Impacto del tamizaje citológico en la detección oportuna del cáncer cervicouterino
Keywords:
tamizaje, prueba de Papanicolaou, cáncer cervicouterino, diagnóstico temprano, prevenciónAbstract
Cytological screening using the Papanicolaou (Pap) test is a fundamental procedure for the early detection of cervical cancer. This practice, globally recognized for its ability to identify abnormal cells before they become malignant, allows for early intervention and increases survival rates. The effectiveness of early diagnosis lies in its capacity to detect precancerous lesions, facilitating less invasive and more successful treatments. However, access to this test remains uneven, which can affect its global effectiveness. This analysis delves into the benefits, limitations, and strategies to improve the coverage of this important preventive tool in various populations.
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Sweid MA, Monaco SE. Should screening for cervical cancer go to primary human papillomavirus testing and eliminate cytology? Mod Pathol. 2022 Jul;35(7):858-864. doi: 10.1038/s41379-022-01052-4. Epub 2022 Mar 7. PMID: 35256738.
Bharadwaj M, Hussain S, Tripathi R, Singh N, Mehrotra R. Human Papillomavirus (HPV). Animal Biotechnology [Internet]. 2014 [cited 2025 Mar 02];95–120. Available from: https://www.sciencedirect.com/science/article/abs/pii/B9780124160026000067
Mohammad Z, Ahmad N, Baharom A. The Effects of Theory-Based Educational Intervention and WhatsApp Follow-up on Papanicolaou Smear Uptake Among Postnatal Women in Malaysia: Randomized Controlled Trial. JMIR Mhealth Uhealth. 2022 Jun 27;10(6):e32089. doi: 10.2196/32089. PMID: 35759319; PMCID: PMC9274386.
Romli R, Shahabudin S, Saddki N, Mokhtar N. Effectiveness of a Health Education Program to Improve Knowledge and Attitude Towards Cervical Cancer and Pap Smear: A Controlled Community Trial in Malaysia. Asian Pac J Cancer Prev. 2020 Mar 1;21(3):853-859. doi: 10.31557/APJCP.2020.21.3.853. PMID: 32212817; PMCID: PMC7437328.
Staley H, Shiraz A, Shreeve N, Bryant A, Martin-Hirsch PPL, Gajjar K. Interventions targeted at women to encourage the uptake of cervical screening. Cochrane Database of Systematic Reviews 2021, Issue 9. Art. No.: CD002834. DOI: 10.1002/14651858.CD002834.pub3. Accedida el 09 de febrero de 2025.
Coello Zamora, I. T. ., Pastaz Farinango, A. L. ., Salas Salazar, Y. C., Soliz Ordoñez, L. ., Jingo Ichau, R. V. ., & Pérez Manzano, S. J. . (2023). Breve revisión sobre el tamizaje primario para cáncer de cuello uterino. Más Vita, 5(4), 164–180. https://doi.org/10.47606/ACVEN/MV0220
Oscar Puga, Francisco Belmar, Emiliano Pertossi, Prevención y detección precoz del cáncer cervicouterino, Revista Médica Clínica Las Condes, Volume 35, Issue 2, 2024, Pages 95-105, ISSN 0716-8640, https://doi.org/10.1016/j.rmclc.2024.03.003.
PIRUL, M. Análisis del uso de las técnicas de tamizaje para la detección de cáncer cervicouterino en Chile. J. health med. sci., 7(2): 107-113, 2021.
Paintal AS, Nayar R. Cervical Cytology (The Pap Test). Pathobiology of Human Disease [Internet]. 2014 [cited 2025 Mar 10];3345–58. Available from: https://www.sciencedirect.com/science/article/abs/pii/B9780123864567065023
De León Escobedo, R. ., Rodriguez Hernandez, M. D. J., & De León Altamira, D. L. . (2022). FORTALEZAS Y DEBILIDADES DE LA CITOLOGÍA CÉRVICO VAGINAL (PAPANICOLAOU) COMO PRUEBA DIAGNÓSTICA. ARCHIVOS DE MEDICINA, SALUD Y EDUCACIÓN MÉDICA, 1(1), 64–68. Recuperado a partir de https://archivosdemedicina.uat.edu.mx/index.php/nuevo/article/view/32
Ghalavandi, S., Zarei, F., Heidarnia, A. et al. Un programa de intervención educativa combinada sobre la conducta relacionada con la prueba de Papanicolaou entre mujeres iraníes. Reprod Health 18 , 228 (2021). https://doi.org/10.1186/s12978-021-01281-x
Crespo BV, Neira VA, Murillo R, Avilés CO, Verhoeven V (2023). Cytology Versus Molecular Diagnosis of HPV for Cervical Cancer Screening. Comparison of the Diagnostic Properties of Four Tests in a Rural Community of Cuenca Ecuador. ESPOCH Congresses: The Ecuadorian Journal of S.T.E.A.M., 3(1), 139–159. DOI 10.18502/espoch.v3i1.14422
Yu Y, Wang J, Tan Y, A clinically applicable cervical cancer artificial intelligence screening system for accurate cytopathological diagnosis: a multicenter population-based study and randomized controlled trial, Biblioteca Cochrane, 31 October 2021, Volumen 32, páginas: S925‐S926
Pretsch PK, Spees LP, Brewer NT, Hudgens MG, Sanusi B, Rohner E, et al. Effect of HPV self-collection kits on cervical cancer screening uptake among under-screened women from low-income US backgrounds (MBMT-3): a phase 3, open-label, randomised controlled trial. Lancet Public Health [Internet]. 2023 [citado el 11 de marzo de 2025];8(6):e411–21. Disponible en: https://www.cochranelibrary.com/es/central/doi/10.1002/central/CN-02564204/full
Koliopoulos G, Nyaga VN, Santesso N, Bryant A, Martin-Hirsch PP, Mustafa RA, et al. Cytology versus HPV testing for cervical cancer screening in the general population. Cochrane Database Syst Rev [Internet]. 2017;8(7):CD008587. Disponible en: http://dx.doi.org/10.1002/14651858.CD008587.pub2
Elfström KM, Eklund C, Lamin H, Öhman D, Hortlund M, et al. (2021) Organized primary human papillomavirus–based cervical screening: A randomized healthcare policy trial. PLOS Medicine 18(8): e1003748. https://doi.org/10.1371/journal.pmed.1003748
Beltrán-Guerrero LJ, García-Valdez R, Andrade-Amador V, Vázquez-Argüelles L, Félix-Alvarez CA, Alvarez-Villaseñor AS. Comparación del Papanicolau con técnica convencional frente a técnica modificada [Comparison of the Pap smear with conventional technique versus modified technique]. Rev Med Inst Mex Seguro Soc. 2022 Mar 1;60(2):164-170. Spanish. PMID: 35759446; PMCID: PMC10395926.
Rivera Castro, M. B. (2021). Tamizaje de cancer cervicouterino en Chile: ¿Pap o VPH-test?. Una revisión de literatura. Revista Confluencia, 4(1), 98-103. Recuperado a partir de https://revistas.udd.cl/index.php/confluencia/article/view/556
Zerna , C. M., Calle Cáceres, A., Álvarez Reyes , S., Valarezo Laínez , M., & Kou , J. (2023). Inspección Visual con Ácido Acético y Papanicolaou para Detección de Lesiones Cervicales en una Comunidad Urbana de Guayaquil. Ciencia Latina Revista Científica Multidisciplinar, 7(5), 10418-10431. https://doi.org/10.37811/cl_rcm.v7i5.8658
López J. Comparación entre la citología cervical y la biopsia por colposcopia en el diagnóstico de cáncer cervical. Médico. Cuenca-Ecuador. Universidad Católica de Cuenca. 2023. [citado el 15 de enero de 2025]. Disponible en: https://dspace.ucacue.edu.ec/items/c979bd12-66f2-479d-9f82-458953133edd
Edmund S. Cibas, Chapter 17 - Laboratory Management, Editor(s): Edmund S. Cibas, Barbara S. Ducatman, Cytology (Third Edition), W.B. Saunders, 2009, Pages 495-522, ISBN 9781416053293
Herrera Conza, E. M., Salazar Torres, Z. K., Espinosa Martín, L., & Aspiazu Hinostroza, K. A. (2021). Detección oportuna de cáncer cérvico-uterino. Revista Vive, 3(9), 264–274. https://doi.org/10.33996/revistavive.v3i9.65 (Original work published 22 de diciembre de 2020)
Vinor, Rachel L.; Lin, Juan; Anderson, Melissa L.; Tiro, Jasmin A.; Verde, Beverly B.; Gao, Hongyuan; Meenan, Richard T.; Hansen, Cristina; Chispas, Ángela; Buist, Diana SM .Estrategias para aumentar la detección del cáncer de cuello uterino mediante kits de autotoma de muestras del virus del papiloma humano enviados por correo: un ensayo clínico aleatorio. Encuesta de obstetricia y ginecología 79(3):p 161-162, marzo de 2024. | DOI: 10.1097/01.ogx.0001010440.77705.9e
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