Human papillomavirus screening: Difference between revisions

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==Screening==
==Screening==
According to the US Preventive Services Task Force (USPSTF), screening guidelines for human papillomavirus infection leading to cervical cancer is described below:
High risk HPV types are associated with 70% of cervical cancers in females having persistent infection.<ref name=CDC4>http://www.cdc.gov/vaccines/pubs/pinkbook/hpv.html#epi Accessed on October 13, 2016</ref> Due to this strong association between HPV and cervical cancer, cervical cancer screening is recommended in all females from age 21. According to the US Preventive Services Task Force (USPSTF), specific screening guidelines for cervical cancer is described below:<ref name="pmid22711081">{{cite journal| author=Moyer VA, U.S. Preventive Services Task Force| title=Screening for cervical cancer: U.S. Preventive Services Task Force recommendation statement. | journal=Ann Intern Med | year= 2012 | volume= 156 | issue= 12 | pages= 880-91, W312 | pmid=22711081 | doi=10.7326/0003-4819-156-12-201206190-00424 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22711081  }} </ref>
 
{| style="border: 0px; font-size: 90%; margin: 3px;" align=center
|+
! style="background: #4479BA; width: 150px;" | {{fontcolor|#FFF|Population}}
! style="background: #4479BA; width: 350px;" | {{fontcolor|#FFF|Recommendations}}
|-
| style="padding: 5px 5px; background: #DCDCDC;" | Women 21 to 65 (Pap Smear)
| style="padding: 5px 5px; background: #F5F5F5;" |
*Screen every 3 years
*Cytology with pap smear
*Grade A
|-
| style="padding: 5px 5px; background: #DCDCDC;" |  Women aged 30-65
| style="padding: 5px 5px; background: #F5F5F5;" |
 
*Screen every 3 years (cytology with pap smear)
*Screen every 5 years (Pap smear with HPV testing)<ref name="pmidPMID: 18378945">{{cite journal| author=Datta SD, Koutsky LA, Ratelle S, Unger ER, Shlay J, McClain T et al.| title=Human papillomavirus infection and cervical cytology in women screened for cervical cancer in the United States, 2003-2005. | journal=Ann Intern Med | year= 2008 | volume= 148 | issue= 7 | pages= 493-500 | pmid=PMID: 18378945 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18378945  }} </ref>
*Grade A
|-
| style="padding: 5px 5px; background: #DCDCDC;" | Women younger than 21
| style="padding: 5px 5px; background: #F5F5F5;" |
*Do not screen
*Grade D
|-
| style="padding: 5px 5px; background: #DCDCDC;" | Women older than 65 (who have had adequate prior screening)
| style="padding: 5px 5px; background: #F5F5F5;" |
*Do not screen
*Grade D
|-
| style="padding: 5px 5px; background: #DCDCDC;" | Women after hysterectomy with removal of cervix (no h/o high grade precancer or cervical cancer)
| style="padding: 5px 5px; background: #F5F5F5;" |
*Do not screen
*Grade D
|-
| style="padding: 5px 5px; background: #DCDCDC;" | Women before age 30
| style="padding: 5px 5px; background: #F5F5F5;" |
*Do not screen with HPV testing
*Grade D
|-
|}
 
 
 
==References==
==References==
{{reflist|2}}
{{reflist|2}}

Revision as of 13:42, 13 October 2016

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Aysha Anwar, M.B.B.S[2]

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Overview

Screening

High risk HPV types are associated with 70% of cervical cancers in females having persistent infection.[1] Due to this strong association between HPV and cervical cancer, cervical cancer screening is recommended in all females from age 21. According to the US Preventive Services Task Force (USPSTF), specific screening guidelines for cervical cancer is described below:[2]

Population Recommendations
Women 21 to 65 (Pap Smear)
  • Screen every 3 years
  • Cytology with pap smear
  • Grade A
Women aged 30-65
  • Screen every 3 years (cytology with pap smear)
  • Screen every 5 years (Pap smear with HPV testing)[3]
  • Grade A
Women younger than 21
  • Do not screen
  • Grade D
Women older than 65 (who have had adequate prior screening)
  • Do not screen
  • Grade D
Women after hysterectomy with removal of cervix (no h/o high grade precancer or cervical cancer)
  • Do not screen
  • Grade D
Women before age 30
  • Do not screen with HPV testing
  • Grade D


References

  1. ↑ http://www.cdc.gov/vaccines/pubs/pinkbook/hpv.html#epi Accessed on October 13, 2016
  2. ↑ Moyer VA, U.S. Preventive Services Task Force (2012). "Screening for cervical cancer: U.S. Preventive Services Task Force recommendation statement". Ann Intern Med. 156 (12): 880–91, W312. doi:10.7326/0003-4819-156-12-201206190-00424. PMID 22711081.
  3. ↑ Datta SD, Koutsky LA, Ratelle S, Unger ER, Shlay J, McClain T; et al. (2008). "Human papillomavirus infection and cervical cytology in women screened for cervical cancer in the United States, 2003-2005". Ann Intern Med. 148 (7): 493–500. PMID 18378945 PMID: 18378945 Check |pmid= value (help).


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