Cervical Cancer Screening with HPV Testing: Updates on the Recommendation.
Carla Fabrine Carvalho, Julio Cesar Teixeira, Joana Froes Bragan��a, Sophie Derchain, Luiz Carlos Zeferino, Diama Bhadra Vale
Author Information
Carla Fabrine Carvalho: Department of Obstetrics and Gynecology, Universidade Estadual de Campinas, Campinas, SP, Brazil. ORCID
Julio Cesar Teixeira: Department of Obstetrics and Gynecology, Universidade Estadual de Campinas, Campinas, SP, Brazil. ORCID
Joana Froes Bragan��a: Department of Obstetrics and Gynecology, Universidade Estadual de Campinas, Campinas, SP, Brazil. ORCID
Sophie Derchain: Department of Obstetrics and Gynecology, Universidade Estadual de Campinas, Campinas, SP, Brazil. ORCID
Luiz Carlos Zeferino: Department of Obstetrics and Gynecology, Universidade Estadual de Campinas, Campinas, SP, Brazil. ORCID
Diama Bhadra Vale: Department of Obstetrics and Gynecology, Universidade Estadual de Campinas, Campinas, SP, Brazil. ORCID
中文译文
English
The present update is a reassessment of the 2018 'Guidelines for HPV-DNA Testing for Cervical Cancer Screening in Brazil' (Zeferino et al.)9, according to the changes observed in new international guidelines and knowledge updates. The most relevant and recent guidelines were assessed. Questions regarding the clinical practice were formulated, and the answers considered the perspective of the public and private sectors of the Brazilian health system. The review addressed risk-based strategies regarding age to start and stop screening, the use of cytology and colposcopy to support management decisions, treatment, follow-up strategies, and screening in specific groups, including vaccinated women. The update aims to improve the prevention of cervical cancer and to reduce overtreatment and the misuse of HPV testing.
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Colposcopy
Early Detection of Cancer
Female
Humans
Mass Screening
Papillomaviridae
Papillomavirus Infections
Pregnancy
Uterine Cervical Neoplasms
Vaginal Smears
Uterine Cervical Dysplasia