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There are docs scattered here and there but they are not easy to find and ALL colorectal surgeons should have this information and be prepared to treat AIN when it occurs. At present, there is no protocol in this regard however if you utilize the cervical protocol as a model, then AIN1 would be watched and further HPV test/anoscopy done at 12 months up to 24 months. However AIN2/3 needs to be treated typically with the use of laser and even a first year colorectal surgeon out of med school should know this. CIS is even worse and many equate it to AIN3 and will progress to invasive cancer if untreated. To have your doctor tell you he/she doesn't know how to treat something this early is one of the most ridiculous things I've ever heard and the reason why screening is done. And, if he doesn't know how to approach it then he needs to get off his duff and contact the experts who do such as Dr. Palefsky or Dr. Goldstone!

January 2, 2012 - 9:53am

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