Should we search for high-risk HPV in vaginal vault Pap smear after hysterectomy due to CIN2+?

被引:0
作者
Ferreira, I [1 ]
Estevinho, C. [2 ]
Torgal, A. [2 ]
Carrapatoso, C. [2 ]
Costa, F. [2 ]
机构
[1] Ctr Hosp & Univ Coimbra, Serv Ginecol & Obstet, Coimbra, Portugal
[2] Ctr Hosp Tamega & Sousa, Serv Ginecol & Obstet, Penafiel, Portugal
关键词
Vaginal Pap tests; hrHPV vaginal testing; Follow-up; Hysterectomy; CIN2+; GYNECOLOGIC MALIGNANCIES SOCIETY; UPDATED CONSENSUS GUIDELINES; INVASIVE CERVICAL-CANCER; HUMAN-PAPILLOMAVIRUS; FOLLOW-UP; INTRAEPITHELIAL NEOPLASIA; POSTTREATMENT SURVEILLANCE; SCREENING-TESTS; WOMEN; CYTOLOGY;
D O I
10.31083/j.ejgo.2020.02.5226
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Women with a history of hysterectomy due to malignant or premalignant cervical disease are currently submitted to tight surveillance, which consists of vaginal Pap tests for as long as 20 years in the late follow-up period. Nevertheless, published literature has concluded that vaginal Pap screening has a very low detection yield. Also, these recommendations are almost entirely from an era before high-risk HPV (hrHPV) DNA testing. The authors' aim is to review these women's current management and share the scarce recommendations available for the management of abnormal vaginal Pap and/or adjunctive hrHPV DNA tests in these patients.
引用
收藏
页码:157 / 162
页数:6
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