Page 169 - Screening for Cervical Cancer: Systematic Evidence Review
P. 169

Chapter III: Results


                   Table 7.      Studies with Screening Uses of HPV* Testing
                                                                Prevalence of     Prevalence of   Prevalence of
                                                                                        ‡
                                                                      †
                       Article           Population               LSIL  (%)         HSIL  (%)     Carcinoma (%)
                     Cuzick et   2,988 women age ≥ 34        HPV/borderline = 1.9;   CIN  2 = 0.3
                                                                                    §
                             21
                                                                 §
                                                                                    §
                     al., 1999    presenting for routine Pap   CIN  1 = 0.9      CIN  3 = 1.1    No cases
                                 screening in UK
                                                                                    §
                     Petry et al.,   138 HIV infected women    CIN  1 = 14.5     CIN  2 = 3.6    Invasive Ca  = 2.2
                                                                                                          ll
                                                                 §
                                                                                    §
                         61
                     1999                                                        CIN  3 = 6.5
                     Schiffman   8,554 Costa Rican women from   Equivocal = 7.7;
                                                                                                          ll
                     et al.,     random door-to-door selection    LSIL = 2.2     HSIL = 1.5      Invasive Ca  = 0.14
                         65
                     2000
                     Womack et   466 women age 25-55 in
                            63
                     al., 2000    primary care clinics in Zimbabwe   LSIL = 12.9   HSIL = 12.0   No cases
                     Womack et   2,140 women age 25-55 in    LSIL = 16.2         HSIL = 10.0     Invasive Ca  = 0.14
                                                                                                          ll
                            62
                     al., 2000    primary care clinics in Zimbabwe
                     Wright et   1,365 unscreened women, age ≥                                            ll
                            64
                     al., 2000    35 from clinics in South Africa   LSIL = 2.9   HSIL = 3.4      Invasive Ca  = 0.7

                   * HPV, human papilloma virus.
                   †  LSIL, low-grade squamous intraepithelial lesion.
                   ‡  HSIL, high-grade squamous intraepithelial lesion.
                   §  CIN, cervical intraepithelial neoplasia.
                   ll  Invasive Ca, invasive cancer.









































                                                             70
   164   165   166   167   168   169   170   171   172   173   174