Title
The ideal cervical cancer screening recommendation for Belgium, an industrialized country in Europe
Author
Faculty/Department
Faculty of Medicine and Health Sciences
Publication type
article
Publication
Padua ,
Subject
Human medicine
Source (journal)
European journal of gynaecological oncology. - Padua
Volume/pages
35(2014) :3 , p. 211-218
ISSN
0392-2936
ISI
000341554800001
Carrier
E
Target language
English (eng)
Affiliation
University of Antwerp
Abstract
Cervical cancer should be a historical disease, why are we not succeeding! The prophylactic vaccination will reduce cervical cancer by almost 80% in Belgium. Cervical cancer screening should therefore remain in order to prevent the remaining 20%. The current used Pap cytology test misses 50% of all clinically significant precancers and cancers at the time of testing. The test should remain but the analysis should be altered. The screening should be modified based on our knowledge of human papillomavirus (HPV) as causal factor. Instead of looking for a cell abnormality, one should look for the presence of HPV. Then depending on the test, only two to ten percent of all relevant lesions are missed. The introduction of the vaccination should lead to the re-introduction of the screening based on HPV. This will not only lead to a considerable reduction in morbidity and mortality, allow longer screening intervals, but it will also be more cost-effective. More for less should be the driving force in cervical cancer screening if we want to be successful.
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