Cervical cancer screening: from Pap smear to future strategies
ABSTRACT Previously, the screening for detection of cervical cancer was performed by simple cervicovaginal sample collected by the physician whenever the patient attended the medical consultation, and soon it was established as the annual"Pap smear". Since then, an elementary test has evol...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Patologia Clínica
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| Series: | Jornal Brasileiro de Patologia e Medicina Laboratorial |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442016000400238&lng=en&tlng=en |
| _version_ | 1819262841118523392 |
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| author | Cristina Aparecida T. S. Mitteldorf |
| author_facet | Cristina Aparecida T. S. Mitteldorf |
| author_sort | Cristina Aparecida T. S. Mitteldorf |
| collection | DOAJ |
| description | ABSTRACT Previously, the screening for detection of cervical cancer was performed by simple cervicovaginal sample collected by the physician whenever the patient attended the medical consultation, and soon it was established as the annual"Pap smear". Since then, an elementary test has evolved into a complex process with multiple algorithms for the identification of invasive disease. The detection of human papillomavirus (HPV) has become part of the new screening recommendations, resulting in major changes in the guidelines. This review intends to emphasize the most important topics that are part of cervical cancer screening, including cervical cytology and HPV detection, and to discuss particular aspects of cervical cancer in Brazil. Despite the great benefits achieved by the cervical cancer screening programs with cytology and HPV test, there are still important issues to be discussed and improved in defining future strategies, including simplicity and possible application in different socioeconomic contexts, definition of the best test or tests to be applied and recommended interval, minimizing possible harms. After the establishment of screening algorithms well defined by leading organizations, management protocols should be disseminated among physicians and patients by education programs. |
| first_indexed | 2024-12-23T20:04:06Z |
| format | Article |
| id | doaj.art-3529b64475ac45f48bf1a721cf2d1550 |
| institution | Directory Open Access Journal |
| issn | 1676-2444 1678-4774 |
| language | English |
| last_indexed | 2024-12-23T20:04:06Z |
| publisher | Sociedade Brasileira de Patologia Clínica |
| record_format | Article |
| series | Jornal Brasileiro de Patologia e Medicina Laboratorial |
| spelling | doaj.art-3529b64475ac45f48bf1a721cf2d15502022-12-21T17:33:00ZengSociedade Brasileira de Patologia ClínicaJornal Brasileiro de Patologia e Medicina Laboratorial1676-24441678-477452423824510.5935/1676-2444.20160040S1676-24442016000400238Cervical cancer screening: from Pap smear to future strategiesCristina Aparecida T. S. MitteldorfABSTRACT Previously, the screening for detection of cervical cancer was performed by simple cervicovaginal sample collected by the physician whenever the patient attended the medical consultation, and soon it was established as the annual"Pap smear". Since then, an elementary test has evolved into a complex process with multiple algorithms for the identification of invasive disease. The detection of human papillomavirus (HPV) has become part of the new screening recommendations, resulting in major changes in the guidelines. This review intends to emphasize the most important topics that are part of cervical cancer screening, including cervical cytology and HPV detection, and to discuss particular aspects of cervical cancer in Brazil. Despite the great benefits achieved by the cervical cancer screening programs with cytology and HPV test, there are still important issues to be discussed and improved in defining future strategies, including simplicity and possible application in different socioeconomic contexts, definition of the best test or tests to be applied and recommended interval, minimizing possible harms. After the establishment of screening algorithms well defined by leading organizations, management protocols should be disseminated among physicians and patients by education programs.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442016000400238&lng=en&tlng=enneoplasias do colo do úteroprevenção de câncer de colo uterinotécnicas de diagnóstico molecularesfregaço vaginaltestes de dna para hpv |
| spellingShingle | Cristina Aparecida T. S. Mitteldorf Cervical cancer screening: from Pap smear to future strategies Jornal Brasileiro de Patologia e Medicina Laboratorial neoplasias do colo do útero prevenção de câncer de colo uterino técnicas de diagnóstico molecular esfregaço vaginal testes de dna para hpv |
| title | Cervical cancer screening: from Pap smear to future strategies |
| title_full | Cervical cancer screening: from Pap smear to future strategies |
| title_fullStr | Cervical cancer screening: from Pap smear to future strategies |
| title_full_unstemmed | Cervical cancer screening: from Pap smear to future strategies |
| title_short | Cervical cancer screening: from Pap smear to future strategies |
| title_sort | cervical cancer screening from pap smear to future strategies |
| topic | neoplasias do colo do útero prevenção de câncer de colo uterino técnicas de diagnóstico molecular esfregaço vaginal testes de dna para hpv |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442016000400238&lng=en&tlng=en |
| work_keys_str_mv | AT cristinaaparecidatsmitteldorf cervicalcancerscreeningfrompapsmeartofuturestrategies |