2001年共识 宫细胞学异常妇女管理指南
Thomas C Wright1, J Thomas Cox, L Stewart Massad
1Department of Pathology, College of Physicians and Surgeons of Columbia University, Room 16-404, P&S Bldg, 630 W 168th St, New York, NY 10032, USA. tcw1@columbia.edu
JAMA
|April 23, 2002
概括
新的指导方针为宫异常提供基于证据的管理. 非典型状细胞 (ASC) 的管理取决于亚分类,HPV DNA测试优先用于ASC-US和结肠镜检测ASC-H.
科学领域:
- 妇科 妇科 妇科 妇科
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 宫癌前体需要标准化管理协议.
- 宫细胞学异常需要及时和基于证据的干预措施.
研究的目的:
- 建立基于证据的共识指南,用于管理宫细胞学异常和癌前病变.
- 为诊断和治疗宫癌前体的临床医生提供一个框架.
主要方法:
- 一次共识会议召集了来自专业组织和卫生机构的121名专家.
- 通过文献评论 (1988-2001) 和通过在线论坛的专家意见制定了指导方针.
- 准则草案在2001年ASCCP共识会议上进行了讨论,修订和投票.
主要成果:
- 非典型状细胞 (ASC) 的管理策略根据分类不同:ASC-US和ASC-H.
- 对于ASC-US,管理选择包括重复细胞学,即时镜或高危人乳头瘤病毒 (HPV) DNA测试.
- 在使用基于液体的细胞学时,HPV DNA测试是ASC-US的首选方法.
结论:
- 患有ASC-H,低度状内皮损伤,HSIL或异型腺细胞的妇女通常需要立即进行结肠镜评估.
- 该指南根据特定的细胞学发现区分管理,强调HPVDNA测试ASC-US.
- 这些共识指南旨在优化患有宫细胞学异常和癌前疾病的妇女的护理.
相关概念视频
01:22Standards of Care I
Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
01:19Standards of Care II
Nurses bear specific legal responsibilities under several federal statutes, including:
01:24Disorders of the Female Reproductive System
The female reproductive system can be affected by several disorders, including Premenstrual Syndrome (PMS), Premenstrual Dysphoric Disorder (PMDD), endometriosis, and various forms of cancer. PMS and PMDD are cyclical conditions that cause physical and emotional distress, with symptoms that include edema, mood swings, and food cravings. PMDD is a more severe form of PMS characterized by increased symptom severity that peaks during the luteal phase and tends to improve or resolve shortly after...