Department of Obstetrics, Gynecology, and Reproductive Sciences, Magee-Womens Hospital of the UPMC System, University of Pittsburgh, Pittsburgh, Pennsylvania.
Boston University School of Medicine Chobanian & Avedisian School of Medicine, Boston Medical Center, Massachusetts.
Clin Obstet Gynecol. 2023 Sep 1;66(3):478-499. doi: 10.1097/GRF.0000000000000794. Epub 2023 Jul 25.
Cervical cancer screening plays a major role in preventing cervical cancer. The field is based on understanding the natural history of human papillomavirus and its role in cervical cancer. Screening has evolved to assessing the risk for cervical intraepithelial neoplasia grade 3, a true cancer precursor, and performing diagnostic tests based on those risks. This article summarizes the present state of management of abnormal cervical cancer screening tests in the United States, based on the most recent 2019 American Society of Colposcopy and Cervical Pathology guidelines.
宫颈癌筛查在预防宫颈癌中起着重要作用。该领域基于对人乳头瘤病毒及其在宫颈癌中的作用的自然史的理解。筛查已经发展到评估宫颈上皮内瘤变 3 级(真正的癌前病变)的风险,并根据这些风险进行诊断性测试。本文基于美国阴道镜和宫颈病理学会 2019 年的最新指南,总结了目前美国异常宫颈癌筛查检测的管理状况。