AIDS TREATMENT NEWS #139, November 22, 1991
Denny Smith
The study is now recruiting, and interested persons may call Joel Palefsky, M. D., at 415/476-1574. Men who are seronegative will also be recruited, as a control group. Dr. Palefsky told us that Pap smears are abnormal in about 40% of HIV+ men, and a high proportion of those may go on to develop cancer if not treated. This study is a good opportunity to be monitored for this potential problem.
A related concern in women with HIV is the increased incidence of neoplasia of the cervix. For that reason, many clinicians recommend six-month, instead of yearly, Pap smears for HIV+ women. Dr. Palefsky noted that women may also want to ask for an anal Pap smear when they get their regular cervical Pap smears.
For both men and women with HIV, regular Pap smears are important for timely diagnosis and treatment of anal or cervical neoplasia.
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