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Kravvas G, Ge L, Ng J, Shim TN, Doiron PR, Watchorn R, Kentley J, Panou E, Dinneen M, Freeman A, Jameson C, Haider A, Francis N, Minhas S, Alnajjar H, Muneer A, Bunker CB. The management of penile intraepithelial neoplasia (PeIN): clinical and histological features and treatment of 345 patients and a review of the literature. J DERMATOL TREAT 2020; 33:1047-1062. [DOI: 10.1080/09546634.2020.1800574] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Affiliation(s)
- G. Kravvas
- Department of Dermatology, University College London Hospitals, London, UK
| | - L. Ge
- Department of Dermatology, University College London Hospitals, London, UK
| | - J. Ng
- Department of Dermatology, Chelsea & Westminster Hospital, London, UK
| | - T. N. Shim
- Department of Dermatology, University College London Hospitals, London, UK
| | - P. R. Doiron
- Department of Dermatology, University College London Hospitals, London, UK
| | - R. Watchorn
- Department of Dermatology, University College London Hospitals, London, UK
| | - J. Kentley
- Department of Dermatology, Chelsea & Westminster Hospital, London, UK
| | - E. Panou
- Department of Dermatology, University College London Hospitals, London, UK
| | - M. Dinneen
- Department of Urology, Chelsea & Westminster Hospital, London, UK
| | - A. Freeman
- Department of Histopathology, University College London Hospitals, London, UK
| | - C. Jameson
- Department of Histopathology, University College London Hospitals, London, UK
| | - A. Haider
- Department of Histopathology, University College London Hospitals, London, UK
| | - N. Francis
- Department of Histopathology, Imperial College Hospitals, London, UK
| | - S. Minhas
- Department of Urology, Imperial College Hospitals, London, UK
| | - H. Alnajjar
- Department of Urology, University College London Hospitals, London, UK
| | - A. Muneer
- Department of Urology, University College London Hospitals, London, UK
| | - C. B. Bunker
- Department of Dermatology, University College London Hospitals, London, UK
- Department of Dermatology, Chelsea & Westminster Hospital, London, UK
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Gautier M, Brochard C, Lion A, Henno S, Mallet AL, Bodere A, Bouguen G, Lièvre A, Siproudhis L. High-grade anal intraepithelial neoplasia: Progression to invasive cancer is not a certainty. Dig Liver Dis 2016; 48:806-11. [PMID: 27103359 DOI: 10.1016/j.dld.2016.03.011] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/21/2016] [Revised: 03/10/2016] [Accepted: 03/15/2016] [Indexed: 12/11/2022]
Abstract
BACKGROUND The incidences of high-grade anal intraepithelial neoplasia (HSIL) and superficially invasive squamous cell carcinomas (SISCCA) related to human papillomavirus (HPV) have increased. These lesions can progress to invasive anal cancer. The aim of the study was to assess the clinical outcome with a special focus on the healing rate. METHODS Forty-six consecutive patients (M/F: 35/11; HIV+: 30) with histologically proven HSIL lesions (N=41) or SISCCA (N=5) were enrolled in a follow-up survey. RESULTS Of the 46 patients, 40 were treated by excision (n=9), electrocoagulation (n=13), topical treatment (n=2) or combined strategies (n=16). After a mean follow-up of 35 (27-43) months, only one patient progressed to an invasive cancer. Regression and healing were observed in 14 (30%) and 15 (33%) patients. The cumulative probabilities of healing were 14%, 49% and 74% after 1, 3 and 5 years. None of the current smokers healed. Heterosexual patients, sexual abstinence, patients older than 44 years old, non-smokers, patients without any past history of condyloma and those with less than 2 high-risk HPVs at baseline were more likely to heal. CONCLUSION Progression to invasive cancer is a rare event. Large, prospective cohort studies are needed to plan coherent strategies for both follow-up and treatment.
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Affiliation(s)
- Mathilde Gautier
- Department of Hepato-Gastroenterology, University Hospital of Rennes, Pontchaillou, France
| | - Charlène Brochard
- Department of Hepato-Gastroenterology, University Hospital of Rennes, Pontchaillou, France; INSERM U991, University of Rennes 1, Rennes, France; CIC-1414 University Hospital of Rennes, Pontchaillou, France
| | - Annie Lion
- Department of Hepato-Gastroenterology, University Hospital of Rennes, Pontchaillou, France
| | - Sébastien Henno
- CIC-1414 University Hospital of Rennes, Pontchaillou, France; Department of Pathology, University Hospital of Rennes, Pontchaillou, France
| | - Anne Laure Mallet
- Department of Hepato-Gastroenterology, University Hospital of Rennes, Pontchaillou, France
| | - Anaïs Bodere
- Department of Hepato-Gastroenterology, University Hospital of Rennes, Pontchaillou, France
| | - Guillaume Bouguen
- Department of Hepato-Gastroenterology, University Hospital of Rennes, Pontchaillou, France; INSERM U991, University of Rennes 1, Rennes, France; CIC-1414 University Hospital of Rennes, Pontchaillou, France
| | - Astrid Lièvre
- Department of Hepato-Gastroenterology, University Hospital of Rennes, Pontchaillou, France
| | - Laurent Siproudhis
- Department of Hepato-Gastroenterology, University Hospital of Rennes, Pontchaillou, France; INSERM U991, University of Rennes 1, Rennes, France; CIC-1414 University Hospital of Rennes, Pontchaillou, France.
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Deen K, Burdon-Jones D. Imiquimod in the treatment of penile intraepithelial neoplasia: An update. Australas J Dermatol 2016; 58:86-92. [DOI: 10.1111/ajd.12466] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2015] [Accepted: 02/03/2016] [Indexed: 12/11/2022]
Affiliation(s)
- Kristyn Deen
- Department of Dermatology; Mater Misericordiae Hospital; Brisbane Queensland Australia
| | - David Burdon-Jones
- Department of Dermatology; Mater Misericordiae Hospital; Brisbane Queensland Australia
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Fuchs W, Wieland U, Skaletz-Rorowski A, Brockmeyer N, Swoboda J, Kreuter A, Michalik C, Potthoff A. The male ScreenING Study: prevalence of HPV-related genital and anal lesions in an urban cohort of HIV-positive men in Germany. J Eur Acad Dermatol Venereol 2016; 30:995-1001. [DOI: 10.1111/jdv.13539] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2015] [Accepted: 10/19/2015] [Indexed: 02/01/2023]
Affiliation(s)
- W. Fuchs
- Department of Dermatology, Venereology and Allergology; Center for Sexual Health and Medicine; Ruhr-University Bochum; Bochum Germany
| | - U. Wieland
- National Reference Center for Papilloma- and Polyomaviruses; Institute of Virology; Uniklinik Köln; University of Cologne; Koeln Germany
| | - A. Skaletz-Rorowski
- Competence Network for HIV/AIDS (KompNet HIV/AIDS); Ruhr-University Bochum; Bochum Germany
| | - N.H. Brockmeyer
- Department of Dermatology, Venereology and Allergology; Center for Sexual Health and Medicine; Ruhr-University Bochum; Bochum Germany
| | | | - A. Kreuter
- Department of Dermatology, Venereology and Allergology; Center for Sexual Health and Medicine; Ruhr-University Bochum; Bochum Germany
| | - C. Michalik
- Competence Network for HIV/AIDS (KompNet HIV/AIDS); Ruhr-University Bochum; Bochum Germany
- Clinical Trial Centre (ZKS); University of Cologne; Cologne Germany
| | - A. Potthoff
- Department of Dermatology, Venereology and Allergology; Center for Sexual Health and Medicine; Ruhr-University Bochum; Bochum Germany
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Abstract
Balanitis is a descriptive diagnosis for a heterogeneous group of infectious or inflammatory dermatoses which have to be differentiated from malignant conditions. Balanitis is caused not only by Candida spp. and bacterial infections, including anaerobic bacteria: viral infections, parasites and other sexually transmitted infections (STI) also have to be considered. Lichen planus, psoriasis and contact dermatitis can characteristically lead to inflammatory conditions of the glans penis. In addition to a complete skin examination, a thorough patient history with respect to topically applied products and sexual behavior is essential. Infections must be treated and the glans penis should be kept dry. It is important to ensure a balanced genital hygiene in patients. As a last resort therapeutic circumcision can be considered for most forms of chronic balanitis.
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Affiliation(s)
- S Borelli
- Dermatologisches Ambulatorium, Stadtspital Triemli Zürich, Herman-Greulich-Str. 70, 8004, Zürich, Schweiz,
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