HOME >> MEDICINE >> NEWS
No justification for colposcopy in screening of young women for cervical cancer

This release is also available in German.

Results of a US study in this week's issue of THE LANCET suggest that regular smear tests rather than colposcopy is the best way of monitoring low-grade cervical lesions among adolescents and young women.

Around 70% of sexually active women become infected with human pappiloma virus (HPV); around a quarter of women with HPV infection develop low-grade squamous intra-epithelial lesions (LSIL); although LSIL are usually benign and disappear over time, they can develop into high-grade lesions, a precursor of cervical cancer.

Anna-Barbara Moscicki (University of California San Francisco, USA) and colleagues assessed the probability of LSIL regression in young women, and examined the factors associated with regression. female adolescents aged 1322 years were examined every 4 months by cytology (smear test), colposcopy (internal examination of the vagina and cervix), and HPV DNA status. Regression was defined as at least three consecutive normal smears.

187 women out of 900 originally enrolled in the study developed LSIL. 60% of these women were free of LSIL after 1 year; 90% had regressed naturally 3 years after identification of LSIL.

Dr Moscicki comments: "Our data suggest that most LSILs will regress spontaneously in immunocompetent young women, lending support to a practice of monitoring these cytological lesions. Follow-up HPV status was a strong predictor of regression, but HPV status at time of LSIL diagnosis was not. The finding that persistence of multiple HPV types slows rates of regression should be examined more closely."

In an accompanying commentary (p 1642), Anne Szarewski and Peter Sasieni (Cancer Research UK) conclude: "Moscicki and colleagues have clearly shown just how common and essentially meaningless LSIL is in young women. They suggest that "the strategy of colposcopy for all ad
'"/>

Contact: Joe Santangelo
j.santangelo@elsevier.com
1-212-633-3810
Lancet
4-Nov-2004


Page: 1 2

Related medicine news :

1. No justification for early laser treatment of uncomplicated childhood haemangiomas
2. Primary care office strategies may increase colon cancer screening
3. Benefits of lung cancer screening with CT questioned
4. Three-year cervical cancer screening recommendations may be applicable for certain women with HIV
5. New colorectal cancer screening recommendations for African Americans
6. Prostate cancer screening practices examined
7. Northwestern Memorial physicians encourage screenings during colon cancer awareness month
8. Exercise tolerance is good screening test for chest pain patients
9. Fewer false alarms when mammographers have greater experience screening healthy breasts
10. Mayo Clinic researcher calls for improved newborn screening
11. Miniaturized lab permits saliva screening on the go

Post Your Comments:
*Name:
*Comment:
*Email:


(Date:12/9/2019)... ... December 09, 2019 , ... ... solutions that help food and manufacturing companies engage with their workforces to ... turnkey solution helps manufacturers build a cohesive culture that is designed to ...
(Date:12/8/2019)... , ... December 07, 2019 , ... More than 85 ... a recent report from the American Academy of Dermatology, indicating this problem is more ... upward trend during the years to come. These dermatological conditions vary in type and ...
(Date:12/8/2019)... SEATTLE (PRWEB) , ... December 08, 2019 , ... ... higher education planning, has announced the Top 52 Best Homeland Security Degree Programs ... accredited colleges and universities in the nation. Each program is evaluated based on ...
(Date:12/6/2019)... ... 2019 , ... Connecticut is home to a growing healthcare ... On December 12th, Hartford Business Journal will recognize eight individuals and organizations who ... the Hartford Marriott. , “We are fortunate to have so many great providers ...
(Date:12/6/2019)... , ... December 06, 2019 , ... Lasair Aesthetic Health Sponsors Toys for Tots to ... of Botox to Patients Who Bring in Toys During the Holidays , Lasair Aesthetic Health ... now until Christmas, patients who bring in a toy or toys worth more than 25-dollars, ...
Breaking Medicine News(10 mins):
(Date:12/5/2019)... ... December 05, 2019 , ... Intelligent.com, a ... Top 27 Respiratory Therapy Degree Programs for 2020. The comprehensive research guide is ... Each program is evaluated based on curriculum quality, graduation rate, reputation, and post-graduate ...
(Date:12/5/2019)... ... December 05, 2019 , ... nView, a leading behavioral health ... role of Chief Product Officer. As the company expands its portfolio of software ... behavioral health market into nView’s product and company growth strategy. Rosenbaum will report ...
(Date:12/4/2019)... LAKE FOREST, Calif. (PRWEB) , ... December 04, ... ... medical technology company providing healthcare professionals with minimally invasive technologies to treat chronic ... 100,000 procedures performed with the Tenex Health TX® technology. , Dr. ...
Breaking Medicine Technology:
Cached News: