection
« Reply #3 on: October 26, 2011, 10:00:29 PM »
what about straight males? still a risk for anal cancer?
April 2010- tested neg.
April 1 2011 -  CD4 346 VL 46856 22%
July 27 2011- Started Atripla
(Meds are good) needed more space to update been UD now for three years. Current down below
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Offline le_liseur

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Re: Anal cancer risk increases significantly in first year of HIV infection
« Reply #4 on: October 27, 2011, 12:07:04 AM »
I had the three shots about 3 years ago, before my HIV diagnosis. My parent's insurances covered it. The doctor said he was suggesting it to his gay patients. I live in Montreal, so maybe the guidelines are/were different.


Offline jkinatl2

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Re: Anal cancer risk increases significantly in first year of HIV infection
« Reply #5 on: October 27, 2011, 12:09:55 AM »
In order to have a risk for HPV one must be infected with it. Unlike other illnesses, HPV does tend to isolate in the areas of infection - genital warts on the penis versus anal warts, for example. I imagine straight males without any anal experience might be more at risk for certain penile cancers, though I have not found scientific corroboration.



"Many people, especially in the gay community, turn to oral sex as a safer alternative in the age of AIDS. And with HIV rates rising, people need to remember that oral sex is safer sex. It's a reasonable alternative."

-Kimberly Page-Shafer, PhD, MPH

Welcome Thread

Offline edfu

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Re: Anal cancer risk increases significantly in first year of HIV infection
« Reply #6 on: October 27, 2011, 04:27:26 AM »
HPV is spread via skin-to-skin contact, which is why condoms are not considered particularly useful in HPV prevention.  Straight men, women, and gay men who are not anally receptive can still get anal HPV infection from the insertion of a finger, etc.  Women in particular are subject to something called transmigration, in which HPV can spread from the vagina/cervix to the anus without penile insertion into the anus. 
"No one will ever be free so long as there are pestilences."--Albert Camus, "The Plague"

"Mankind can never be free until the last brick in the last church falls on the head of the last priest."--Voltaire

Offline mecch

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Re: Anal cancer risk increases significantly in first year of HIV infection
« Reply #7 on: October 27, 2011, 06:05:24 AM »
I am not getting that article nor this thread.  According to that article we should all be dropping dead with anal cancer by now, years after diagnosis. In that article everything is 2x 3x 4x 5x normal risk.
ďFrom each, according to his ability; to each, according to his needĒ 1875 K Marx

Offline bocker3

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Re: Anal cancer risk increases significantly in first year of HIV infection
« Reply #8 on: October 27, 2011, 07:43:45 AM »
I am not getting that article nor this thread.  According to that article we should all be dropping dead with anal cancer by now, years after diagnosis. In that article everything is 2x 3x 4x 5x normal risk.

It is really quite simple -- the normal risk for anal cancer is extremely small.  So, even 5x a very small number will still give you a relatively small number.

While I do get my ass examined every year, I spend very little time worrying about anal cancer, as there are a whole host of other things that are more likely to be my undoing.

M
Atripla - Started 12/05
Reyataz/Norvir - Added 6/06
Labs - Pre-Meds
Sep05 T=350/25% VL98,559
Nov05 288/18%  47,564
Current Labs
May2013 691/31% <20

Offline Miss Philicia

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Re: Anal cancer risk increases significantly in first year of HIV infection
« Reply #9 on: October 27, 2011, 09:23:35 AM »
Agreed. There's not much reason to worry about this issue IF you're having the proper area looked at annually. Of course, having been on this board for five years I know most HIV patients don't do this, and/or don't even understand the process, nor have an HIV specialist that is pro-actively discussing and explaining it to them.
"Iíve slept with enough men to know that Iím not gay"

Offline Ann

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Re: Anal cancer risk increases significantly in first year of HIV infection
« Reply #10 on: October 27, 2011, 09:29:52 AM »


HPV is spread via skin-to-skin contact, which is why condoms are not considered particularly useful in HPV prevention.  Straight men, women, and gay men who are not anally receptive can still get anal HPV infection from the insertion of a finger, etc.  Women in particular are subject to something called transmigration, in which HPV can spread from the vagina/cervix to the anus without penile insertion into the anus. 


Yes, that's because we're taught from an early age to wipe front-to-back after using the toilet, for obvious reasons. It also means that we're likely to spread genital herpes to the anal area. Ouch.

Straight men with no experience of anal/penile penetration are mcuh less likely to have hpv anally, unless they've indulged in a bit of finger play.
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