Translational approaches to improving cervical screening

Nat Rev Cancer. 2003 Mar;3(3):217-26. doi: 10.1038/nrc1010.

Abstract

Screening programmes for cervical cancer using the current test--the Pap smear--have markedly reduced the incidence of the disease. However, an individual Pap test is of limited sensitivity and is difficult and expensive to perform. Increased understanding of the molecular pathogenesis of cervical cancer indicates that new approaches to screening might offer increased accuracy, affordability and the potential for automation. Such approaches exemplify how improved understanding of the biology of neoplasia might be translated into clinical benefit.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Acetic Acid
  • Automation
  • Biomarkers, Tumor / analysis
  • Colposcopy
  • DNA, Viral / analysis
  • Female
  • Forecasting
  • Humans
  • Loss of Heterozygosity
  • Mass Screening / methods*
  • Microsatellite Repeats
  • Neoplasm Proteins / analysis
  • Papanicolaou Test*
  • Papillomaviridae / classification
  • Papillomaviridae / isolation & purification
  • Papillomaviridae / pathogenicity
  • Papillomavirus Infections / diagnosis
  • Papillomavirus Infections / pathology
  • Precancerous Conditions / diagnosis*
  • Precancerous Conditions / pathology
  • Predictive Value of Tests
  • Sensitivity and Specificity
  • Specimen Handling / methods
  • Spectroscopy, Fourier Transform Infrared
  • Tumor Virus Infections / diagnosis
  • Tumor Virus Infections / pathology
  • Uterine Cervical Dysplasia / diagnosis*
  • Uterine Cervical Dysplasia / pathology
  • Uterine Cervical Neoplasms / diagnosis*
  • Uterine Cervical Neoplasms / pathology
  • Uterine Cervical Neoplasms / prevention & control
  • Vaginal Smears / instrumentation
  • Vaginal Smears / methods*

Substances

  • Biomarkers, Tumor
  • DNA, Viral
  • Neoplasm Proteins
  • Acetic Acid