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Long-Term Prospective Cohort Study of Cervical Cancer Screening Using Triage of Women who Are Human Papillomavirus-Positive With Dual Stain and Human Papillomavirus Genotyping - PubMed

3 days ago
  • #HPV screening
  • #dual stain
  • #cervical cancer
  • Study evaluates triage methods for HPV-positive women in cervical cancer screening.
  • Dual stain (DS) and HPV genotyping compared to cytology for detecting CIN3+.
  • DS showed better sensitivity, specificity, and predictive values than cytology over 5 years.
  • Baseline CIN3+ risk: 9.4% for DS-positive vs. 0.8% for DS-negative.
  • HPV16-positive women had higher CIN3+ risk than HPV16-negative.
  • DS outperformed cytology across all age groups and non-HPV16/18 types.
  • DS detects molecular changes earlier in the carcinogenic pathway than cytology.
  • DS provides better risk stratification, making it suitable for vaccinated populations.