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Letters Anal neoplasia and cancer

Early treatment of anal intraepithelial neoplasia

BMJ 2011; 343 doi: (Published 29 November 2011) Cite this as: BMJ 2011;343:d7717
  1. Mayura Nathan, consultant physician1,
  2. Michael Sheaff, consultant2,
  3. Paul Fox, consultant physician3,
  4. Peter Goon, clinician scientist4,
  5. Richard Gilson, director5,
  6. Charles Lacey, professor6
  1. 1Homerton University Hospital and Barts and the London NHS Trust, London, UK
  2. 2Cellular Pathology, Barts and the London NHS Trust, London, UK
  3. 3Chelsea and Westminster Hospital, London, UK
  4. 4Cancer Research UK and Department of Pathology, University of Cambridge, Cambridge, UK
  5. 5Centre for Sexual Health and HIV Research, University College London, London, UK
  6. 6Centre for Immunology and Infection, Hull York Medical School, University of York, UK
  1. mayura.nathan{at}

Simpson and Scholefield did not mention anal cytology and high resolution anoscopy in their review of the diagnosis and management of anal intraepithelial neoplasia and anal cancer.1

High resolution anoscopy detects anal intraepithelial neoplasia (AIN), analogous to cervical intraepithelial neoplasia (CIN), and uses the same colposcopic equipment. It has been used most …

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