Incorporating anal dysplasia screening and management into a surgical practice

Mark Lane Welton, Harry A. Oberhelman, Amy L. Lightner

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Screening practices for anal dysplasia with the use of anal cytology and high-resolution anoscopy (HRA) has become a topic of increased interest to colon and rectal surgeons. However, screening continues to be practiced by a minority of clinicians. One major hurdle is how to incorporate anal cytology screening programs into busy colorectal surgical practices. In this article, I highlight my early experience treating anal dysplasia and review my current approach and practice pattern for treating anal dysplasia. I also suggest a few paradigms for implementing screening into various clinical settings, and offer surveillance algorithms for individual patients with anal dysplasia based on risk factors.

Original languageEnglish (US)
Pages (from-to)111-113
Number of pages3
JournalSeminars in Colon and Rectal Surgery
Issue number2
StatePublished - Jun 2017

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology


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