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J Gynecol Oncol ; 26(3): 232-9, 2015 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-26197860

RESUMO

The incidence rate of cervical cancer in Korea is still higher than in other developed countries, notwithstanding the national mass-screening program. Furthermore, a new method has been introduced in cervical cancer screening. Therefore, the committee for cervical cancer screening in Korea updated the recommendation statement established in 2002. The new version of the guideline was developed by the committee using evidence-based methods. The committee reviewed the evidence for the benefits and harms of the Papanicolaou test, liquid-based cytology, and human papillomavirus (HPV) testing, and reached conclusions after deliberation. The committee recommends screening for cervical cancer with cytology (Papanicolaou test or liquid-based cytology) every three years in women older than 20 years of age (recommendation A). The cervical cytology combined with HPV test is optionally recommended after taking into consideration individual risk or preference (recommendation C). The current evidence for primary HPV screening is insufficient to assess the benefits and harms of cervical cancer screening (recommendation I). Cervical cancer screening can be terminated at the age of 74 years if more than three consecutive negative cytology reports have been confirmed within 10 years (recommendation D).


Assuntos
Detecção Precoce de Câncer/métodos , Neoplasias do Colo do Útero/diagnóstico , Adulto , Fatores Etários , Idoso , Detecção Precoce de Câncer/efeitos adversos , Detecção Precoce de Câncer/normas , Medicina Baseada em Evidências , Reações Falso-Positivas , Feminino , Humanos , Histerectomia , Pessoa de Meia-Idade , Infecções por Papillomavirus/diagnóstico , Vacinas contra Papillomavirus , Seleção de Pacientes , Gravidez , Complicações Neoplásicas na Gravidez/diagnóstico , República da Coreia , Literatura de Revisão como Assunto , Esfregaço Vaginal/efeitos adversos , Esfregaço Vaginal/métodos , Esfregaço Vaginal/normas , Adulto Jovem
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