Spaczyński Marek, Nowak-Markwitz Ewa, Kedzia Witold
Klinika Onkologii Ginekologicznej Katedry Ginekologii i Połoinictwa, Uniwersytetu Medycznego im. Karola Marcinkowskiego w Poznaniu.
Ginekol Pol. 2007 May;78(5):354-60.
High cervical cancer morbidity remains an unresolved epidemiologic problem in Poland. Prevention programs used in the past years did not lead to significant decrease in cervical cancer mortality and morbidity. Countries that introduced active prevention programs several decades ago achieved significant decrease by up to 80%, in the cervical cancer morbidity. We present in this paper the principles of the screening program introduced in Poland in 2006 and compare it with the screening models applied in the other countries. The special attention is drawn to the age at which screening is commenced and stopped as well as to the screening intervals. Advantages and disadvantages of the PAP smear are discussed in great details. Additionally the potential role of HPV DNA testing is discussed, including the possibility of replacement of cytological tests with HPV testing.
在波兰，高宫颈癌发病率仍然是一个尚未解决的流行病学问题。过去几年采用的预防计划并未使宫颈癌死亡率和发病率显著下降。几十年前推行积极预防计划的国家，宫颈癌发病率显著下降了高达80%。在本文中，我们介绍了2006年在波兰推行的筛查计划的原则，并将其与其他国家应用的筛查模式进行比较。特别关注筛查开始和停止的年龄以及筛查间隔。详细讨论了巴氏涂片检查的优缺点。此外，还讨论了HPV DNA检测的潜在作用，包括用HPV检测取代细胞学检测的可能性。
