宫颈癌筛查指南、宫颈细胞学报告贝塞斯达系统和临床管理建议的更新。

Tiannan Wang, Huina Zhang, Yang Liu, Chengquan Zhao
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引用次数: 0

摘要

过去几十年来,宫颈癌一直是世界性的公共卫生问题。以人群为基础的早期癌症风险检测和预防方法,包括疫苗接种、细胞学筛查和人乳头状瘤病毒(HPV)检测,以及与之相配套的临床管理,已经形成了一套完善的、高质量的宫颈癌控制实施体系,革命性地提高了妇女的生活质量:(1) 宫颈癌筛查实践的成功,(2) 贝塞斯达宫颈阴道细胞学报告系统的标准化,(3) 对宫颈癌中 HPV 发病机制认识的提高,以及 (4) 制定适当的管理方法,这些都显著降低了全球宫颈癌的疾病负担。本范围综述旨在了解宫颈癌筛查和管理指南的发展,描述贝塞斯达宫颈细胞学报告系统、HPV 疫苗和检测,并强调现行政策和实践的关键信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Updates in Cervical Cancer Screening Guidelines, The Bethesda System for Reporting Cervical Cytology, and Clinical Management Recommendations.

Updates in Cervical Cancer Screening Guidelines, The Bethesda System for Reporting Cervical Cytology, and Clinical Management Recommendations.

Updates in Cervical Cancer Screening Guidelines, The Bethesda System for Reporting Cervical Cytology, and Clinical Management Recommendations.

Updates in Cervical Cancer Screening Guidelines, The Bethesda System for Reporting Cervical Cytology, and Clinical Management Recommendations.

Over the past decades, cervical cancer has been a worldwide public health problem. Population-based early cancer risk detection and prevention approaches, including vaccination, cytology screening and human papilloma virus (HPV) detection, with the aligned clinical management, have formed a well-rounded high-quality implementation system for cervical cancer control, and revolutionarily improved the quality of life of women: (1) the success of cervical cancer screening practices, (2) standardization of The Bethesda system for reporting cervicovaginal cytology, (3) improvement in the understanding of HPV pathogenesis in cervical cancer, and (4) the development of appropriate management approaches have significantly decreased the disease burden of cervical cancer worldwide. This scoping review aimed to understand the evolvement of cervical cancer screening and management guidelines, describe the Bethesda cervical cytology reporting system, and HPV vaccines and tests, and highlight the key information of present policies and practices.

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