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As seen in table 1 , the median age in the malignancy group was All women had anal cytologic testing with thin-layer cytology using a swab as previously described in Robison, et al [ 8 ]. They found the highest rates of anal cancer in women with history of in situ and invasive vulvar cancer with incidence ratios of Methods A prospective cohort study was performed from December to February at Women and Infants Hospital, a large academic medical center. There is some concern about uptake of anal pap smear due to patient willingness to undergo the procedure and follow up testing, however, similar to what we found in our study, a recent study by Ferris, et al. Prevalence of anal cytological abnormalities in women with positive cervical cytology. Conclusions We found high rates of abnormal anal cytology and HPV in women with lower genital tract dysplasia and malignancy.

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