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Cervical Cancer

Cervical Cancer is a topic covered in the Washington Manual of Medical Therapeutics.

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Epidemiology and Etiology

Cervical cancer death rates have declined by almost 80% between 1930 and 2010 because of the widespread implementation of screening programs. In countries that lack a cervical cancer screening and prevention program, cervical cancer is the second most common cancer seen in women. The most important risk factor is persistent HPV infection, detected in >99% of tumors, usually HPV-16 and -18. Other risk factors include early onset of sexual activity, multiple sexual partners, high-risk partner, history of sexually transmitted disease, and chronic immunosuppression (HIV infection).

The prophylactic quadrivalent HPV vaccine protects against types 6, 11, 16, and 18 (Gardasil), whereas the bivalent vaccine protects against HPV-16 and -18. Vaccinated women should continue routine Pap smears because the vaccine is not effective against all HPV subtypes. Cervical cancer screening should begin at age 21, with use of cytology (age 21–29) or cytology plus HPV cotesting (age 30–65) every 3–5 years based on the modality of testing used, per the USPSTF guidelines.

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Williams, Dominique, et al., editors. "Cervical Cancer." Washington Manual of Medical Therapeutics, 35th ed., Wolters Kluwer Health, 2016. Washington Manual, www.unboundmedicine.com/washingtonmanual/view/Washington-Manual-of-Medical-Therapeutics/602478/all/Cervical_Cancer.
Cervical Cancer. In: Williams D, Ramgopal R, Gdowski M, et al, eds. Washington Manual of Medical Therapeutics. 35th ed. Wolters Kluwer Health; 2016. https://www.unboundmedicine.com/washingtonmanual/view/Washington-Manual-of-Medical-Therapeutics/602478/all/Cervical_Cancer. Accessed July 17, 2019.
Cervical Cancer. (2016). In Williams, D., Ramgopal, R., Gdowski, M., Dretler, A., & Bhat, P. (Eds.), Washington Manual of Medical Therapeutics. Available from https://www.unboundmedicine.com/washingtonmanual/view/Washington-Manual-of-Medical-Therapeutics/602478/all/Cervical_Cancer
Cervical Cancer [Internet]. In: Williams D, Ramgopal R, Gdowski M, Dretler A, Bhat P, editors. Washington Manual of Medical Therapeutics. Wolters Kluwer Health; 2016. [cited 2019 July 17]. Available from: https://www.unboundmedicine.com/washingtonmanual/view/Washington-Manual-of-Medical-Therapeutics/602478/all/Cervical_Cancer.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Cervical Cancer ID - 602478 ED - Williams,Dominique, ED - Ramgopal,Rajeev, ED - Gdowski,Mark, ED - Dretler,Alexandra, ED - Bhat,Pavat, BT - Washington Manual of Medical Therapeutics UR - https://www.unboundmedicine.com/washingtonmanual/view/Washington-Manual-of-Medical-Therapeutics/602478/all/Cervical_Cancer PB - Wolters Kluwer Health ET - 35 DB - Washington Manual DP - Unbound Medicine ER -