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宫颈癌:前体与预防。

Cervical Cancer: Precursors and Prevention.

机构信息

Breast and Gynecologic Cancer Research Group, Division of Cancer Prevention, National Cancer Institute, National Institutes of Health, 9609 Medical Center Drive, Room 5E-338, Rockville, MD, USA.

出版信息

Hematol Oncol Clin North Am. 2024 Aug;38(4):771-781. doi: 10.1016/j.hoc.2024.03.005. Epub 2024 May 16.

Abstract

Cervical cancer, caused due to oncogenic types of human papillomavirus (HPV), is a leading preventable cause of cancer morbidity and mortality globally. Chronic, persistent HPV infection-induced cervical precursor lesions, if left undetected and untreated, can progress to invasive cancer. Cervical cancer screening approaches have evolved from cytology (Papanicolaou test) to highly sensitive HPV-based molecular methods and personalized, risk-stratified, management guidelines. Innovations like self-collection of samples to increase screening access, innovative triage methods to optimize management of screen positives, and scalable and efficacious precancer treatment approaches will be key to further enhance the utility of prevention interventions.

摘要

宫颈癌是由致癌型人乳头瘤病毒(HPV)引起的,是全球导致癌症发病率和死亡率的主要可预防原因。如果不能及早发现和治疗慢性、持续性 HPV 感染引起的宫颈前病变,它们可能进展为浸润性癌症。宫颈癌筛查方法已经从细胞学(巴氏涂片检查)发展到高度敏感的 HPV 分子检测方法以及个性化、风险分层的管理指南。创新方法,如自行采集样本以增加筛查机会、创新的筛查阳性病例管理方法,以及可扩展和有效的癌前病变治疗方法,将是进一步提高预防干预措施效果的关键。

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