August #62 : Anal Alphabet - by Lark Lands

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Table of Contents

The Miseducation of Nushawn Williams

Smear Tactics

America's Most Unwanted

Stranger Than Fiction

The Bottom Line

Treat Your Cervix Well

Anal Alphabet

Editor's Letter


He The People

All My Children


Skin To Skin

Say What?

Monkey Business

Calling All Dykes

Live Boys!

Cyber HIVerite

One-Man Wonders

Sound Byte

Catching Up With...

The Breakfast Club

21st-Century Fox

Across the Digital Divide

Arch Enemies

The Hole Truth

Cheap Shots

Gimme a Break!

Comfort Zone - August 2000

Lawnmower Man

Sign of the Times

Plantar’s Punch

Herb of the Month - August 2000

Crack the Combination

Damsels in De-Stress

Fire Escape

Most Popular Lessons

The HIV Life Cycle


Herpes Simplex Virus

Syphilis & Neurosyphilis

Treatments for Opportunistic Infections (OIs)

What is AIDS & HIV?

Hepatitis & HIV

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August 2000

Anal Alphabet

by Lark Lands

Your anal Pap smear report will contain one of the following classifications:

Normal: just what you’d like to see


Inflammation: could have any number of causes and not a big reason for concern


ASCUS: atypical squamous cells of undetermined significance—indicating detection of a few abnormal cells, possibly due to HPV or other infections; not hugely alarming but in need of follow-up


LSIL: low-grade squamous intraepithelial lesion; more severe changes in cells than


ASCUS; absolutely requires follow-up, although less alarming than HSIL


HSIL: high-grade squamous intraepithelial lesion; more severe changes in cells than LSIL; again, follow-up is essential


AIN: anal intraepithelial neoplasia; can be graded as: 1, the least serious and similar to


LSIL; 2, more serious and akin to HSIL; or 3, the most serious; 2 and 3 indicate localized precancerous changes.


Joel Palefsky, MD, and Stephen Goldstone, MD, recommend high-resolution anoscopy for ASCUS, LSIL or HSIL, combined with biopsies of suspicious tissue, the results of which will determine treatment. (For more information on anal Paps, see “Smear Campaign,” POZ, August 1999.) 

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