Department of Family and Community Medicine, Penn State Health Hershey Medical Center, 500 University Drive, Mail Code HP11, Hershey, PA, USA.
Department of Family and Community Medicine, Penn State Health Hershey Medical Center, 500 University Drive, Mail Code HP11, Hershey, PA, USA.
Prim Care. 2021 Dec;48(4):583-595. doi: 10.1016/j.pop.2021.07.008. Epub 2021 Oct 8.
Declining cervical cancer rates in the United States highlights the value of prevention and early detection of premalignant cervical disease afforded by the human papillomavirus vaccine and Pap smear. The availability of in-office loop electrosurgical excision procedure affords clinicians with a cost-effective and preferred tool for the excision of high-grade lesions of the cervix with minimal risk for severe adverse outcomes. The most recent American Society for Colposcopy and Cervical Pathology guidelines recommend a risk-based approach for the detection, treatment, and surveillance of cervical disease and specifically focus on the risk of developing cervical intraepithelial neoplasia 3 or worse histology.
美国宫颈癌发病率的下降突显了人乳头瘤病毒疫苗和巴氏涂片筛查在预防和早期发现癌前宫颈疾病方面的价值。经阴道电切环切除术在门诊的应用为临床医生提供了一种具有成本效益的、首选的方法,用于切除宫颈高级别病变,同时最大限度地降低严重不良后果的风险。最近的美国阴道镜和宫颈病理学会指南建议采用基于风险的方法来检测、治疗和监测宫颈疾病,特别关注发展为宫颈上皮内瘤变 3 级或更高级别组织学的风险。