Pre-invasive ano-genital disease (also known as dysplasia) is common and can affect the cervix, vagina, vulva and anus. When appropriately treated, cancer of these sites may be prevented. The link between infection with Human Papilloma virus (HPV) and these conditions has been well established. Most women diagnosed with dysplasia of the cervix have had an abnormal cervical Pap test. And most men and women with dysplasia of the anus have an abnormal anal Pap test.
The Dysplasia Clinic at the Sylvester Comprehensive Cancer Center offers diagnosis and treatment for pre-invasive diseases of the lower genital tract, as well as screening and treatment of anal dysplasia in men and women.
Clinical services are available to any woman diagnosed with cervical, vaginal or vulvar dysplasia. Any woman with an abnormal cervical Pap smear may also be eligible for evaluation. Clinical services are also available for the screening and treatment of anal dysplasia in men and women.
About the Dysplasia Program
Sylvester Comprehensive Cancer Center Division of Gynecologic Oncology provides efficient and specialized care of women with genital dysplasia and men and women at risk for or with anal dysplasia through the Dysplasia Program.
- Provide timely, efficient care for all women with abnormal cervical Pap tests and men and women at risk for or with anal dysplasia.
- Evaluate, treat and manage cervical, vaginal, vulvar, and anal dysplasia.
- Provide HPV and dysplasia counseling.
Colposcopy is usually done as a follow-up exam to help find the cause of an abnormal Pap test. Colposcopy is a procedure that gives a magnified view of the cervix and/or vagina using a lighted microscope called a colposcope and identifies areas that may need to be biopsied. Similar to a Pap test, it is a very safe procedure. It usually takes less than 10 minutes, and most women have only minor discomfort.
About High Resolution Anoscopy
High-resolution anoscopy or HRA is a colposcopy of the anal canal. The procedure allows for a magnified examination and evaluation of the anal canal. Abnormal areas can be identified and if indicated, a biopsy can be obtained. The procedure is performed in the office and generally lasts about 20 minutes and you can go right back to your routine activities. It is usually very well tolerated with mild if any discomfort. Significant risks such as bleeding or infection are extremely rare. Note that high resolution anoscopy is very different from colonoscopy or flexible sigmoidoscopy, neither of which can adequately exam the anal canal for the problems being detected by HRA. No bowel prep is needed for this examination.
Request an Appointment
Appointments are available in the Division of Gynecologic Oncology at the Sylvester Comprehensive Cancer Center for Dysplasia Clinic visits. Self-referrals or physician referrals are welcome.
Call the office to schedule your appointment today at 305-243-2233, option 1.
Patricia Jeudin, MD – Gynecologist
Dr. Patricia Jeudin has joined The University of Miami Miller School of Medicine as Assistant Professor in the Department of Obstetrics and Gynecology (OB/GYN). Dr. Jeudin completed her residency in Obstetrics and Gynecology at Boston Medical Center in Massachusetts. Her research interests involve disparities in cervical cancer screening and treatment of cervical dyspalsia as well as ways to mitigate these disparities. She has published several articles on the effects of race and ethnicity of HPV vaccination. Dr. Jeudin will provide services in the dysplasia clinic every Friday at the Sylvester Comprehensive Cancer center under the division of Gynecologic Oncology.
Isabella Rosa-Cunha, MD – Infectious Diseases
Dr. Rosa-Cunha has been a faculty member at University of Miami since 2006. She is an Associate Professor of Clinical Medicine in the Division of Infectious Diseases. She is also a member of the Infectious Diseases Society of America and the AIDS Malignancy Consortium.
Dr. Rosa-Cunha’s clinical and research interests include HIV/HPV co-infection. She recognizes anal cancer screening is remarkably low in many parts of the U.S.; she has worked diligently to bring awareness to individuals at risk and start anal cancer screening programs in South Florida, establishing the first anal dysplasia program in Miami in 2005.
Faith Doyle, ARNP – Nurse Practitioner
Brian M. Slomovitz, MD – Medical Director
Erin Kobetz, PhD – Associate Director for Disparities and Community Outreach