Page 174 - Screening for Cervical Cancer: Systematic Evidence Review
P. 174

Chapter III.  Results



               Table 10.      HPV Testing Among Women with Abnormal Pap Test Results*
                                                          Prevalence of     Prevalence of    Prevalence of
                Article     Population/ Referral Pap      LSIL (%)          HSIL (%)         Carcinoma (%)
                            454 indigent Texan women
                Adam et     referred for colposcopy after   LSIL = 55.3     HGSIL = 14.5     4 cases invasive
                       71
                al., 1998                                                                    cancer = 0.40
                            ASCUS or LSIL
                Bollen et   190 consecutive Dutch women   LSIL = 57.8       HSIL = 29.5      No cases
                       66
                al., 1997    with mild or moderate dysplasia
                Herrington   167 British women referred for   “wart virus   CIN 2 = 7.2
                et al.,     colposcopy for low grade cytologic  changes” = 37.7   CIN 3 = 16.8   No cases
                     69
                1995        findings ( ≤ CIN 1)           CIN 1 = 15.0
                Hillemanns
                et al.,     247 German colposcopy patients   CIN 1 = 7.3    CIN 2/3= 15.4    2 cases invasive
                                                                                             cancer = 0.81
                     72
                1999
                Manos et    973 US HMO patients with      LSIL = 12.8       HSIL = 6.7       1 case invasive
                       68
                al. 1999    ASCUS                                                            cancer = 0.1
                Sigurdsson   358 Icelandic women referred for               CIN 2 = 15.9     7 cases invasive
                et al.,     colposcopy                    CIN 1 = 16.5      CIN 3 = 36.6     cancer = 2.0
                     67
                1997
                Sun et al.,   520 US or Canadian women    LSIL = 31.0       HSIL = 18.8      7 cases invasive
                     73
                1995        referred for colposcopy                                          cancer = 1.3

               *HPV, human papilloma virus; LSIL, low-grade squamous intraepithelial lesion; HSIL, high-grade squamous intraepithelial
               lesion; CIN, cervical intraepithelial neoplasia












































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