Retrospective analysis of negative cytology results correlated with a positive high-risk in the human papillomavirus result and subsequent results of patients over a period of three years.

IF 0.7 4区 医学 Q4 PATHOLOGY
Paweł Gerard Piotrowski, Michał Teodor Jeleń
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引用次数: 0

Abstract

This research paper evaluates the efficacy of co-testing in precluding cervical cancer, with a particular focus on distinguishable outcomes of the human papillomavirus (HPV) vs. cytology tests. A retrospective review of 5948 patients, who tested positive for high-risk HPV but showed negative cytologic findings, revealed that 15.006% tested positive in subsequent screenings. A comparative analysis of various commercial HPV tests highlighted the precision of mRNA-based HPV testing by Aptima (Hologic) in reducing the likelihood of false-negative cytology. The paper challenges the conviction that a negative cytology alone suffices advocating for a condensed testing interval in instances of positive HPV outcomes, thereby facilitating earlier intervention and optimal preventive care. These findings unveil an exigency for reconsidering preventive strategies based on test outcomes.

回顾性分析细胞学阴性结果与人类乳头瘤病毒阳性高风险结果的相关性,以及患者三年内的后续结果。
本研究论文评估了联合检测在预防宫颈癌方面的功效,尤其关注人类乳头瘤病毒(HPV)检测与细胞学检测的不同结果。对 5948 名高风险 HPV 检测呈阳性但细胞学结果呈阴性的患者进行的回顾性研究显示,15.006% 的患者在随后的筛查中检测呈阳性。对各种商业 HPV 检测的比较分析显示,Aptima(Hologic)基于 mRNA 的 HPV 检测在降低细胞学假阴性的可能性方面非常精确。该论文挑战了仅凭细胞学阴性就足以解决问题的信念,主张在HPV检测结果呈阳性的情况下缩短检测间隔,从而促进早期干预和最佳预防护理。这些发现揭示了根据检测结果重新考虑预防策略的必要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.00
自引率
0.00%
发文量
21
审稿时长
>12 weeks
期刊介绍: Polish Journal of Pathology is an official magazine of the Polish Association of Pathologists and the Polish Branch of the International Academy of Pathology. For the last 18 years of its presence on the market it has published more than 360 original papers and scientific reports, often quoted in reviewed foreign magazines. A new extended Scientific Board of the quarterly magazine comprises people with recognised achievements in pathomorphology and biology, including molecular biology and cytogenetics, as well as clinical oncology. Polish scientists who are working abroad and are international authorities have also been invited. Apart from presenting scientific reports, the magazine will also play a didactic and training role.
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