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Search for Cervical Cancer in Women's Health
Physician-authored summaries on the latest research on cervical cancer, editorials on cervical cancer, and perspectives on cervical cancer - drawn from the top medical journals.
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New Guidance for Management of Women with Abnormal Cervical Cancer Screening Results Free
- April 4, 2013
- Andrew M. Kaunitz, MD
- Women's Health
The American Society for Colposcopy and Cervical Pathology has issued updated recommendations in the form of 19 algorithms.- Reviewing:
- Massad LS et al., J Low Genit Tract Dis 2013 Apr; 17:S1. Massad LS et al., Obstet Gynecol 2013 Apr; 121:829.
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Identifying Recurrence After Treatment for Cervical Intraepithelial Neoplasia
- December 6, 2012
- Anna Wald, MD, MPH
- Women's Health
Optimal follow-up procedures and schedules remain uncertain, but HPV testing looks increasingly useful.- Reviewing:
- Rebolj M et al., BMJ 2012 Oct 31; 345:e6855. Legood R et al., BMJ 2012 Oct 31; 345:e7086. Bleeker MCG et al., BMJ 2012 Oct 31; 345:e7186.
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New Guidelines for Cervical Cancer Screening
- April 12, 2012
- Anna Wald, MD, MPH
- Women's Health
USPSTF and ACS guidelines recommend less-frequent cytologic screening and the addition of HPV testing for most women.- Reviewing:
- Moyer VA on behalf of the U.S. Preventive Services Task Force., Ann Intern Med 2012 Mar 14;: Saslow D et al., Am J Clin Pathol 2012 Apr; 137:516.
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When Persistence Is Not a Virtue: HPV Infection and Cervical Cancer
- October 27, 2011
- Anna Wald, MD, MPH
- Women's Health
Cervical cancer risk was 75 times higher in women with persistent carcinogenic HPV infections than in those who were HPV-negative.
CME Exam- Reviewing:
- Chen H-C et al., J Natl Cancer Inst 2011 Sep 21; 103:1387.
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Intrauterine Devices Might Prevent More Than Pregnancy Free
- October 13, 2011
- Eleanor Bimla Schwarz, MD, MS
- Women's Health
Meta-analysis shows that IUDs provide protection against cervical cancer.
CME Exam- Reviewing:
- Castellsagué X et al., Lancet Oncol 2011 Oct; 12:1023.
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Reluctance to Lengthen Pap Testing Intervals Free
- July 1, 2010
- Wendy S. Biggs, MD
- Women's Health
Fewer than 20% of physicians would extend cervical cancer screening intervals to =3 years in 35-year-old HPV-negative women with normal Pap tests.- Reviewing:
- Saraiya M et al., Arch Intern Med 2010 Jun 14; 170:977. Sawaya GF., Arch Intern Med 2010 Jun 14; 170:985.
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HPV Testing for Cervical Intraepithelial Neoplasia and Invasive Cervical Cancer
- February 11, 2010
- Andrew M. Kaunitz, MD
- Women's Health
For women 35 or older, HPV testing was superior to cytology for detecting high-grade CIN.- Reviewing:
- Ronco G et al., Lancet Oncol 2010 Jan 19;: Castle PE and Hormuzd AK., Lancet Oncol 2010 Jan 19;:
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For Detecting CIN, Cytology Method Might Not Matter
- November 19, 2009
- Wendy S. Biggs, MD
- Women's Health
Liquid-based cytology was as sensitive and specific as conventional Pap tests.- Reviewing:
- Siebers AG et al., JAMA 2009 Oct 28; 302:1757. Schiffman M and Solomon D., JAMA 2009 Oct 28; 302:1809.
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Is Radical Hysterectomy for Cervical Cancer Patients Obsolete?
- June 25, 2009
- Andrew M. Kaunitz, MD
- Women's Health
Embryologically based surgical approach might offer benefits in the treatment of women with early invasive cervical cancer.- Reviewing:
- Höckel M et al., Lancet Oncol 2009 May 29;:
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HPV Screening for Cervical Cancer Free
- April 1, 2009
- Ann J. Davis, MD
- Women's Health
In rural India, a single round of HPV testing was associated with substantially lower rates of advanced cervical cancer and cervical cancer death.- Reviewing:
- Sankaranarayanan R et al., N Engl J Med 2009 Apr 2; 360:1385. Schiffman M and Wacholder S., N Engl J Med 2009 Apr 2; 360:1453.
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Cervical Cancer Screening Test Tailored for Use in Developing Countries
- October 30, 2008
- Anna Wald, MD, MPH
- Women's Health
A quick, technologically simple HPV-DNA test for use in resource-poor settings performed well in rural China.- Reviewing:
- Qiao Y-L et al., Lancet Oncol 2008 Oct; 9:929.
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Hormonal Contraception and Cervical Cancer Risk Free
- December 20, 2007
- Anna Wald, MD, MPH
- Women's Health
Risk for cervical cancer increased in current users of hormonal contraception but declined after use stopped.- Reviewing:
- International Collaboration of Epidemiologic Studies of Cervical Cancer., Lancet 2007 Nov 10; 370:1609.
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Testing the Test: HPV DNA in Cervical Screening
- October 25, 2007
- Anna Wald, MD, MPH
- Women's Health
Adding HPV DNA testing to standard cytologic screening resulted in earlier detection of CIN3+ lesions.- Reviewing:
- Bulkmans NWJ et al., Lancet 2007 Oct 4;: Ronco G and Segnan N., Lancet 2007 Oct 4;:
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Is HPV Testing Better Than the Pap Smear? Free
- October 17, 2007
- Andrew M. Kaunitz, MD
- Women's Health
As a screen for cervical neoplasia, HPV testing showed advantages over the Pap smear.- Reviewing:
- Mayrand M-H et al., N Engl J Med 2007 Oct 18; 357:1579.
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Is Liquid-Based Cytology Better Than Conventional Cytology for Cervical Cancer Screening? Free
- July 26, 2007
- Wendy S. Biggs, MD
- Women's Health
Liquid-based cytology detected CIN grade 1, but not CIN grade 2 or higher, more often than conventional cytology.- Reviewing:
- Ronco G et al., BMJ 2007 Jul 7; 335:28.
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Another Reason to Quit Smoking
- January 18, 2007
- Anna Wald, MD, MPH
- Women's Health
Researchers find evidence for synergy between HPV-16 and smoking in cervical cancer development.- Reviewing:
- Gunnell AS et al., Cancer Epidemiol Biomarkers Prev 2006 Nov; 15:2141-7.
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Alternative Strategies for Preventing Cervical Cancer
- January 10, 2006
- Anna Wald, MD, MPH
- Women's Health
Current programs to prevent cervical cancer rely on regular cytologic evaluation of the cervix, with follow-up of abnormal Pap smear results. This sequence requires several . . .- Reviewing:
- Brewster WR et al., JAMA 2005 Nov 2; 294:2182-7. Denny L et al., JAMA 2005 Nov 2; 294:2173-81.
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Will OB/GYNs Refill OCs or Prescribe EC Without a Pap?
- November 1, 2005
- Diane E. Judge, APN/CNP
- Women's Health
Refilling oral contraceptives (OCs) or prescribing emergency contraception (EC) without Pap-smear screening could substantially decrease the number of unintended pregnancies in the U.S., but are . . .- Reviewing:
- Bimla Schwarz E et al., Contraception 2005 Sep; 72:179-81.
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HPV, OCs, and Cervical Cancer
- June 17, 2003
- Mary A. Shepard, MD
- Women's Health
Studies have suggested an association between the duration of oral contraceptive (OC) use and the risk for cervical cancer in women infected with human papillomavirus. . . .- Reviewing:
- Smith JS et al., Lancet 2003 Apr 5; 361:1159-67.
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Newly Identified HPV Types: How Will They Affect Cervical Cancer Screening?
- April 23, 2003
- Andrew M. Kaunitz, MD
- Women's Health
The causal role of human papillomavirus in cervical cancer is well established, and HPV DNA testing currently is recommended for clinical triage of women with . . .- Reviewing:
- Muñoz N et al., N Engl J Med 2003 Feb 6; 348:518-27. Wright TC Jr and Schiffman M., N Engl J Med 2003 Feb 6; 348:489-90.
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