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some gay men, especially those who are hiv positive, might have a higher risk of anal cancer. Knowing about these cancers and what you can do to help prevent them or find them early (when the cancer is small and might be easier to treat) may help save your life. gay and bisexual men are at significant risk for developing anal cancer, and testing them for the disease would save many lives, says a new study in the american journal of medicine. Gay men experience rates of anal cancer of up to 20 fold higher than the general population. 17 18 for hiv-positive gay men, the risk is further elevated. , reported an incidence of 22100,000 cases per year of anal cancer among gay men with hiv in the period before 1996, increasing to 78100,000 per year in reports published after this date. anal cancer in gay men or men having sex with men (msm) has the appearance of being the next major health crisis within the gay community. You may miss the more serious precancerous dysplasia inside the anal rectal canal. Goldstone, assistant clinical professor, mount sinai school of medicine, new york, and medical director of gayhealth. Com, said that he sees many gay men in his general surgery practice. The appearance of anal cancer in this population is a recent but growing. Anal cancer, hiv, and gaybisexual men by liz margolies, lcsw, and bill goeren, lcsw hiv-positive msm are 40 times more likely to be diagnosed with anal cancer. One of the more pressing issues for gay men is anal carcinoma. Several recent studies have indicated the rate of anal dysplasia to be increasing in men with and without hiv. Ninety percent of men with hiv have the human papilomavirus (hpv), while 65 of men without hiv have hpv. Hpv type 16 is the most troublesome for developing cancer and is found in a significant portion of gay men. Anal cancer is an insidious and growing concern among people living with hiv, especially among gay and bisexual men. Symptoms can start out subtly at first, often with itching around the anus, much like the itching one might associate with hemorrhoids.