Re: Anal cancer

In September 2002 we published a review article on anal cancer in HIV-positive men (Anal cancer and human papillomavirus in HIV-positive men who have sex with men: A case report and review of the literature. BCMJ 2002;44:374). We would like to clarify the current management of this condition in British Columbia. As of now, high-resolution anoscopy and colposcopy are not yet available in British Columbia. As well, the optimal management strategy for anal dysplastic lesions has not been fully characterized, but these individuals should receive long-term regular follow-up.

A large epidemiological study is currently being initiated to investigate various ways of performing anal pap smears, interpreting the results, and evaluating outcomes among HIV-negative and -positive men. The study is funded by CIHR and will start early in 2003. Also, a pilot consultation service is currently being developed through the Immunodeficiency Clinic at St. Paul’s Hospital, Providence Health Care, to evaluate patients presenting with dysplastic changes on anal pap smears. It is anticipated that this service will begin in the first quarter of 2003. Both of these initiatives will be appropriately announced through these pages as they are activated.

—Natasha Press, MD
Elissa Press, BA
Gil Kimel, MSc
Robert S. Hogg, PhD
Julio S.G. Montaner, MD
BC Centre for Excellence in HIV/AIDS

Natasha Press, MD, Elissa Press, BA, Gil Kimel, MSc, Robert S. Hogg, PhD, Julio S.G. Montaner, MD. Re: Anal cancer. BCMJ, Vol. 44, No. 10, December, 2002, Page(s) 525 - Letters.



Above is the information needed to cite this article in your paper or presentation. The International Committee of Medical Journal Editors (ICMJE) recommends the following citation style, which is the now nearly universally accepted citation style for scientific papers:
Halpern SD, Ubel PA, Caplan AL, Marion DW, Palmer AM, Schiding JK, et al. Solid-organ transplantation in HIV-infected patients. N Engl J Med. 2002;347:284-7.

About the ICMJE and citation styles

The ICMJE is small group of editors of general medical journals who first met informally in Vancouver, British Columbia, in 1978 to establish guidelines for the format of manuscripts submitted to their journals. The group became known as the Vancouver Group. Its requirements for manuscripts, including formats for bibliographic references developed by the U.S. National Library of Medicine (NLM), were first published in 1979. The Vancouver Group expanded and evolved into the International Committee of Medical Journal Editors (ICMJE), which meets annually. The ICMJE created the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals to help authors and editors create and distribute accurate, clear, easily accessible reports of biomedical studies.

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