在坎帕尼亚地区使用HR-HPV筛查子宫颈癌的实施

Cimmino Olimpia, Cacace Simona, Falconio Lucio Marcello, Marzocco Adele Maria, Capasso Giusy, Cecere Nunzia, De Benedictis Andrea
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摘要

肿瘤筛查:筛查方案包括向按年龄有风险的人群免费和积极地提供(个人邀请)已被证明能够显著影响疾病的自然历史(降低发病率和死亡率)的做法,保持成本(经济、心理、社会)与收益之间的便利关系(Omswilson, 1968年)。目前在我国组织的肿瘤筛查活动有:肿瘤筛查项目的目标是降低死亡率。根据国家指南(PNLG)“为假设健康的人群提供肿瘤筛查试验的基础假设是:1。如果肿瘤存在,在无症状的情况下是可以识别的;这种对诊断的预期转化为具体的好处,首先是延长生存时间。PNLG在评估服务的文件中始终强调:"本质上筛查是一种需要谨慎的工具,因为它向认为自己健康状况良好、无症状的人提出了一种诊断测试,可以在潜伏期发现癌症的存在"。由于这个原因,另一个以“心理肿瘤学家”为代表的专业人物也成为过去十年的一部分。正如我们下面看到的,子宫颈癌的筛查比其他筛查更符合前面提到的两个要求(A和(B))。影响子宫的肿瘤必须在宫颈癌和机体肿瘤中根据肿瘤侵袭的部分来区分。本工作将重点关注第一组,其由自然史、危险因素、发病率、临床趋势、治疗、最终生存。多年来,它一直是旨在初级和二级预防的公共卫生干预措施的主题。
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Implementation In The Campania Region Of The Screening For Cancer Of The Uterine Cervix Using HR-HPV
Oncological screenings: The screening program consists of the free and active offer (personal invitation) to the population, at risk by age, of practices that have proved to be able to significantly affect the natural history of the disease (reduction of morbidity and mortality) maintaining A convenient relationship between costs (economic, psychological, social) and the benefits (Omswilson, 1968). Oncological screenings organized currently active in our country are: The objective of oncological screening programs is the reduction of mortality. According to the national guidelines (PNLG) "the assumptions that are the basis of the offer of an oncological screening test to a hypothetically healthy population are: 1. that it is possible to identify the neoplasm, if present, when still asymptomatic; 2. that this anticipation of the diagnosis translates into a concrete benefit, first of all in terms of survival extension. Always the PNLG in the document at the evaluation of services stresses that: "Screening by nature is a tool that requires caution, because it proposes to asymptomatic people, who have a perception of their positive health, a diagnostic test that can reveal the presence of a cancer in its latency period". For this reason, another professional figure represented by the "psycho-oncologist" has also become part of the last decade. As we see below the screening of the uterus's neck cancer falls more than others in the two requirements (A and (B first mentioned. Tumors that affect the uterus must be distinguished in cervix cancers and body tumors based on the segment that comes Struck by neoplasm. This work will pay attention to the first group, which by natural history, risk factors, incidence, clinical trend, therapy and finally survival. For many years, it has been the subject of public health interventions aimed at its Primary and secondary prevention.
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