Triagem de câncer cervical para Adolescentes - Lembrando de Dra. Marcia Cunha que adora trabalhar com adolescentes.

 Lembrando de Dra. Marcia Cunha (UFBA) que adora trabalhar com adolescentes.

Screening Adolescents and Young Women Review Article
Obstetrics and Gynecology Clinics of North America, Volume 40, Issue 2, June 2013, Pages 257-268
Lori A. Boardman, Katina Robison

Recent guidelines from multiple organizations stress screening initiation no earlier than the age of 21 years and increased screening intervals for women aged 21 to 29 years. Primary prevention with human papillomavirus vaccination has the potential to significantly affect the development of high-grade cervical lesions, including cancer, and will likely affect screening guidelines in the future.

Pontos importantes

1. Cervical cancer screening should begin at age 21 years regardless of a young woman’s risk factors for human papillomavirus (HPV) acquisition.
2. For young women between the ages of 21 and 29 years with normal cytology, screening should be repeated after no sooner than 3 years. Cervical cytology alone should be used for screening in this population
3. The addition of HPV testing to routine cervical cancer screening is not indicated in women aged 21 to 29 years because of the high prevalence of high-risk HPV infection in this population
4. The impact of HPV vaccination in real-world settings is under way in the United States, vaccination status does not change screening guidelines.