在秘鲁的宫癌查人群中,状柱状结的可见性可能会影响查计划的上层年龄
Catya Lopez-Ampuero1, Natasha Hansen2, Manuel Alvarez Larraondo1
1Peruvian League Against Cancer, Peru.
Preventive medicine
|July 14, 2023
概括
宫癌查需要可视化Squamocolumnar Junction (SCJ) 的情况. 随着年龄的增长,SCJ的可见性会下降,这会影响45岁以上女性的查准确度.
科学领域:
- 妇科 妇科 妇科 妇科
- 公共卫生 公共卫生
- 在瘤学瘤学.
背景情况:
- 宫癌查对于降低发病率和死亡率至关重要.
- 准确的查和积极结果的评估取决于Squamocolumnar Junction (SCJ) 的完整可视化.
- 在整个生命过程中,SCJ的位置会发生变化,这会影响它的可见性.
研究的目的:
- 在接受宫癌查的妇女中分析柱结 (SCJ) 的可见性.
- 评估年龄对SCJ可见性的影响.
- 为了告知宫癌查指南的潜在调整.
主要方法:
- 在秘鲁利马抗癌联盟诊所查的4247名参与者中分析SCJ可见性.
- SCJ可见度的分类是完全可见,部分可见或不可见.
- SCJ可见度与参与者年龄的相关性.
主要成果:
- 在49.7%的参与者中,SCJ是完全可见的,在23.1%的参与者中是部分可见的,在27.2%的参与者中是不可见的.
- 随着年龄的增长,SCJ可见性显著下降.
- 到45岁时,SCJ在50%以上的参与者中并没有完全可见.
结论:
- 很大一部分女性,特别是45岁以上的女性,表现出不可见的SCJ,挑战标准查方案.
- 目前的宫癌查年龄限制可能需要重新考虑.
- 需要新的策略来评估非可见SCJ的屏幕阳性个体.
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