Role of the PAP smear in adolescence
The publication of the 2006 directives concerning the management of PAP smears has incited us to update our internal protocols at the CHUV, which are described in this article. A new addition to these directives is the specific management of adolescent PAP smears, who present both a high HPV carriag...
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Veröffentlicht in: | Revue médicale suisse 2009-10, Vol.5 (222), p.2078-2080 |
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creator | Jacot-Guillarmod, M Hohlfeld, P Renteria, S C |
description | The publication of the 2006 directives concerning the management of PAP smears has incited us to update our internal protocols at the CHUV, which are described in this article. A new addition to these directives is the specific management of adolescent PAP smears, who present both a high HPV carriage rate and increased incidence of cytological abnormalities with a favorable outcome in most cases. Our goal is to avoid over-treating dysplasias in this type of patient in order to avoid long-term complications. Emphasis is placed on the first gynecological consultation where a listening ear and clear and targeted information remain essential in the proper management of a young patient. |
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A new addition to these directives is the specific management of adolescent PAP smears, who present both a high HPV carriage rate and increased incidence of cytological abnormalities with a favorable outcome in most cases. Our goal is to avoid over-treating dysplasias in this type of patient in order to avoid long-term complications. 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A new addition to these directives is the specific management of adolescent PAP smears, who present both a high HPV carriage rate and increased incidence of cytological abnormalities with a favorable outcome in most cases. Our goal is to avoid over-treating dysplasias in this type of patient in order to avoid long-term complications. Emphasis is placed on the first gynecological consultation where a listening ear and clear and targeted information remain essential in the proper management of a young patient.</description><subject>Adolescent</subject><subject>Clinical Protocols</subject><subject>Female</subject><subject>Humans</subject><subject>Papanicolaou Test</subject><subject>Uterine Cervical Neoplasms - pathology</subject><subject>Uterine Cervical Neoplasms - prevention & control</subject><subject>Vaginal Smears</subject><subject>Young Adult</subject><issn>1660-9379</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1j0trwzAQhHVoaUKav1B0KPRksLSy5D2G0BcEGkruZmWtqItfteJD_31dms5lDvMxzFyJtbI2zxAcrsQ2pc98kVWgNdyIlUI0zhhci_v3oWU5RHn-YHncHWXqmCbZ9JLCkqSa-5pvxXWkNvH24htxeno87V-yw9vz6353yMaiwIycqclrZKd1WMqVt0Y5H7GMToMiNKGIeVmEIteEWDsirUskZbwF5xE24uGvdpyGr5nTueqaZUDbUs_DnCoHYJWD8pe8u5Cz7zhU49R0NH1X_7_gBw7hRg0</recordid><startdate>20091021</startdate><enddate>20091021</enddate><creator>Jacot-Guillarmod, M</creator><creator>Hohlfeld, P</creator><creator>Renteria, S C</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>20091021</creationdate><title>Role of the PAP smear in adolescence</title><author>Jacot-Guillarmod, M ; Hohlfeld, P ; Renteria, S C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p559-a74cab29e722d4491b6417bf98f7231a94d5f085d502a99c7aa2289a14b637b93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>fre</language><creationdate>2009</creationdate><topic>Adolescent</topic><topic>Clinical Protocols</topic><topic>Female</topic><topic>Humans</topic><topic>Papanicolaou Test</topic><topic>Uterine Cervical Neoplasms - pathology</topic><topic>Uterine Cervical Neoplasms - prevention & control</topic><topic>Vaginal Smears</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jacot-Guillarmod, M</creatorcontrib><creatorcontrib>Hohlfeld, P</creatorcontrib><creatorcontrib>Renteria, S C</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Revue médicale suisse</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jacot-Guillarmod, M</au><au>Hohlfeld, P</au><au>Renteria, S C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Role of the PAP smear in adolescence</atitle><jtitle>Revue médicale suisse</jtitle><addtitle>Rev Med Suisse</addtitle><date>2009-10-21</date><risdate>2009</risdate><volume>5</volume><issue>222</issue><spage>2078</spage><epage>2080</epage><pages>2078-2080</pages><issn>1660-9379</issn><abstract>The publication of the 2006 directives concerning the management of PAP smears has incited us to update our internal protocols at the CHUV, which are described in this article. A new addition to these directives is the specific management of adolescent PAP smears, who present both a high HPV carriage rate and increased incidence of cytological abnormalities with a favorable outcome in most cases. Our goal is to avoid over-treating dysplasias in this type of patient in order to avoid long-term complications. Emphasis is placed on the first gynecological consultation where a listening ear and clear and targeted information remain essential in the proper management of a young patient.</abstract><cop>Switzerland</cop><pmid>19947449</pmid><tpages>3</tpages></addata></record> |
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source | MEDLINE; Alma/SFX Local Collection |
subjects | Adolescent Clinical Protocols Female Humans Papanicolaou Test Uterine Cervical Neoplasms - pathology Uterine Cervical Neoplasms - prevention & control Vaginal Smears Young Adult |
title | Role of the PAP smear in adolescence |
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