title: Screening for Cancer in Persons Living with HIV Infection.
abstract: Survival with human immunodeficiency virus (HIV) infection has greatly improved due to effective antiretroviral therapy (ART). As infectious complications have declined, malignancy now accounts for over one-third of deaths among people living with HIV (PLWH). Based on practices in the general population, cancer screening of PLWH can decrease both morbidity and mortality. In this article, we review and consider directed approaches for colorectal, breast, cervical and lung cancer screening. Furthermore, routine physical examinations may detect lymphomas and skin, anal and oral cancers. Comprehensive cancer prevention in PLWH should also include ART adherence, vaccination against oncogenic viruses, treatment of hepatitis viruses and smoking cessation. Cancer screening for PLWH warrants further research on safety and efficacy as well as targeted efforts to increase adherence.
authors.affiliation: Infections and Immunoepidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Bethesda, Maryland.
authors.forename: James J
authors.initials: JJ
authors.lastname: Goedert
authors.affiliation: Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, New York.
authors.forename: H Dean
authors.initials: HD
authors.lastname: Hosgood
authors.affiliation: Private practice, Bethesda, Maryland.
authors.forename: Robert J
authors.initials: RJ
authors.lastname: Biggar
authors.affiliation: Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, New York.
authors.forename: Howard D
authors.initials: HD
authors.lastname: Strickler
authors.affiliation: Infections and Immunoepidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Bethesda, Maryland.
authors.forename: Charles S
authors.initials: CS
authors.lastname: Rabkin
mesh_terms: D055088:Early Detection of Cancer; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D009369:Neoplasms / Q000175:diagnosis* / Q000209:etiology