Cervical cancer screening in high-risk patients: Clinical challenges in primary care

Cleve Clin J Med. 2024 Nov 1;91(11):693-703. doi: 10.3949/ccjm.91a.24023.

Abstract

The risk of developing cervical cancer is not equal across populations-individual health history, economic, political, and societal factors influence cervical cancer risk. Certain health conditions, including human immunodeficiency virus (HIV) infection, immunosuppression, and history of high-grade cervical dysplasia, are associated with higher cervical cancer risk and warrant distinct screening, surveillance, and management guidelines. It is imperative for clinicians to recognize high-risk groups and apply appropriate corresponding guidelines. However, this can be difficult in practice, as recommendations regularly evolve. This review offers up-to-date guidance in a case-based format on cervical cancer screening, surveillance, and management for high-risk patients.

Publication types

  • Review

MeSH terms

  • Adult
  • Early Detection of Cancer* / methods
  • Female
  • HIV Infections / complications
  • HIV Infections / diagnosis
  • Humans
  • Mass Screening / methods
  • Middle Aged
  • Papillomavirus Infections / complications
  • Papillomavirus Infections / diagnosis
  • Practice Guidelines as Topic
  • Primary Health Care*
  • Risk Factors
  • Uterine Cervical Dysplasia / diagnosis
  • Uterine Cervical Neoplasms* / diagnosis