指南
宫颈癌
医学
癌症
宫颈癌筛查
癌症预防
妇科
癌症筛查
临床实习
家庭医学
内科学
病理
作者
Shengfang Hu,Xiaoyao Zhao,Y Zhang,You‐Lin Qiao,Fang-hui Zhao
出处
期刊:PubMed
日期:2021-09-14
被引量:23
标识
DOI:10.3760/cma.j.cn112137-20210719-01609
摘要
Cervical cancer can be eliminated through primary, secondary, and tertiary prevention. Yet it remains one of the gravest threats to women's lives worldwide. In November 2020, the World Health Organization (WHO) officially launched the global strategy to accelerate the elimination of cervical cancer, and underlined that screening and treatment for cervical pre-cancer lesions are two of three key measures for the elimination. In July 2021, WHO issued the second edition of"WHO guideline for screening and treatment of cervical pre-cancer lesions for cervical cancer prevention"to provide important guidance to countries to support them in achieving the target of cervical cancer elimination in all women. This article will interpret the methods for the guideline development, the recommendations/good practice statements on screening and treatment to prevent cervical cancer (including the age to start/stop screening, screening methods, screening interval, the management of screen-positive women and treatment of the precancerous lesions, etc.) and its impact globally, providing reference for the updates of guideline and policy making on cervical cancer prevention and control in China.宫颈癌是严重威胁全球女性健康的恶性肿瘤之一,也是目前唯一可通过三级预防措施予以消除的恶性肿瘤。2020年11月,“加速消除宫颈癌全球战略”正式启动,针对宫颈癌前病变的筛查和治疗是消除宫颈癌的关键举措。2021年7月,世界卫生组织(WHO)发布《预防宫颈癌:WHO宫颈癌前病变筛查和治疗指南(第二版)》,为全球各国宫颈癌消除战略的制定提供重要方向和指导。本文将从指南制定方法学、指南中关于宫颈癌筛查和治疗策略方面的推荐/良好实践声明(包括筛查起止年龄、筛查方法、筛查间隔、筛查异常人群管理及癌前病变治疗等)以及指南的国际影响等方面进行解读,为我国宫颈癌防控指南的更新和相关策略的制定提供参考。.
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