Cervical Intraepithelial Neoplasia Grade 1, Cervical Intraepithelial Neoplasia Grade 2, Cervical Intraepithelial Neoplasia Grade 3, Recurrent Cervical Cancer, Recurrent Vaginal Cancer, Recurrent Vulvar Cancer, Stage 0 Cervical Cancer, Stage 0 Vaginal Cancer, Stage 0 Vulvar Cancer, Stage I Vaginal Cancer, Stage I Vulvar Cancer, Stage IA Cervical Cancer, Stage IB Cervical Cancer, Stage II Vaginal Cancer, Stage II Vulvar Cancer, Stage IIA Cervical Cancer, Stage IIB Cervical Cancer, Stage III Cervical Cancer, Stage III Vaginal Cancer, Stage III Vulvar Cancer, Stage IV Vulvar Cancer, Stage IVA Cervical Cancer, Stage IVA Vaginal Cancer, Stage IVB Cervical Cancer, Stage IVB Vaginal Cancer
Conditions
Brief summary
This clinical trial studies colposcopy and high resolution anoscopy in screening for anal dysplasia in patients with cervical, vaginal, or vulvar dysplasia or cancer. Screening may help doctors find cancer cells early and plan better treatment for cancer
Detailed description
OBJECTIVES: I. To evaluate the risk of anal dysplasia in women with cervical or vulvar dysplasia. OUTLINE: Patients undergo colposcopy and cervical Papanicolaou test with Human papillomavirus (HPV) test followed by anal Papanicolaou test and high resolution anoscopy. Patients with dysplastic anal lesions undergo repeat anoscopy at 3, 9, 15, and 24 months. Patients with normal anoscopy are followed up at 1 and 2 years.
Interventions
Undergo colposcopy
Undergo cervical Pap smear
Undergo anal Pap smear
Sponsors
Study design
Eligibility
Inclusion criteria
* Histological confirmation of cervical, vaginal or vulvar intraepithelial neoplasia or cancer are included * Individuals treated with prior radiation therapy and/or chemotherapy are allowed * Women with high-grade dysplasia (carcinoma in situ) are eligible, regardless of their dysplasia free interval * HIV-positive (Human Immunodeficiency Virus) and HIV-negative women will be enrolled; HIV testing will not be performed as part of the study
Exclusion criteria
* Women who are not able to consent are excluded
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Risk of anal dysplasia in women with cervical or vulvar dysplasia | Over 2 years |
| HPV (Human Papillomavirus) status | Over 2 years |