まとめ
子宮頸がんは早期の性行為と関連しており,若い女性でも発生しています. 子宮頸がんのスクリーニングに年齢の下限を設けるべきではないし,すべての若い女性が検査を受けるよう奨励されるべきである.
科学分野:
- 婦人科 婦人科について
- 腫瘍学 腫瘍学
- 公衆衛生は公衆衛生である.
背景:
- 子宮頸がんの発生率は,若い年齢層にシフトしています.
- 早期の性的活動は,重大なリスク因子として特定されています.
- 子宮頸がん患者の平均年齢の顕著な低下が観察されています.
研究 の 目的:
- 子宮頸がんの診断時の年齢の低下の傾向を強調する.
- 早期の性行為と子宮頸がんの関連性を強調する.
- 年齢に関係なく,普遍的な子宮頸部スクリーニングを提唱する.
主な方法:
- イギリスのブライトン市の患者のデータを分析し,子宮頸がん患者の平均年齢を10年 (1967年 - 1977年) 比較した.
- 1年以内に10代の女の子から子宮頸部スプレーの結果のレビュー.
- 異常な子宮頸細胞を有する症例における悪性腫瘍の組織学的確認.
主要な成果:
- ブライトンの子宮頸がん患者の平均年齢は,1967年の50歳から1977年までに35歳に減少した.
- 24人の10代の少女に異常な子宮頸細胞が検出され,その後4人が子宮頸がんと診断されました.
- この研究は,非常に若い女性における子宮頸部異常および悪性腫瘍の有病率を懸念していることを示した.
結論:
- 子宮頸がんはますます若い女性に影響を及ぼしており,しばしば早期の性行為に関連しています.
- 確立された年齢に基づくスクリーニングガイドラインは,すべてのリスクのある個人を適切に保護しない可能性があります.
- 子宮頸がんのスクリーニングは,最低年齢の要件なしに,すべての若い女性にアクセスできるようにすべきである.
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