2003, Number 2
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Rev Fac Med UNAM 2003; 46 (2)
Detection of cervical cancer and HPV
Castellanos MMR
Language: Spanish
References: 27
Page: 63-66
PDF size: 39.66 Kb.
ABSTRACT
The impact of uterine cervix cancer in the world is devastating. It is the second highest cause of death in women in the whole world and the primary cause of female death in developing countries. The Human Papilloma Virus (HPV) has been found in 93% of all cases of invasive cancer, making infection by this virus and their precursory lesions the most important risk factor.
In the United States of America, the incidence of cervix uteri cancer has been reduced dramatically following the implementation of the Papanicolaou test, reducing incidence by approximately 75%.
Data from a number of Scandinavian studies show a great reduction in incidence and mortality after prevention programs have been initiated. Studies of cases and controls have found that the risk of developing invasive surgical cancer is 3 to 10 times greater in women who have not been examined.
Since the Papanicolaou test is a routine procedure, patients with abnormal results should be given additional tests (colposcopy and biopsy).
At present, a number of studies describe the possibility for using HPV typing to help in stratifying women into follow-up and treatment groups.
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