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Showing posts from March, 2010
CERVICAL CANCER-IMPORTANT POINTS
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■ A systematic approach to screening well women has contributed to a decline in incidence and mortality from cervical cancer in Australia. ■ There is still room to improve participation in screening in Australia: older women and women of low socioeconomic status are less likely to be adequately screened. ■ Indigenous women have not benefited from improvements in mortality through cervical cancer screening. ■ Exposure to wart virus infection (HPV) is a normal part of sexual activity. ■ During the acute phase of infection, Pap smear show the changes of a low-grade squamous cell abnormality. ■ Most women clear the HPV infection and the low-grade abnormality resolves. ■ Persistent infection with high-risk HPV subtypes carries the possibility of developing high-grade squamous cell abnormalities. ■ The new NHMRC guidelines on the Management of Asymptomatic Women with Screen Detected Abnormalities use evidence from the Pap smear registries, new understandings of the epidemiolo...