Wilailak Sarikapan, Kengsakul Malika, Kehoe Sean
Department of Obstetrics and Gynecology, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Department of Obstetrics and Gynecology, Panyananthaphikkhu Chonprathan Medical Center, Srinakharinwirot University, Nonthaburi, Thailand.
Int J Gynaecol Obstet. 2021 Oct;155 Suppl 1(Suppl 1):102-106. doi: 10.1002/ijgo.13879.
In 2020, more than 600 000 women were diagnosed with cervical cancer and 342 000 women died worldwide. Without comprehensive control, rates of cervical cancer incidence and mortality are expected to worsen. In 2020, the World Health Organization adopted the global strategy to eliminate cervical cancer to the threshold of four cases per 100 000 women within the 21st century, using a triple pillar intervention strategy comprising 90% of girls fully vaccinated by the age of 15 years, 70% of women screened by the age of 35 years and again by 45 years, and 90% of women with precancer treated and 90% of women with invasive cancer managed. In countries with high cervical cancer incidence, a tremendous effort will be needed to overcome the challenges. This article discusses the efforts in place to accelerate achievement of this ambitious goal.
2020年，全球有超过60万女性被诊断出患有宫颈癌，34.2万女性死于宫颈癌。若不进行全面防控，宫颈癌的发病率和死亡率预计还会恶化。2020年，世界卫生组织通过了消除宫颈癌的全球战略，目标是在21世纪将宫颈癌发病率降至每10万名女性中4例的阈值，采用三支柱干预策略，即90%的女孩在15岁前完成全程接种疫苗，70%的女性在35岁时接受筛查，并在45岁时再次筛查，90%的癌前病变女性得到治疗，90%的浸润性癌女性得到妥善管理。在宫颈癌高发国家，需要付出巨大努力来克服这些挑战。本文讨论了为加速实现这一宏伟目标所做出的努力。
