1 / 37

HPV and Anal Dysplasia Leads to Anal Cancer

Anal Cancer . The Next Major Complication of the HIV/AIDS Epidemic. Time Line of HIV/AIDS Complications. First year: Acute viral illness at onset10 years: AIDS specific diseases10-20 years: Treatment related complicationsSugar and cholesterol abnormalitiesLipodystrophy

pembroke
Download Presentation

HPV and Anal Dysplasia Leads to Anal Cancer

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

    1. HPV and Anal Dysplasia Leads to Anal Cancer Elvin Adams, MD Stephen Weis, DO Jason Nevoit, RN January 22, 2007

    2. Anal Cancer The Next Major Complication of the HIV/AIDS Epidemic

    3. Time Line of HIV/AIDS Complications First year: Acute viral illness at onset 10 years: AIDS specific diseases 10-20 years: Treatment related complications Sugar and cholesterol abnormalities Lipodystrophy – body changes Hepatitis C related cirrhosis and liver failure 20-30 years: Anal cancer

    4. PMC Index Case Client J. J. Born 7-31-1959 (in 40’s) HIV Medications Truvada 1 tablet a day Reyataz 200 mg capsules, 2 per day Norvir 100 mg capsules, 1 per day Viral Load <50 on 3/2/06 CD4 Count 304 and 37% on 3/2/06 Panic attacks – MHMR client Alcoholic – AUDIT score 10, been to AA

    5. Colon History 5/14/02 Gross rectal bleeding. Positive family history for CA colon. GI consult requested. 8/11/03 Anal abnormalities on exam and continued bright red bleeding. GI consult arranged. 4/15/04 Four anal surgeries for recurrent anal cancer. Radiation 39 treatments Chemo 39 treatments 7/23/04 Abdominal perioneal resection and colostomy

    6. Cancer History (Continued) 2/16/2006 Complains of neck and left shoulder pain 3/2/2006 MRI 2.3 cm mass in T-2 and soft tissues. Saw oncologist for metastatic cancer 3/17/2006 Increased pain Pain treatment with MS Contin 6/20/06 Died of metastatic anal carcinoma

More Related