Screening for Cervical Cancer

被引:78
作者
Eun, Terresa J. [1 ,2 ]
Perkins, Rebecca B. [1 ,2 ]
机构
[1] Stanford Univ, Dept Sociol, 120,450 Serra Mall Wallenberg, Stanford, CA 94305 USA
[2] Boston Univ, Sch Med, Dept Obstet & Gynecol, Boston Med Ctr, 85 East Concord St,6th Floor, Boston, MA 02118 USA
关键词
Cervical cytology; PAP test; HPV test; Cervical cancer screening; HUMAN-PAPILLOMAVIRUS VACCINATION; ELECTROSURGICAL EXCISION PROCEDURE; UNITED-STATES; NATURAL-HISTORY; MORTALITY-RATES; HPV VACCINATION; RISK; WOMEN; AGE; ADENOCARCINOMA;
D O I
10.1016/j.mcna.2020.08.006
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The most effective strategy for cervical cancer prevention involves vaccination against human papillomavirus (HPV) infection during adolescence followed by screening during adulthood. HPV vaccination before sexual debut can prevent HPV infections, precancers, and cancers. HPV vaccination of sexually active populations does not prevent cancer. Screening is critical to prevent cancer between the ages of 25 and 65. Screening with HPV testing or cotesting is more effective than Pap testing alone. Ensuring adequate screening at ages 45-65 may prevent cervical cancer among elderly women. Most cervical cancers at all ages occur among unscreened or underscreened women.
引用
收藏
页码:1063 / +
页数:17
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