Departments of Obstetrics and Gynecology, Virginia Commonwealth University School of Medicine, Richmond, Virginia, Feinberg School of Medicine Northwestern University, Stroger Hospital, Chicago, Illinois, University of Colorado School of Medicine, Aurora, Colorado, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, Medical College of Wisconsin, Milwaukee, Wisconsin, Stanford University School of Medicine, Palo Alto, California, Mayo Clinic Alix School of Medicine, Rochester, Minnesota, and Stony Brook University Hospital, Stony Brook, New York; the Division of Gynecologic Oncology, UPMC-Central PA, Mechanicsburg, Pennsylvania; and the American College of Obstetricians and Gynecologists, Washington, DC.
Obstet Gynecol. 2023 Sep 1;142(3):708-724. doi: 10.1097/AOG.0000000000005283. Epub 2023 Aug 3.
The Centers for Disease Control and Prevention sponsored a project conducted by the American College of Obstetricians and Gynecologists to develop educational materials for clinicians on the prevention and early diagnosis of gynecologic cancers. For this final module, focusing on the cancers of the lower anogenital tract (vulva, vagina, and anus), a panel of experts in evidence assessment from the Society for Academic Specialists in General Obstetrics and Gynecology, ASCCP, and the Society of Gynecologic Oncology reviewed relevant literature and current guidelines. Panel members conducted structured literature reviews, which were then reviewed by other panel members. Representatives from stakeholder professional and patient advocacy organizations met virtually in September 2022 to review and provide comment. This article is the executive summary of the review. It covers prevention, early diagnosis, and special considerations of lower anogenital tract cancer. Knowledge gaps are summarized to provide guidance for future research.
疾病预防控制中心(CDC)资助了一项由美国妇产科医师学会(ACOG)开展的项目,旨在为临床医生编写预防和早期诊断妇科癌症的教育材料。本最终模块重点关注下生殖器官癌症(外阴、阴道和肛门),一个来自妇产科学术专家学会(SAGES)、美国阴道镜和宫颈病理学会(ASCCP)以及妇科肿瘤学会的证据评估专家小组,对相关文献和现行指南进行了审查。小组成员进行了结构化文献回顾,然后由其他小组成员进行了审查。利益相关者专业和患者宣传组织的代表于 2022 年 9 月以虚拟方式开会,对其进行了审查并提出了意见。本文是该审查的执行摘要,涵盖了下生殖器官癌症的预防、早期诊断和特殊考虑。总结了知识空白,为未来的研究提供了指导。