Screening for cervical cancer and diversion of abnormal screening results
10.3760/cma.j.cn431274-20230413-00480
- VernacularTitle:宫颈癌的筛查和筛查结果异常的分流
- Author:
Yun ZHAO
1
;
Chao ZHAO
;
Mingzhu LI
;
Jingran LI
;
Lihui WEI
Author Information
1. 北京大学人民医院妇产科，北京 100044
- Keywords:
Uterine cervical neoplasms;
Cancer screening;
Human papillomavirus DNA tests;
Thinprep cytologic test
- From:
Journal of Chinese Physician
2023;25(5):649-651,655
- CountryChina
- Language:Chinese
-
Abstract:
Cervical cancer is still a serious threat to the health of women in China. The current strategy is a three-level prevention strategy, among which the diversion of screening and screening abnormalities in the secondary prevention is an important link in preventing cervical cancer. For more than 20 years, China has implemented diversified screening methods such as cytological examination, high-risk human papillomavirus (HPV) testing, and naked eye screening. With the discovery that high-risk HPV infection is closely related to the occurrence of cervical cancer, the screening method for cervical cancer has shifted from cytological examination to HPV testing as the preferred screening method. This article introduces the advantages and disadvantages of high-risk HPV testing and cytological examination as screening methods, and proposes the issues that need to be paid attention to in screening; The principle of diverting screening abnormalities was proposed, and it was proposed that in the process of diverting, individualized and refined management principles should be implemented for screening abnormality projects based on the patient′s age and fertility requirements.
