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Reply to: Acetic acid and Lugol's
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<blockquote><strong class="quote">Daniel O&#39;Leary wrote:</strong> <P>Hi</P> <P>I have really enjoyed and gained from the HRA standard course. Much effort was devoted to teaching the characteristics of HSIL and LSIL. We have not had HRA at my hospital and have used simple proctoscopy and biopsy of visually or palpably suspicious abnormalities in an "AIN" clinic setting. </P> <P>Question: </P> <P>As a beginner in HRA (colorectal surgeon), what about using a very simple approach: testing with 5% acetic acid, followed by Lugol's iodine, biopsying everything that is acetowhite and Lugol's negative and keeping the rest under surveillance? What proportion of HSIL would that approach miss? </P> <P>Many thanks. </P> <P><BR></P> </blockquote><br>
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