From cytology to HPV based screening - Part A: Europe : operational experiences from transforming screening programs: lessons learned


Accueil Abstract
From cytology to HPV based screening - Part A: Europe : operational experiences from transforming screening programs: lessons learned Monday, December 3, 2018 Main Scientific Session • MSS 04a • 4:15 PM > 5:30 PM • From cytology to HPV based screening - Part A: Europe : operational experiences from transforming screening programs: lessons learned • Auditorium I Available technology for cervical cancer prevention has changed dramatically since recognition that infection with oncogenic HPVs is the necessary cause of cervical cancer in mid 1980ies. Before the so-called “HPV-era” cytology was used for screening, follow-up of inconclusive screening outcomes and treated women. Liquid based cytology and automated reading improved the performance of cytology tests, however the most influential initiative was the evidence that periodic testing of symptom free population will result in detection and treatment of cervical precancers. Mass screening, as a public health policy, has proved to be a powerful tool to diagnose and treat cervical precancers. Consequently, dramatic reductions in cervical cancer incidence and mortality have been observed. Currently, commercialized HPV-tests have been used, alone or with cytology, in screening, follow-up of inconclusive screening outcomes and treated women. HPV-testing of self-sampled vaginal specimens allows the inclusion of sub-optimally screened women in screening programs, reducing therefore clinical appointments. Furthermore, it is unclear what the role of existing commercial HPV-tests is in screening of HPV-vaccinated women. Tailoring together a screening program to deliver the best possible prevention against cervical cancer is a challenge for public health policy providers. In this session, affluent, medium and low-income countries, which have adopted HPV-methodology for primary screening, present their experience. 4:15 PM • MSS 04a-02 • Sweden > J. Joakim DILLNER 4:27 PM • MSS 04a-03 • Norway > A. Ameli TROPÉ 4:39 PM • MSS 04a-04 • Denmark > J. Jesper BONDE 4:51 PM • MSS 04a-05 • Netherlands > N. Nynke VAN DER VEEN 5:03 PM • MSS 04a-06 • Italy > P. Paolo GIORGI ROSSI 5:15 PM • MSS 04a-07 • Germany > P. Peter HILLEMANS