生殖器官HPV检测预防宫颈癌的补充和创新方法

Georgeta Gînfălean
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摘要

考虑到实际的SARS-COV大流行,女性患者的舒适度和时间趋势是尽量减少在医生办公室的时间,因此自动检测是这一背景下的解决问题。本文的目的是为了说明自采尿液和阴道样本的重要性,因为实际研究表明,这是hpv检测的补充方法,也是预防宫颈癌的筛查方法。生殖器HPV感染导致约99%的宫颈癌,被认为是一种性传播疾病。鉴于十分之八的患者在其一生中至少有一次HPV感染,因此需要一种早期检测生殖器HPV感染的方法。宫颈癌是生殖器官癌症中第二类确诊癌症,也是女性癌症死亡的第三大原因。在罗马尼亚,宫颈癌的发病率和这种癌症造成的死亡率仍然很高。2018年Globocan中提到,罗马尼亚宫颈癌的发病率为8.6%,死亡率为19.5/ 10000名妇女。在世界范围内,实施了以下措施:一级预防规划(通过免疫接种)和二级预防规划——传统细胞学检测,并增加了联合检测。在联合检测领域,已经发现了一种更新的签证-自我收集测试,被认为是生殖器HPV检测的补充和创新方法,其目的是:识别具有显著敏感性的高致癌性HPV菌株的存在。自我收集检测的目的是:提示高致癌性菌株的存在,外推可导致早期识别子宫颈癌前病变病例的数量,并隐含子宫颈癌。
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Complementary and Innovative Method in Genital HPV Testing for Cervical Cancer Prevention
Abstract Considering actual SARS-COV 2 pandemic, the comfort and time of the female patient’ trend is to minimize the time spent in the doctor’s office, so that auto-testing is a solving problem in this context. This paper aims at the importance of self-collected urine and vaginal samples, since actual studies are showing that is a complementary method in HPV-testing and a screening method for prevention of cervical cancer. Genital HPV infection is responsible for approximately 99% of cervical cancers, and is considered a sexually transmitted disease. Given that eight out of ten patients have at least one episode of HPV infection in their lifetime, there is a need for a method of early detection of genital HPV infection. Cervical cancer is the second type of diagnosed cancer in the rank of genital cancers and the third leading cause of cancer death among the female population. In Romania, the frequency of cervical cancer and mortality caused by this type of cancer remains high. In 2018 Globocan, it was mentioned that the occurrence of cervical cancer in Romania was 8.6%, and the mortality was 19.5/10,000 women. Worldwide, the following have been implemented: primary prevention programmes (via immunization) and secondary prevention programmes – traditional cytological testing, to which co-tests have been added. In the co-testing sector, there has been found with an updated visa – the self-harvesting test, being considered a complementary and innovative method in genital HPV testing, which aims to: identify the presence of highly oncogenic HPV strains with a marked sensitivity. Self-harvesting testing aims to: signal the presence of highly oncogenic strains, extrapolation can lead to early identification of the number of cases of precancerous lesions of the cervix and implicitly of cervical cancer.
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