Preti Mario, Anderson Karin, Venturino Ezio, Maggino Tiziano, Carozzi Francesca, Robba Eleonora, Vieira-Baptista Pedro, Borella Fulvio, Barchi Laura, Bevilacqua Federica, Gallio Niccolò, Barbierato Ilaria, Pollano Benedetta, Cavallero Camilla, Gardner-Medwin Samuel, Benedetto Chiara, Bucchi Lauro
Division of Obstetrics and Gynecology, University of Turin, Sant'Anna Hospital, Torino, Italy.
Department of Women and Child Health, Azienda Sanitaria Toscana Centro, Firenze, Italy.
J Low Genit Tract Dis. 2024 Oct 1;28(4):391-393. doi: 10.1097/LGT.0000000000000832. Epub 2024 Jul 30.
Vulvar examination during procedures for cervical carcinoma screening (CCS) can be a valid chance for early diagnosis of vulvar diseases and precancerous lesions. With this aim an online questionnaire was sent to the members of the Italian Cervical Carcinoma Screening Group (GISCi) from either first level group (FLG, Pap/human papillomavirus test sampling) or second level group (SLG, colposcopy and treatments) to assess if and how vulvar examination was performed. 86% of FLG and 90.2% of SLG report performing vulvar examination prior to CCS procedures. 15% of SLG cannot manage basic vulvar diseases and they refer patients to specialized center. 54.3% underline lack of standardized protocol in case of vulvar disease detection. Despite most health care professionals report examining the vulva during CCS procedures, vulvar cancer early diagnosis is still challenging.
在宫颈癌筛查（CCS）过程中进行外阴检查，可能是早期诊断外阴疾病和癌前病变的有效机会。出于这一目的，向意大利宫颈癌筛查小组（GISCi）中来自一级组（FLG，巴氏涂片/人乳头瘤病毒检测采样）或二级组（SLG，阴道镜检查及治疗）的成员发送了一份在线问卷，以评估是否以及如何进行外阴检查。86%的一级组成员和90.2%的二级组成员报告在宫颈癌筛查程序之前进行了外阴检查。15%的二级组成员无法处理基本的外阴疾病，他们会将患者转诊至专科中心。54.3%的人强调在检测到外阴疾病时缺乏标准化方案。尽管大多数医疗保健专业人员报告在宫颈癌筛查程序中对外阴进行了检查，但外阴癌的早期诊断仍然具有挑战性。
