The clinician's view of HPV: Role in the ASCCP Guidelines for the Management of Abnormal
Cervical Cytology and Cervical Cancer Precursors: ASCUS, LSIL, and Post-Colposcopy [less than or equal to] CIN 1.
The median unsatisfactory
cervical cytology rate increased to 0.9% in 2006, compared with the 2003 rate of 0.5% for all methods combined.
For example, it is now known that cervical dysplasia takes several years to develop after infection with human papilloma virus (HPV), so ACOG is recommending that a young woman's first
cervical cytology test be performed at age 21 or approximately 3 years after first sexual intercourse, whichever comes first.
"Nevertheless, on the basis of our findings, we suggest that detection of HPV-16, HPV-18, or both combined with a raised threshold of abnormal
cervical cytology (LSIL or worse) might be preferable to the existing recommendations for management of HPV-positive women," according to the investigators.
In 2019, Techcyte will reportedly deliver solutions for blood analysis,
cervical cytology as well as bacteriology.
Anil Jaasinghe, Director General of Health Services at the Ministry of Health, Nutrition and Indigenous Medicine, stated, "An objective of the strategic plan is to shift from
cervical cytology tests to HPV testing as a more effective method for cervical cancer screening.
Convenience
cervical cytology samples from those women were tested for ZIKV virus.
Based on the latest evidence and the modeling study, the USPSTF gives an A recommendation to screening women aged 21-29 years for cervical cancer every 3 years with
cervical cytology alone.
Primary screening with
cervical cytology alone remains an option supported by many authorities and professional society guidelines.
The cost-effectiveness analysis from the ARTISTIC trial suggests that hrHPV screening would be more cost-effective compared with
cervical cytology screening.