Update on current care guideline: Cytological changes in the cervix, vagina and vulva.

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Abstract

Annually approximately 160 new cervical cancers are diagnosed in Finland. Screening has decreased both incidence and mortality by 80%. Both primary HPV-testing and Pap smear can be used in screening. In the future HPV vaccination will decrease the number of cervical cancers. Abnormal findings in Pap smears indicate management. LSIL lesions are followed up especially among young women and HSIL lesions treated. Follow-up after treatment should be reliably arranged, because increased risk of cancer remains ever after treatment.

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当前护理指南的更新:宫颈、阴道和外阴的细胞学变化。
在芬兰,每年大约有160例新的子宫颈癌被诊断出来。筛查使发病率和死亡率降低了80%。初次hpv检测和子宫颈抹片检查都可用于筛查。未来接种人乳头瘤病毒疫苗会减少子宫颈癌的数目。宫颈抹片检查的异常结果表明需要治疗。对低级别鳞状上皮性病变进行随访,尤其是年轻女性,并对低级别鳞状上皮性病变进行治疗。治疗后的随访应该可靠地安排,因为癌症的风险在治疗后仍然增加。
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