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Cervical Cancer Screening: Past, Present, and Future.
Sarah L Bedell1, Lena S Goldstein2, Amelia R Goldstein3
1The Center for Vulvovaginal Disorders, New York, NY, USA.
Sexual Medicine Reviews
|December 4, 2019
Summary
New human papillomavirus (HPV) testing and cervical cancer screening methods offer rapid, cost-effective detection and treatment. This approach can significantly reduce cervical cancer deaths, especially in underserved populations.
Area of Science:
- Oncology
- Virology
- Public Health
Background:
- Cervical cancer remains a leading cause of cancer mortality among women globally, particularly in developing regions.
- The human papillomavirus (HPV) is the primary causative agent of cervical cancer.
- Advancements in screening and treatment technologies are crucial for mitigating the global burden of HPV and cervical cancer.
Purpose of the Study:
- To review and describe current and emerging methods for the detection and treatment of HPV, cervical dysplasia (CD), and cervical cancer.
- To highlight novel technologies and updated screening strategies for cervical cancer.
- To emphasize the importance of HPV testing and cervical cancer screening in reducing mortality.
Main Methods:
- A comprehensive literature search was performed using PubMed to identify relevant studies and publications.
- The review focused on research pertaining to HPV, CD, and cervical cancer detection and treatment.
- Key outcome measures included the sensitivity and cost-effectiveness of new screening methods.
Main Results:
- HPV and cervical cancer represent a significant global health challenge.
- Innovations in detection and treatment are vital for reducing the worldwide impact of these diseases.
- New rapid, low-cost HPV testing enables high-volume screening for previously unscreened populations.
Conclusions:
- Screening for HPV and CD can substantially lower a woman's risk of cervical cancer mortality.
- Integrated approaches combining HPV testing, high-resolution digital colposcopy, and artificial intelligence for image interpretation offer a sensitive and efficient "see-and-treat" model.
- This advanced model, including thermocoagulation for lesion treatment, presents a low-cost, effective strategy for the future of cervical cancer management.
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