Articles Tagged With: cervical
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New Data on HPV Testing Vs. Pap
In a large, randomized clinical trial that compared primary HPV testing alone vs. Pap test for cervical screening, results suggest that primary HPV testing can pick up precancerous lesions sooner and with better accuracy than the Pap test.
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Join the Mission: Increase HPV Vaccinations for Girls and Boys
The 67 National Cancer Institute-designated cancer centers and a host of other cancer organizations now are fully endorsing the goal of eliminating cancers caused by human papillomavirus (HPV) through gender-neutral HPV vaccination and evidence-based cancer screening.
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Does This Older Patient Have a Spinal Fracture? Evaluation and Management of Spinal Fractures in Older Adults
Older adults present unique challenges for the clinician. Missing a spinal fracture can have devastating consequences for this more fragile population. The authors review the clinical presentation, injury patterns, and unique considerations for imaging and management of spinal fractures in older adults.
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The Risk of Malignancy in Hysterectomy
There has been significant publicity about the risk of malignancy associated with morcellation in hysterectomy, but in reality the incidence is quite low.
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Cervical Spinal Injury
Although spinal injuries are uncommon, they should be considered when children have sustained head or neck trauma or multiple severe injuries. Children with severe or multisystem trauma are more likely to suffer a spinal injury. Thus, emergency department providers should have a lower threshold to immobilize and image such patients to prevent morbidity and mortality. This article reviews the most common pediatric spinal fractures and injuries and optimal management practices.
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Cervical Cancer Screening May Be Less Effective in Obese Women
Results from a large retrospective study of women undergoing cervical cancer screening indicate that overweight and obese women had an increased risk of cervical cancer compared to normal weight women.
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Should Endocervical Curettage Be Performed Routinely During Colposcopy?
In this study, routine endocervical curettage (ECC) among women age 30 and older detected CIN 2 or worse in 14.4% of cases with higher likelihood of detection among women with high-grade squamous intraepithelial lesion, ASC-H, positive HPV 16 infection, or high grade colposcopic impression. The additional yield of ECC over lesion-directed ectocervical biopsies decreased with each additional biopsy.
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Intrauterine Device Use Linked With Decrease in Cervical Cancer Incidence
Results of a just-published systematic review indicate that in women who used an intrauterine device, the incidence of cervical cancer was one-third lower.
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Task Force Issues Cervical Cancer Screening Guidance: What Changes Can Clinicians Expect?
Ages 30-65: Cervical cytology every three years or HPV testing every five years.
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Can the Human Papillomavirus Vaccine Cure Cervical Dysplasia?
In this randomized, controlled trial, the HPV 16/18 vaccine did not hasten resolution of existing oncogenic HPV infections nor prevent persistent HPV 16/18 associated infection and cervical dysplasia recurrence after loop electrosurgical excisional procedure treatment.