Anal Dysplasia and High Resolution Anoscopy: Should we Just Sit on it?

Tuesday, May 13, 2025

11:10 AM – 11:55 AM PT

Location: Ballroom 6C-F, Upper Level

Co-Moderator(s)

Julian Sanchez, MD (he/him/his)

Senior Member, Department of Gastrointestinal Oncology
Moffitt Cancer Center
Moffitt Cancer Center
Tampa, FL, US

All of the relevant financial relationships listed below have been mitigated.
THD America: Honoraria (Ongoing)
ES

Emily Steinhagen, MD, FACS, FASCRS

Associate Professor of Surgery
University Hospitals Cleveland Medical Center, Department of Surgery, Division of Colorectal
Cleveland, Ohio, United States

All of the relevant financial relationships listed below have been mitigated.
This individual has no financial relationships with ineligible companies.

Learning Objectives:

Upon completion of this activity, participants should be able to:

Articulate the evidence for and against high-resolution anoscopy in the treatment of anal dysplasia.
Describe the role of surgeons and non surgeons on the treatment team in the management of anal dysplasia.
Compare different techniques for performing high resolution anoscopy in the treatment of anal dysplasia.

CME Credit: 0.75
Self-Assessment Credit: 0.75
Contact Hours: 0.75

The ANCHOR trial has been interpreted differently by different surgeons, and controversy persists regarding who should be screened for anal dysplasia, who should undergo high-resolution anoscopy, and what providers should be performing these procedures. This symposium will focus on both the evidence for anal dysplasia screening and HRA as well as the practicalities of performing these procedures in a real-world setting and will occur in a debate format.

Presentations:

11:10 AM – 11:13 AM PT

Debate I: Introduction - Should High Resolution Anoscopy Become Standard of Care
Faculty: Julian Sanchez, MD (he/him/his) – Moffitt Cancer Center
Faculty: Emily Steinhagen, MD, FACS, FASCRS – University Hospitals Cleveland Medical Center, Department of Surgery, Division of Colorectal
11:13 AM – 11:16 AM PT

Debate I: High Resolution Anoscopy SHOULD Become Standard of Care
Faculty: Stephen E. Goldstone, MD – ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
11:17 AM – 11:20 AM PT

Debate I: High Resolution Anoscopy SHOULD NOT Become Standard of Care
Faculty: Bard C. Cosman, MD, MPH – University of California San Diego
11:21 AM – 11:23 AM PT

Debate I: REBUTTAL - High Resolution Anoscopy SHOULD Become Standard of Care
Faculty: Stephen E. Goldstone, MD – ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
11:24 AM – 11:26 AM PT

Debate I: REBUTTAL: High Resolution Anoscopy SHOULD NOT Become Standard of Care
Faculty: Bard C. Cosman, MD, MPH – University of California San Diego
11:27 AM – 11:30 AM PT

Debate I: Closing Remarks
Faculty: Julian Sanchez, MD (he/him/his) – Moffitt Cancer Center
Faculty: Emily Steinhagen, MD, FACS, FASCRS – University Hospitals Cleveland Medical Center, Department of Surgery, Division of Colorectal
11:30 AM – 11:32 AM PT

Debate II: Introduction - HRA with Colposcope vs HRA with Other Techniques (Loupes, THD scope, etc)
Faculty: Julian Sanchez, MD (he/him/his) – Moffitt Cancer Center
Faculty: Emily Steinhagen, MD, FACS, FASCRS – University Hospitals Cleveland Medical Center, Department of Surgery, Division of Colorectal
11:33 AM – 11:36 AM PT

Debate II: PRO HRA with Colposcope
Faculty: Elie Schochet, MD, FACS, FASCRS (he/him/his) – South Florida Colorectal Surgery Institute
11:37 AM – 11:40 AM PT

Debate II: PRO HRA with Other Techniques (Loupes, THD scope, etc)
Faculty: Grace C. Lee, MD – Massachusetts General Hospital
11:41 AM – 11:43 AM PT

Debate II: REBUTTAL - HRA with Colposcope
Faculty: Elie Schochet, MD, FACS, FASCRS (he/him/his) – South Florida Colorectal Surgery Institute
11:44 AM – 11:46 AM PT

Debate II: REBUTTAL - HRA with Other Techniques (Loupes, THD scope, etc)
Faculty: Grace C. Lee, MD – Massachusetts General Hospital
11:47 AM – 11:55 AM PT

Debate II: Closing Remarks
Faculty: Julian Sanchez, MD (he/him/his) – Moffitt Cancer Center
Faculty: Emily Steinhagen, MD, FACS, FASCRS – University Hospitals Cleveland Medical Center, Department of Surgery, Division of Colorectal