[CIN: multicentric study of therapeutic strategies].

Minerva Ginecol

I Clinica Ostetrica e Ginecologica, IV Divisione, Policlinico Umberto I, Università degli Studi La Sapienza, Rome, Italy.

Published: December 2001

Background: Cervical Intraepithelial Neoplasia (CIN) is a dysplastic lesion that precedes cervical cancer. The diagnosis is made by colposcopic, cytologic and bioptic exams. Therapy may be physical, pharmacological or surgical.

Methods: We prepared a model of interview (consisting of 9 questions) for 33 colposcopic centers in the Lazio region. Our aim was to evaluate their therapeutic strategies for CIN and cervical condylomata. We referred to SIGO 1999 guidelines for CIN therapy and to European guidelines for cervical condylomata therapy.

Results: The centers used drugs more for HPV infections (57%) than for dysplasia (33%). Drug therapy was used more in the past (66.67%). Actually they prefer treating CIN I with electrocoagulation diathermy (DTC), CIN II with loop electrosurgical excision procedures (LEEP) or Laser, CIN III with cold knife conization or LEEP, cervical condylomata with laser or DTC.

Conclusions: The results show that the centers prefer physical therapy. Therapeutic strategies comply with SIGO 1999 guidelines for therapy of CIN and with European guidelines for cervical condylomata partially.

Download full-text PDF

Source

Publication Analysis

Top Keywords

cervical condylomata
16
therapeutic strategies
8
sigo 1999
8
1999 guidelines
8
european guidelines
8
guidelines cervical
8
cin
7
cervical
6
therapy
5
[cin multicentric
4

Similar Publications

Human papillomavirus-associated cancers, precancers, and genital warts in Denmark, 2000-2022 - Current burden of disease and population impact of multi-cohort HPV vaccination.

Prev Med

December 2024

Unit of Virus, Lifestyle and Genes, Danish Cancer Institute, Strandboulevarden 49, 2100 Copenhagen O, Denmark; Department of Clinical Medicine, University of Copenhagen, Blegdamsvej 3B, 2200 Copenhagen N, Denmark; Department of Gynecology, Copenhagen University Hospital Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen O, Denmark. Electronic address:

Article Synopsis
  • The study analyzed cancer trends related to human papillomavirus (HPV) in Denmark from 2000 to 2022, focusing on cervical precancer, genital warts, and overall disease burden post-HPV vaccination.
  • Findings revealed a significant decline in age-standardized incidence rates (ASRs) for cervical precancer and genital warts, particularly among women, while HPV-associated cancers have been rising in men and non-cervical sites among women.
  • The conclusion emphasized that, even with vaccination efforts leading to decreased cases of certain HPV-related conditions, HPV-associated diseases continue to pose a public health challenge, especially among men.
View Article and Find Full Text PDF

Background: In this study, we characterized the HPV genotype distribution in a population of 489 adults already positive for HPV DNA. The study population was divided into two groups: 244 HIV-positive (HIV+) men who have sex with men (MSM) undergoing routine anal screening for sexually transmitted diseases (STDs) and 245 women undergoing routine cervical cancer screening. Acknowledging the fact that women and MSM represent two independent circles of sexual practices, which are-largely-exclusive of each other, we were interested in determining if particular genotypes of human papillomavirus (HPV) disproportionately predominate in one of these circles compared to the other.

View Article and Find Full Text PDF
Article Synopsis
  • HPV is the most common sexually transmitted infection, and its vaccination has been part of Germany's national immunization program since 2007, but uptake rates are still low.
  • A study analyzed healthcare claims data to assess the impact of this vaccination program on HPV-related diseases in women aged 28 to 33, comparing data from before and after the program's introduction.
  • Results showed significant reductions in cervical precancers, anogenital warts, and vaginal precancer/cancer, indicating the vaccine's effectiveness and the potential benefits of increasing vaccination rates in Germany.
View Article and Find Full Text PDF
Article Synopsis
  • The human papillomavirus (HPV) is a common sexually transmitted virus linked to various diseases, and vaccination is encouraged, but awareness and vaccination rates in Germany are low.
  • A nationwide online survey conducted between June 2019 and January 2024 assessed HPV knowledge among German students, focusing on their demographics and understanding of HPV transmission, vaccination effectiveness, and related issues.
  • Results showed 459 participants, mainly medical students, with significant gaps in HPV knowledge, including misconceptions about cancer cases associated with HPV and the protection offered by the vaccination for both boys and girls.
View Article and Find Full Text PDF

Background: Condyloma acuminata (CA) is a common, and recurrent sexually transmitted disease (STD) that greatly contributes to direct health care costs and has a substantial psychosocial impact. Human papillomavirus (HPV) vaccination (containing L1 protein for HPV types 6 and 11) effectively controls CA.

Objectives: We investigated attitudes toward the HPV vaccine for CA and willingness to undergo vaccination among STD clinic attendees in China.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!