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Why Gynecologists Must Become Anal Cancer-Prevention Specialists
Nadi Nina Kaonga1, Mary Grace Tadros, Patricia Jeudin
1Department of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, Georgia; the Division of Gynecologic Oncology, Sylvester Comprehensive Cancer Center/University of Miami Miller School of Medicine, Miami, Florida; the Department of Obstetrics and Gynecology, Boston University Chobanian and Avedisian School of Medicine, Boston, Massachusetts; the Department of Obstetrics and Gynecology, University of Colorado School of Medicine, Aurora, Colorado; and the Department of Obstetrics and Gynecology, Stanford Medicine, Palo Alto, California.
Abstract:
Anal cancer incidence is rising in the United States, with the fastest increases among older women, a population not traditionally considered high risk. Despite its shared human papillomavirus etiology with cervical cancer, clinical capacity for anal cancer screening and prevention remains limited, even though the disease is largely preventable. Gynecologists are uniquely positioned to address this preventable gap. The principles of anal cancer prevention correspond with established gynecologic practice. Expanding gynecologic presence in anal cancer prevention efforts represents a logical, workforce-ready strategy to detect and treat anal cancer precursors and thereby limit the incidence of cancer, though collaboration and a multi-disciplinary approach are key.
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