Advances in cervical screening technology

被引:47
作者
Stoler, MH [1 ]
机构
[1] Univ Virginia Hlth Syst, Dept Pathol, Charlottesville, VA 22903 USA
关键词
advances; cancer; cervix; human papillomavirus; neoplasia;
D O I
10.1038/modpathol.3880048
中图分类号
R36 [病理学];
学科分类号
100104 ;
摘要
The Pap smear unquestionably is a successful screening test for cervical cancer. However, recent advances in technology have raised questions regarding whether the conventional Pap smear is still the standard of care. This article relates issues of screening and cost-effectiveness to the state of the art in thin layer preparations, cytology automation, human papillomavirus screening, human papillomavirus vaccines, and other cervical screening adjuncts. Perhaps nowhere in medicine is clinical decision making being more strongly influenced by market and other external forces than in cervical cytopathology.
引用
收藏
页码:275 / 284
页数:10
相关论文
共 80 条
[21]   Prospects for human papillomavirus vaccine development: Emerging HPV vaccines [J].
Hines, JF ;
Ghim, S ;
Jenson, AB .
CURRENT OPINION IN OBSTETRICS & GYNECOLOGY, 1998, 10 (01) :15-19
[22]   A general primer GP5+/GP6+-mediated PCR-enzyme immunoassay method for rapid detection of 14 high-risk and 6 low-risk human papillomavirus genotypes in cervical scrapings [J].
Jacobs, MV ;
Snijders, PJF ;
vandenBrule, AJC ;
Helmerhorst, TJM ;
Meijer, CJLM ;
Walboomers, JMM .
JOURNAL OF CLINICAL MICROBIOLOGY, 1997, 35 (03) :791-795
[23]  
Jenkins D, 1996, INT J CANCER, V65, P768
[24]  
Jones BA, 1995, ARCH PATHOL LAB MED, V119, P1097
[25]   Is PAPNET suitable for primary screening? [J].
Kreuger, FA ;
van Ballegooijen, M ;
Doornewaard, H .
LANCET, 1999, 353 (9162) :1374-1375
[26]   Localized in vivo 1H nuclear MR spectroscopy for evaluation of human uterine cervical carcinoma [J].
Lee, JH ;
Cho, KS ;
Kim, YM ;
Kim, ST ;
Mun, CW ;
Na, JH ;
Mok, JE ;
Lim, TH .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1998, 170 (05) :1279-1282
[27]   Comparison of conventional Papanicolaou smears and a fluid-based, thin-layer system for cervical cancer screening [J].
Lee, KR ;
Ashfaq, R ;
Birdsong, GG ;
Corkill, ME ;
McIntosh, KM ;
Inhorn, SL .
OBSTETRICS AND GYNECOLOGY, 1997, 90 (02) :278-284
[28]   The ThinPrep pap test - A review of clinical studies [J].
Linder, J ;
Zahniser, D .
ACTA CYTOLOGICA, 1997, 41 (01) :30-38
[29]  
LINDER J, 1992, AM J CLIN PATHOL, V98, pS47
[30]  
Linder J, 1997, AM J CLIN PATHOL, V108, P492