Professional resources

The Homerton anal neoplasia service welcomes referrals.
Please download the HANS referral form

It can be printed and posted to:

The HANS Office
Clifden Centre
Homerton University Hospital NHS Foundation Trust
Homerton Row
E9 6SR

Preferably, please complete an electronic copy, and email to

From HANS:

Albuquerque A, Sheaff M, Stirrup O, Cappello C, Bowring J, Cuming T, de Masi
A, Rosenthal AN, Nathan M.
Performance of Anal Cytology Compared With
High-Resolution Anoscopy and Histology in Women With Lower Anogenital Tract
Clin Infect Dis. 2018 Apr 5. doi: 10.1093/cid/ciy273

Albuquerque A, Sheaff M, Stirrup O, Cappello C, Bowring J, Cuming T, de Masi
A, Rosenthal AN, Nathan M.
Performance of Anal Cytology Compared With
High-Resolution Anoscopy and Histology in Women With Lower Anogenital Tract
Clin Infect Dis. 2018 Apr 5. doi: 10.1093/cid/ciy273

De-Masi A, Davis E, Cuming T, Chindawi N, Pesola F, Cappello C, Chambers S,
Bowring J, Rosenthal AN, Sasieni P, Nathan M. The acceptability of high
resolution anoscopy examination in patients attending a tertiary referral centre.
BMC Cancer. 2018 May 11;18(1):554. doi: 10.1186/s12885-018-4475-6.

Tamzin Cuming, Mayura Nathan.
Anal cancer screening: Techniques and guidelines,
Seminars in Colon and Rectal Surgery.
Volume 28, Issue 2, June 2017,Pages 69-74,
ISSN 1043-1489,

Letter: Tamzin Cuming, Mayura Nathan, Sanjaya Wijeyekoon.
Anal cancer rates quadruple among UK women in past 40 years
BMJ 2014; 348 doi: (Published 06 June 2014)

Lawton MD, Nathan M, Asboe D.
HPV vaccination to prevent anal cancer in men who have sex with men.
Sex Transm Infect. 2013 Aug;89(5):342-3. doi:10.1136/sextrans-2013-051176.

Nathan M.
Treatment of anal intraepithelial neoplasia: has it come of age?
AIDS. 2013 Feb 20;27(4):651-2. doi: 10.1097/QAD.0b013e32835d0e0f. PubMed PMID:

Nathan M, Sheaff M, Fox P, Goon P, Gilson R, Lacey C.
Early treatment of anal intraepithelial neoplasia.
BMJ. 2011 Nov 29;343:d7717. doi: 10.1136/bmj.d7717.
PubMed PMID: 22127454.

Shah SH, Parameswaran S, Hickey N, Zetler S, Nathan M.
Multifocal intraepithelial neoplasia and the psychological consequence of vulvectomy.
BMJ Case Rep. 2011 Jul 20;2011. pii: bcr0220113827. doi: 10.1136/bcr.02.2011.3827.
PubMed PMID: 22689657; PubMed Central PMCID: PMC4545106.

Fox PA, Nathan M, Francis N, Singh N, Weir J, Dixon G, Barton SE, Bower M.
A double-blind, randomized controlled trial of the use of imiquimod cream for the treatment of anal canal high-grade anal intraepithelial neoplasia in HIV-positive MSM on HAART, with long-term follow-up data including the use of open-label imiquimod.
AIDS. 2010 Sep 24;24(15):2331-5. doi: 10.1097/QAD.0b013e32833d466c. PubMed PMID: 20729710.

Nathan M, Singh N, Garrett N, Hickey N, Prevost T, Sheaff M.
Performance of anal cytology in a clinical setting when measured against histology and high-resolution anoscopy findings.
AIDS. 2010 Jan 28;24(3):373-9. doi:10.1097/QAD.0b013e328333ab8e. PubMed PMID: 20057313.

Mahto M, Nathan M, O'Mahony C.
More than a decade on: review of the use of imiquimod in lower anogenital intraepithelial neoplasia.
Int J STD AIDS. 2010 Jan;21(1):8-16. doi: 10.1258/ijsa.2009.009309. Review. PubMed PMID: 20029061.

Nathan M, Hickey N, Mayuranathan L, Vowler SL, Singh N.
Treatment of anal human papillomavirus-associated disease: a long term outcome study.
Int J STD AIDS. 2008 Jul;19(7):445-9. doi: 10.1258/ijsa.2007.007290. PubMed PMID: 18574114.

Maw RD, Kinghorn GR, Bowman CA, Goh BT, Nayagam AT, Nathan M.
Imiquimod 5% cream is an acceptable treatment option for external anogenital warts in uncircumcised males.
J Eur Acad Dermatol Venereol. 2002 Jan;16(1):58-62. PubMed PMID: 11952292.

Nathan M.
Outpatient treatment of intrameatal warts in a genitourinary
medicine department.
Int J STD AIDS. 1994 May-Jun;5(3):218-20. PubMed PMID: 8061096.

Participants in an international anal neoplasia society (IANS) collaboration:

Hillman RJ, Cuming T, Darragh T, Nathan M, Berry-Lawthorn M, Goldstone S, Law C, Palefsky J, Barroso LF, Stier EA, Bouchard C, Almada J, Jay N. 2016 IANS
International Guidelines for Practice Standards in the Detection of Anal Cancer
J Low Genit Tract Dis. 2016 Oct;20(4):283-91. doi:10.1097/LGT.

Patel J, Salit IE, Berry MJ, de Pokomandy A, Nathan M, Fishman F, Palefsky J, 
Tinmouth J.
Environmental scan of anal cancer screening practices: worldwide survey results.
Cancer Med. 2014 Aug;3(4):1052-61. doi: 10.1002/cam4.250.

Other collaborations

Bissett SL, Howell-Jones R, Swift C, De Silva N, Biscornet L, Parry JV,
Saunders NA, Nathan M, Soldan K, Szarewski A, Cuzick J, Beddows S.
Human papillomavirus genotype detection and viral load in paired genital and urine samples from both females and males.
J Med Virol. 2011 Oct;83(10):1744-51. doi:10.1002/jmv.22167. Erratum in: J Med Virol. 2011 Dec;83(12):2237. PubMed PMID:21837790.

Woodhall SC, Jit M, Soldan K, Kinghorn G, Gilson R, Nathan M, Ross JD, Lacey
CJ; QOLIGEN study group.
The impact of genital warts: loss of quality of life and cost of treatment in eight sexual health clinics in the UK.
Sex Transm Infect. 2011 Oct;87(6):458-63. doi: 10.1136/sextrans-2011-050073. Epub 2011 Jun 2. PubMed PMID: 21636616; PubMed Central PMCID: PMC3253069.

Scarpini C, White V, Muralidhar B, Patterson A, Hickey N, Singh N, Mullerat J,
Winslet M, Davies RJ, Phillips ML, Stacey P, Laskey RA, Miller R, Nathan M,
Coleman N.
Improved screening for anal neoplasia by immunocytochemical detection 
of minichromosome maintenance proteins.
Cancer Epidemiol Biomarkers Prev. 2008 Oct;17(10):2855-64. doi: 10.1158/1055-9965.EPI-08-0288. PubMed PMID: 18843031.