Filling a gap in cervical cancer screening programmes

摘要

Cervical screening remains important, despite the long-term promise of human papillomavirus (HPV) vaccination. HPV testing is more sensitive than cytology for detection of cervical pre-cancer and cancer, providing increased reassurance and allowing extended screening intervals.Nonetheless, the pace and manner of implementation of primary HPV testing has varied substantially. In the USA, HPV testing is recommended in conjunction with cytology, whereas in the Netherlands, it is recommended as one primary test.23 In many places, it is not used at all.