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Annals of Oncology 15:847-849, 2004
© 2004 European Society for Medical Oncology

Self-testing for human papillomavirus using a vaginal swab: placing prevention of cervical cancer in the patient’s hands

J. A. Kahn

Division of Adolescent Medicine, Cincinnati Children’s Hospital Medical Center, The University of Cincinnati College of Medicine, Cincinnati, Ohio, USA. E-mail: jessica.kahn@cchmc.org

The first 10% of the full text of this article appears below.

Although the implementation of cervical cytology (Pap) screening has been responsible for a dramatic decline in the incidence of cervical cancer over the past 50 years in developed countries [1], its limitations are evidenced by the fact that cervical cancer remains a leading cause of death among women worldwide [2–4]. The primary limitation of the Pap test is its low sensitivity for detection of cervical intraepithelial neoplasia (CIN), necessitating frequent screening intervals [5]. Furthermore, many women do not participate in screening programs or adhere to recommendations for follow-up of abnormal results, perhaps because they do not understand the rationale for screening or find the pelvic examination to be painful or embarrassing [6–8]. In developing countries additional barriers to screening include a lack of trained providers and the infrastructure necessary to perform testing, as well . . . [Full Text of this Article]


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