Case Western Reserve University School of Medicine, Cleveland, Ohio.
Case Western Reserve University School of Medicine, Cleveland, Ohio; Department of Medicine, Case Western Reserve University School of Medicine, Cleveland, Ohio; Louis Stokes Cleveland Veterans Affairs Medical Center, Ohio.
Am J Med. 2018 Jun;131(6):702.e1-702.e5. doi: 10.1016/j.amjmed.2018.01.020. Epub 2018 Feb 3.
In the United States, 12,000 women are diagnosed with cervical cancer each year, even though the screening for this disease is safe and effective. There are 3 types of screening options available: cervical cytology (Papanicolaou or "Pap" test), Pap/HPV (human papillomavirus) co-test, and HPV-only test. With simplified options such as HPV-only screening, providers who have been reluctant to incorporate cervical cancer screening into their primary care practice may feel more comfortable with offering these services to women. In this article we review the different cervical cancer screening options that are now available and summarize the various changes in guidelines over the last decade.
在美国,每年有 12000 名女性被诊断出患有宫颈癌,尽管这种疾病的筛查既安全又有效。目前有 3 种筛查方法可供选择:宫颈细胞学(巴氏或“巴氏”检查)、巴氏/HPV(人乳头瘤病毒)联合检测和 HPV 检测。HPV 检测等简化方法的出现,使得原本不愿将宫颈癌筛查纳入其初级保健实践的提供者,可能会更愿意为女性提供这些服务。本文回顾了目前可用的不同宫颈癌筛查方法,并总结了过去十年间指南的各种变化。