January is National Cervical Health Awareness Month, and the
UAB Comprehensive Cancer Center is offering new alternatives to traditional cervical
cancer screenings
More than 1 million women across Alabama ages 25 to 29
should be screened by their doctor for cervical cancer. Under the new guidelines,
women should be tested using HPV screening alone and not a Pap smear. Pap smear
testing will be used as a follow-up if tested HPV positive, as well as
remaining the primary testing for women under the age of 25. Clinicians who are
caring for these women are seeking out help in order to give their patients the
best advice on the health advantages of using the HPV test as the best option
for cervical cancer screening.
This was triggered by an FDA approval for the HPV testing
method as the primary method for cervical cancer screening. Today’s guidance is
being written and led by gynecologic oncologist, Warner Huh, M.D., and is also being published
simultaneously in the journals Gynecologic Oncology, Obstetrics & Gynecology,
and the Journal of Lower Genital Tract Disease under the title “Use of Primary
High Risk Human Papillomavirus Testing for Cervical Cancer Screening: Interim
Clinical Guidance.”
“Although FDA approval is critically important for
introducing a new screening test or algorithm, providers ultimately rely on
guidance or guidelines to help them make the best decisions for their patients
and want to understand advantages, disadvantages and unknowns associated with a
new screening approach,” said Huh, who is a senior scientist for the UAB
Comprehensive Cancer Center, Director of the UAB Division of Gynecologic
Oncology, and is also a board member for both the American Society for Colposcopy and Cervical
Pathology and the Society of Gynecologic
Oncology.
Patients’ HPV testing will feel the same compared to the Pap smear but
the only difference is how these samples are being examined. Medical personnel
will run the samples through an automated machine to look for HPV DNA instead
of abnormal cells.
“Pap smears miss a fair number of adenocarcinomas. We don’t
want a test that will miss disease,” said Huh.
Remember to stay up to date on your personal testing and to
talk to your doctor about any questions or concerns you might have with testing
or other cervical cancer matters.
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