Adolescent Cervical Dysplasia: Histologic Evaluation, Treatment, and Outcomes

Moore, Kathleen N.; Cofer, Amanda; Elliot, L.; Lanneau, Grainger S.; Walker, Joan L.; Gold, Michael A.

doi:10.1097/01.ogx.0000299067.44789.c0

Cited by 14 publications

(27 citation statements)

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“…Half of the women up to 19 years old with CIN2 who chose conservative therapy had regression of the lesion represented by two negative PS in the first year of follow-up, while 100% of those aged between 20 and 25 years old or with CIN3 had persistent HSIL in cytology. Whereas with monitored women with CIN2 diagnosed through colposcopy-directed biopsy, our findings are similar to those of some studies 4,11,12 , who observed rates of 42% to 65% of spontaneous regression in 8 to 18 months follow-up.…”

Section: Discussionsupporting

confidence: 80%

Loop electrosurgical excision procedure versus expectant management to treat high-grade squamous intraepithelial lesion in women up to 25 years

Macerly

Ana

Ada

et al. 2017

JGS

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Section: Discussionsupporting

confidence: 80%

Loop electrosurgical excision procedure versus expectant management to treat high-grade squamous intraepithelial lesion in women up to 25 years

Macerly

Ana

Ada

et al. 2017

JGS

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“…According to World Bank (Moore et al, 2007), we classified studies into high, middle and low income countries. Fourteen studies were categorized as a high income countries (Brown and Garber, 1999;Mandelblatt et al, 2002b;Maxwell et al, 2002;Goldie et al, 2004;Kim et al, 2005;Bidus et al, 2006;Bistoletti et al, 2008;Kulasingam et al, 2009;Berkhof et al, 2010;Chuck, 2010;Vijayaraghavan et al, 2010a;Sroczynski et al, 2011;Burger et al, 2012;de Kok et al, 2012).…”

Section: Comparison Of Studies Based On Incomementioning

confidence: 99%

A Systematic Review of Economic Aspects of Cervical Cancer Screening Strategies Worldwide: Discrepancy between Economic Analysis and Policymaking

Nahvijou

Hadji

Ahmad

et al. 2014

Asian Pacific Journal of Cancer Prevention

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Background: Organized cervical screening has decreased the incidence of cervical cancer. However, screening strategies vary in different countries. Objectives: We performed a systematic review to evaluate the economic aspects of different screening methods. Materials and Methods: We searched databases and then data were abstracted from each study. We evaluated articles based on different types of screening tests as well as screening age and intervals, and using incremental cost effectiveness ratio via calculating quality adjusted life years (QALY), or life years gained (LYG) per cost. We compared the incremental cost-effectiveness ratio (ICER) of each study using GDP per capita. Furthermore, we compared national guidelines with recommendations of costeffectiveness studies in different countries. Results: A total of 21 articles met our criteria, of which 19 studies showed that HPV DNA testing, 13 suggested an age of 30 years or more, and 10 papers concluded that at least a 5-year or longer interval were the most cost-effective strategies. In some countries, the national guidelines did not match the recommendations of the cost-effectiveness studies. Conclusions: HPV testing, starting at age 30 years or older and repeated at 5-year or longer intervals, is the most cost-effective strategy in any setting. Closer collaboration with health economists is required during guideline development.

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“…Currently, the incidence of invasive cancer of the uterine cervix among adolescents up to 19 years of age is considered to be almost nonexistent, with no reports of this type of case. [3][4][5][6][7][8] On this basis, the objective of the present case report was to alert the medical community, and gynecologists and pediatricians in particular, to the need for cervical cancer prevention practices among sexually active adolescents.…”

Section: Discussionmentioning

confidence: 99%

“…1 Several studies have shown increasing incidence of preneoplastic lesions at increasingly early ages. 3,4 An increase in high and low-grade lesions of the cervix among young women who started their sexual activity during adolescence, with constantly changing partners, is also being observed in Brazil. [5][6][7][8] However, cervical malignancy is rare during adolescence and estimates from the National Cancer Institute's Surveillance, Epidemiology and End Results (SEER) program indicated cervical cancer rates of 0/100,000 adolescents aged 10 to 19 years and 1.7/100,000 women aged 20 to 24 years, from 1995 to 1999.…”

Section: Introductionmentioning

confidence: 99%

Microinvasive carcinoma of the uterine cervix in a 14-year-old adolescent: case report and literature review

et al. 2009

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CONTEXT: Cancer of the uterine cervix is rare during adolescence. The reported rates are 0/100,000 adolescents aged 10 to 19 years and 1.7/100,000 women aged 20 to 24 years. However, several studies have shown increasing incidence of preneoplastic lesions at increasingly early ages.CASE REPORT: This paper reports a case of microinvasive carcinoma of the uterine cervix in a 14-year-old patient with menarche at 10 years of age and first coitus at 12 years of age. The objective of the present report was to alert gynecologists and pediatricians regarding the need for cervical carcinoma prevention among sexually active adolescents, based on educational programs that explain the purpose of colpocytological examinations and encourage their use, along with condom use and limitation of the number of sexual partners. RESUMOCONTEXTO: O câncer do colo uterino é raro na adolescência, apresentando taxas de incidência de 0/100.000 adolescentes com idade entre 10 a 19 anos e de 1,7/100.000 mulheres com idade entre 20 e 24 anos. Entretanto, vários estudos mostram a incidência crescente das lesões pré-neoplásicas em idade cada vez menores. RELATO DE CASO:Este artigo relata um caso de carcinoma microinvasor do colo uterino em paciente de 14 anos com menarca aos 10 anos e a primeira relação aos 12 anos. Com este relato objetivamos alertar a comunidade médica, principalmente ginecologistas e pediatras, para a prevenção do carcinoma cervical entre adolescentes com vida sexual ativa. Além da realização de projetos educativos que divulguem a finalidade do exame citopatológico, o uso de preservativos e o controle do número de parceiros sexuais.

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Adolescent Cervical Dysplasia: Histologic Evaluation, Treatment, and Outcomes

Cited by 14 publications

References 0 publications

Loop electrosurgical excision procedure versus expectant management to treat high-grade squamous intraepithelial lesion in women up to 25 years

Loop electrosurgical excision procedure versus expectant management to treat high-grade squamous intraepithelial lesion in women up to 25 years

A Systematic Review of Economic Aspects of Cervical Cancer Screening Strategies Worldwide: Discrepancy between Economic Analysis and Policymaking

Microinvasive carcinoma of the uterine cervix in a 14-year-old adolescent: case report and literature review

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