宫颈癌：巴氏涂片异常的筛查与评估进展
Cervical cancer: developments in screening and evaluation of the abnormal Pap smear.
作者信息
Walsh J M
机构信息
UCSF/Division of General Internal Medicine 94115, USA.
出版信息
West J Med. 1998 Nov;169(5):304-10.
Abstract
Of the more than 50 million Pap smears performed annually in the United States, about 5% of them are abnormal. Although the need for treatment of high-grade lesions is clear, the appropriate management of low-grade lesions remains controversial. New methods of screening for cervical cancer have become available, including testing for the human papilloma virus and improved methods of administering and evaluating the Pap smear. This review addresses new developments in cervical cancer screening and management strategies for when an abnormality is detected.
摘要
在美国，每年进行的巴氏涂片检查超过5000万次，其中约5%的检查结果异常。虽然对高级别病变进行治疗的必要性很明确，但对低级别病变的恰当管理仍存在争议。宫颈癌筛查的新方法已出现，包括检测人乳头瘤病毒以及改进的巴氏涂片检查的实施和评估方法。本文综述了宫颈癌筛查的新进展以及检测到异常情况时的管理策略。
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本文引用的文献
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Obstet Gynecol. 1998 Feb;91(2):278-82. doi: 10.1016/s0029-7844(97)00659-5.
2
Human papillomavirus deoxyribonucleic acid detection in mildly or moderately dysplastic smears: a possible method for selecting patients for colposcopy.轻度或中度发育异常涂片中人乳头瘤病毒脱氧核糖核酸检测：一种选择阴道镜检查患者的可能方法。
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Neoplasia associated with atypical glandular cells of undetermined significance on cervical cytology.宫颈细胞学检查中与意义不明确的非典型腺细胞相关的肿瘤形成
Gynecol Oncol. 1997 May;65(2):314-8. doi: 10.1006/gyno.1997.4640.
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Automation of the Papanicolaou smear: a technology assessment perspective.巴氏涂片的自动化：技术评估视角
Arch Pathol Lab Med. 1997 Mar;121(3):282-6.
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The ThinPrep Pap test. A review of clinical studies.薄层液基细胞学检测。临床研究综述。
Acta Cytol. 1997 Jan-Feb;41(1):30-8. doi: 10.1159/000332302.
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Cytopathological findings on vaginal Papanicolaou smears after hysterectomy for benign gynecologic disease.良性妇科疾病子宫切除术后阴道巴氏涂片的细胞病理学检查结果。
N Engl J Med. 1996 Nov 21;335(21):1559-62. doi: 10.1056/NEJM199611213352103.
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JAMA. 1996 Mar 27;275(12):940-7.
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Int J Gynecol Pathol. 1993 Apr;12(2):186-92.
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