Фундаментальная и клиническая медицина (Sep 2018)

USING VAGINAL SELF-SAMPLING DEVICES FOR DETECTION OF HIGH-RISK HUMAN PAPILLOMAVIRUS

  • KRISTINA V. Marochko,
  • NATALIA V. Artymuk,
  • TATIANA Y. Belokrinitskaya,
  • NATALIA I. Frolova

Journal volume & issue
Vol. 3, no. 3
pp. 78 – 83

Abstract

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The identification of cerval intraepithelial neoplasia is of crucial importance for reducing both incidence and mortality of cervical cancer. Currently, screening programs relying on Papanicolaou test or liquid-based cytology are employed in many countries but have a limited efficiency. Recently, HPV genotyping was suggested as a possible screening alternative as high-risk HPV strains are detected in almost all cervical cancer biopsies. Importantly, in addition to high sensitivity, efficient screening approach also requires a wide population coverage. As the main reasons for cervical cancer screening avoidance include fear of examination, embarrassment, and lack of time, self-sampling devices have the potential to significantly improve screening coverage. Such an approach implies invitation for gynecological examination only if high-risk HPV strains would be detected in the self-collected sample. Epidemiological studies demonstrated that results of HPV genotyping in self- and physician-collected samples are comparable; hence, self-sampling devices can be considered for the implementation in cervical cancer screening.

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