American Cancer Society, American Society for Colposcopy and Cervical Pathology, and American Society for Clinical Pathology Screening Guidelines for the Prevention and Early Detection of Cervical Cancer
American Cancer Society, American Society for Colposcopy and Cervical Pathology, and American Society for Clinical Pathology Screening Guidelines for the Prevention and Early Detection of Cervical Cancer
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DOI：
10.1309/ajcptgd94evrsjcg
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发表时间：
2012-04-01
影响因子：
3.5
通讯作者：
Myers, Evan R.
中科院分区：
文献类型：
--
作者：
Saslow, Debbie;Solomon, Diane;Myers, Evan R.
更新美国癌症协会（ACS）的指导方针，关于筛查宫颈癌前病变和癌症的早期检测。该指南是基于系统的证据审查，6个工作组的贡献，以及最近由ACS，美国阴道镜和宫颈病理学协会和美国临床病理学协会共同主办的研讨会，有25个组织参加。新的筛查建议提出了与年龄相适应的筛查策略，包括使用细胞学和高危人乳头瘤病毒（HPV）检测，（例如，筛查阳性的管理和筛查阴性的筛查间隔），退出筛查的年龄，关于HPV检测单独作为主要筛查方法的未来考虑，和筛查策略的妇女接种抗HPV16和HPV18感染。
An update to the American Cancer Society (ACS) guideline regarding screening for the early detection of cervical precancerous lesions and cancer is presented. The guidelines are based on a systematic evidence review, contributions from 6 working groups, and a recent symposium cosponsored by the ACS, the American Society for Colposcopy and Cervical Pathology, and the American Society for Clinical Pathology, which was attended by 25 organizations. The new screening recommendations address age-appropriate screening strategies, including the use of cytology and high-risk human papillomavirus (HP V) testing, follow-up (eg, the management of screen positives and screening intervals for screen negatives) of women after screening, the age at which to exit screening, future considerations regarding HPV testing alone as a primary screening approach, and screening strategies for women vaccinated against HP VI 6 and HPV18 infections.