hpv相关宫颈癌:现状和前景

Q4 Immunology and Microbiology Acta Biomedica Scientifica Pub Date : 2023-07-11 DOI:10.29413/abs.2023-8.3.4
E. A. Kravtsova, M. Tsyganov, N. Litviakov, M. Ibragimova
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引用次数: 0

摘要

全世界每年新诊断出57万例宫颈癌,31.1万人死于这种疾病。CC是第四大最常见的癌症类型,因此是全世界妇女癌症死亡的第四大原因。关于宫颈癌发生和发展的大量数据表明,在大多数情况下(高达90%)与具有高致癌风险(HCR)的人乳头瘤病毒(HPV)有关。CC预防战略以筛查为基础,这种肿瘤病理导致的死亡可以通过早期发现疾病的疫苗接种和治疗来预防。本文将重点关注hpv相关病变,特别是宫颈癌的检测和预防问题,并对国际上有关该问题的最新文献进行总结和分析。这项研究的结果表明,在实施国家高致癌风险HPV疫苗接种规划的国家,不同严重程度的宫颈病变和与HPV携带相关的其他癌症的发病率均有所下降。虽然有效实施人乳头瘤病毒疫苗预防方面的实际经验和未来的进展可能使所有国家都有可能达到消除人乳头瘤病毒相关病理所需的高水平疫苗接种覆盖率,但研究结果还表明,由于一些现有的限制,完全消除作为全球公共卫生问题的宫颈癌的道路可能极其困难。
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HPV-associated cervical cancer: Current status and prospects
Every year, 570,000 new cases of cervical cancer (CC) are diagnosed in the world, and 311,000 people die from this disease. CC is the fourth most common type of cancer and therefore the fourth leading cause of cancer death in women worldwide. Numerous data on the occurrence and development of cervical cancer indicate an association in most cases (up to 90 %) with human papillomaviruses (HPV) of high carcinogenic risk (HCR).CC prevention strategies are based on screening, and deaths from this oncopathology can be prevented through vaccination and treatment with early detection of the disease.In this review, much attention is paid to current issues of detection and prevention of HPV-associated pathologies, and cervical cancer in particular, aiming to summarize and analyze the latest international literature data on this issue. As a result of this study, it was shown that for countries implementing the National program of vaccination against HPV of high carcinogenic risk, a decrease in the incidence of both cervical pathologies of varying severity and other cancers associated with the HPV carriage was registered.While effective implementation of actual experience and future advances in human papillomavirus vaccine prophylaxis may make it possible for all countries to move to the high levels of vaccination coverage required to eliminate HPV-associated pathologies, the results also suggest that the path to complete cervical cancer elimination as a global public health problem can be extremely difficult due to a number of existing limitations.
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来源期刊
Acta Biomedica Scientifica
Acta Biomedica Scientifica Immunology and Microbiology-General Immunology and Microbiology
CiteScore
0.40
自引率
0.00%
发文量
106
审稿时长
7 weeks
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