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Description:The skin around the outside of the anus is called the perianal area. All statistical analyses were conducted in SAS version 9. October 10, ; Accepted: Risk factors age over 50 years old, infection human papillomavirus, having many sexual partners, having receptive anal intercourse, frequent anal redness, swelling, and soreness, having anal fistulas abnormal openings , smoking. Our results imply that routine screening programs may help detect SCCA at an earlier stage and thus, potentially impact patient survival. The highest risk population is HIV-infected MSM, among whom the incidence has been estimated to be 30— times the general population [9] , [11] , [12] , [13]. Providers at University of California, San Francisco have been at the forefront of providing anal dysplasia screening.

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