new YORK (Reuters Health) – A panel of experts in
health United States concluded that women should
do the Pap smear or Pap every three years to detect
early cervical cancer and just starting at the
21 years, even if they are already sexually active.
The Declaration of the Group operation of Preventive services
( USPSTF for its acronym in English) coincides with the guides of three
Oncology scientific societies of the country presented the same
day.
At age 30, women should be eligible for the
every five years if you choose to combine the Pap testing
with the analysis of human papillomavirus (HPV) virus.
“Importantly the emphatic make recommendation, the
“”
analysis”, said Dr. Virginia Moyer, who chairs the USPSTF
and is the Baylor School of medicine and the Hospital pediatrician of
Children of Texas in Houston.
The recommendation for the Pap every three or five years
arises from the evidence that the cervical cancer is of
relatively slow growth so that the expert
it was considered unlikely that a woman develops cancer
Advanced in a few years after a negative result.
“Women who develop cervical cancer and
“
die for this cause are that no controls are made of
“
routine”, said Moyer. “The problem is not that women not be
performed a control in a couple of years”, added.
The new recommendations of the USPSTF arise from a review
of evidence of the effectiveness of the test for
detecting adverse effects and precancerous lesions
physical and psychological analysis of HPV and Pap test. Guides
are published in Annals of Internal Medicine.
The panel identified benefits of Pap test every three years in the
women aged between 21 and 65 years or every five years when it
combines with the analysis of HPV thirties.
The under 30 years old should not be the test of
detection of HPV because sexually transmitted infection, which
is common in young people, single disappears without raising the
risk of developing cancer.
The over 65s controlled way also regulate
would be protected, unless they have a high risk for
previous precancerous lesions.
Until more data on the female population
vaccinated against HPV, the panel recommends that women
continue the usual analysis.
The scientific societies agree
Guidelines are consistent with the American Society of
Oncology, the American Society of colposcopy and
Cervical pathologies and the American Society of
Pathology clinic.
These groups support the test with Pap and HPV analysis
every five years from the 1930s, but consider acceptable the
realization of Pap test every three years. Controls must be
occur between 21 and 65 years in the majority of cases.
In their report, published in CA: A Cancer Journal for
Clinicians and other magazines, the Group considers that without control,
between 31 and 33 of 1,000 women of United States
develop cervical cancer. With a Pap test every three
years, the figure is reduced to between five and eight each 1,000
women.
“Excessive and increasingly sensitive controls detect
“”
benign primary infections that would be better to not identify”,
thought Philip Castle, director of the Institute of the society
American pathology clinic, who participated in the
drafting of guidelines.
“Go beyond what recommends the evidence can cause damage to
“”
patients and not should be minimized”, he added.
This includes the psychological result effects
abnormal, followed by some uterine control procedures
increase the likelihood of later the patient
have a premature infant.
Centers for disease prevention and Control
estimated that, each year, some 12,000 American women
they develop cancer of cervix by a carcinogenic strain
of HPV.
Castle considered the most important thing is to work to that
all women have access to basic control levels
clinical, especially poor women in isolated areas.
Source: Annals of Internal Medicine and CA: A Cancer
Journal for Clinicians, online March 14, 2012.
