Human papillomavirus testing and genotyping in cervical screening
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Human papillomavirus testing and genotyping in cervical screening. / Rebolj, Matejka; Lynge, Elsebeth; Bonde, Jesper.
In: Expert Review of Anticancer Therapy, Vol. 11, No. 7, 2011, p. 1023-1031.Research output: Contribution to journal › Journal article › peer-review
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TY - JOUR
T1 - Human papillomavirus testing and genotyping in cervical screening
AU - Rebolj, Matejka
AU - Lynge, Elsebeth
AU - Bonde, Jesper
PY - 2011
Y1 - 2011
N2 - Mass vaccination against human papillomavirus (HPV) genotypes 16 and 18 will, in the long term, reduce the incidence of cervical cancer, but screening will remain an important cancer control measure in both vaccinated and unvaccinated women. Since the 1960s, cytology screening has helped to reduce the incidence of cervical cancer, but has a low sensitivity for high-grade cervical intraepithelial neoplasia (CIN) and requires frequent testing. Several HPV tests have become available commercially. They appear to be more sensitive for high-grade CIN, and may further reduce the incidence of cervical cancer compared with cytology. However, they are associated with an increased frequency of positive tests without underlying CIN, and therefore increase the need for colposcopy and repeated testing. This problem will pose a major challenge for switching from cytology-based to HPV-based screening. The aim of this article is to discuss the role and the use of HPV tests and HPV genotyping in unvaccinated women.
AB - Mass vaccination against human papillomavirus (HPV) genotypes 16 and 18 will, in the long term, reduce the incidence of cervical cancer, but screening will remain an important cancer control measure in both vaccinated and unvaccinated women. Since the 1960s, cytology screening has helped to reduce the incidence of cervical cancer, but has a low sensitivity for high-grade cervical intraepithelial neoplasia (CIN) and requires frequent testing. Several HPV tests have become available commercially. They appear to be more sensitive for high-grade CIN, and may further reduce the incidence of cervical cancer compared with cytology. However, they are associated with an increased frequency of positive tests without underlying CIN, and therefore increase the need for colposcopy and repeated testing. This problem will pose a major challenge for switching from cytology-based to HPV-based screening. The aim of this article is to discuss the role and the use of HPV tests and HPV genotyping in unvaccinated women.
KW - Adult
KW - Aged
KW - Cervical Intraepithelial Neoplasia
KW - Colposcopy
KW - Female
KW - Genotype
KW - Humans
KW - Mass Screening
KW - Middle Aged
KW - Papillomaviridae
KW - Papillomavirus Infections
KW - Uterine Cervical Neoplasms
KW - Vaginal Smears
KW - Young Adult
U2 - 10.1586/era.11.84
DO - 10.1586/era.11.84
M3 - Journal article
C2 - 21806326
VL - 11
SP - 1023
EP - 1031
JO - Expert Review of Anticancer Therapy
JF - Expert Review of Anticancer Therapy
SN - 1473-7140
IS - 7
ER -
ID: 38292913