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Anal cancer is preceded by precursor lesions, anal intraepithelial neoplasia AIN. AIN detection requires high-resolution anoscopy, a cumbersome and time-consuming procedure. Summary estimates of sensitivity and specificity were calculated using bivariate logistic regression. We included 22 studies.
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Procedural Advice for Performing Anal Pap Smears

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Tests for Anal Cancer

Sometimes a doctor will find anal cancer during a routine physical exam or during a minor procedure, such as removing a hemorrhoid. Treating cancers found this way is often very effective because the tumors are found early in the course of the disease. This means they're small and haven't spread. If anal cancer is suspected, exams and tests will be needed to confirm the diagnosis. If cancer is found, more tests will be done to help determine the extent stage of the cancer. If you have symptoms that might be caused by anal cancer, the doctor will ask about your medical history to check for possible risk factors and learn more about your symptoms. Your doctor will also examine you to look for signs of anal cancer or other health problems.
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Tests for Anal Cancer

I appreciate American Family Physician publishing this article, 1 as I know this may be considered murky territory by many physicians. I have several questions: 1 How does one collect an anal Pap smear? I was unable to find someone at my teaching institution who was able to answer my questions.
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Public Health Menu. Neisseria gonorrhoeae is fastidious and fragile, so careful consideration must be given to proper methods for collection and transport of specimens for testing. An enriched, selective media is essential for reliable isolation of gonococci which generally needs to be isolated from a variety of microbial flora including saprophytic Neisseria species. Gonorrhea culture is usually only requested for cases of treatment failure or antimicrobial resistance testing.
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