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HIV人群的肛肠病理学:放射科医生指南。

Anorectal pathology in the HIV population: a guide for radiologists.

作者信息

Vos Derek, Wang Margaret, Ramaiya Sita, Kikano Elias G, Tirumani Sree H, Smith Daniel A

机构信息

Case Western Reserve University School of Medicine, 9501 Euclid Ave, Cleveland, OH, 44106, USA.

Department of Radiology, University Hospitals Cleveland Medical Center, 11100 Euclid Ave, Cleveland, OH, 44106, USA.

出版信息

Abdom Radiol (NY). 2022 May;47(5):1762-1774. doi: 10.1007/s00261-022-03470-z. Epub 2022 Mar 14.

DOI:10.1007/s00261-022-03470-z
PMID:35284963
Abstract

Patients with human immunodeficiency virus (HIV) can present with a wide range of different acute and chronic pathologies. Anorectal conditions are particularly common in this unique patient population, including pathologies, such as proctitis, anorectal abscess, anorectal fistula, and anal squamous cell carcinoma. The radiologist plays a critical role in the assessment of these common forms of anorectal disease, as these conditions can present with various findings on imaging assessment. Pelvic CT, MRI, and FDG-PET/CT are among the most common modalities used for assessment of anorectal disease in the HIV patient population. Knowledge of the fundamental clinical and imaging findings associated with these pathologies in HIV patients is critical for radiologists.

摘要

感染人类免疫缺陷病毒(HIV)的患者可能会出现各种各样不同的急性和慢性病症。肛肠疾病在这一特殊患者群体中尤为常见,包括直肠炎、肛肠脓肿、肛瘘和肛门鳞状细胞癌等病症。放射科医生在评估这些常见的肛肠疾病形式中起着关键作用,因为这些病症在影像学评估中可能会呈现出各种表现。盆腔CT、MRI和FDG-PET/CT是用于评估HIV患者群体肛肠疾病的最常见检查方式。了解HIV患者中与这些病症相关的基本临床和影像学表现对放射科医生至关重要。

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Self-reported anal symptoms and their association with anal pathology among gay and bisexual men: a cross-sectional observational analysis.男同性恋者和双性恋男性的自我报告肛门症状及其与肛门病理学的关联:一项横断面观察性分析。
Sex Health. 2021 May;18(2):123-129. doi: 10.1071/SH20104.
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Proctitis in Men Who Have Sex with Men.男性同性恋者中的直肠炎。
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3
The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Treatment of Chronic Radiation Proctitis.
美国结肠和直肠外科医师学会慢性放射性直肠炎治疗临床实践指南。
Dis Colon Rectum. 2018 Oct;61(10):1135-1140. doi: 10.1097/DCR.0000000000001209.
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Imaging of Acute Conditions of the Perineum.会阴部急性疾病的影像学表现。
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Human papillomavirus types from infection to cancer in the anus, according to sex and HIV status: a systematic review and meta-analysis.肛门人乳头瘤病毒类型:根据性别和 HIV 状况从感染到癌症:系统评价和荟萃分析。
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Cancer of the Anal Canal: Diagnosis, Staging and Follow-Up with MRI.肛管癌:MRI诊断、分期及随访
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