Preventing cervical cancer has been vaccinated and also regularly screened

  Guangzhou Daily (all-media reporters Zhou Jieying, correspondents Li Xiaoshan and Jiang Bingyang) According to statistics from the National Cancer Center, there were 111,000 new cases of cervical cancer and 34,000 deaths in my country in 2015.

The high data has changed the conversation of many women.

So, how to prevent it?

  At the women’s health free clinic activity at Nanfang Hospital, Professor Chen Chunlin, director of the Department of Obstetrics and Gynecology, Nanfang Hospital, reminded female friends to prevent and treat cervical cancer, even if they have been injected with human papillomavirus (HPV) vaccine for prevention, they still need regular physical examination , To achieve early prevention, early diagnosis and early treatment.

  "Women have a 40%-80% probability of being infected with HPV in their lifetime, but there is still a very long process from infection to cancer. Infection with HPV does not mean cancer. At the same time, cervical cancer is currently the only cause that is clear, preventable and preventable. Therefore, prevention and screening are of great significance." Chen Chunlin said.

  After HPV vaccination

  How long can it be managed?

  Chen Chunlin introduced that the high incidence of cervical cancer is 50-55 years old, but all women with a history of sexual life need to be vigilant.

At present, high-risk HPV infections are found in most cervical lesions and cervical cancer tissues, and about 70% of them are related to HPV 16 and 18.

In layman's terms, cervical cancer is closely related to HPV.

  On November 17, 2020, the World Health Organization launched the "Global Strategy to Accelerate the Elimination of Cervical Cancer", which pointed out that by 2030, the following goals will be achieved, which will enable all countries to embark on the path of eliminating cervical cancer: (1) 90% of girls are 15 years old. Complete HPV vaccination before the age of 30 years; (2) 70% of women receive high-efficiency testing methods before the age of 35 and 45; (3) 90% of women diagnosed with cervical disease receive treatment (90% of women with positive precancerous lesions receive treatment , 90% of invasive cancer cases are managed).

  Currently, HPV vaccines include bivalent vaccines, quadrivalent vaccines, and nine-valent vaccines, all of which cover the two high-risk HPV types 16 and 18, which are the most common types associated with cervical cancer mentioned above.

According to the newly released "Human Papillomavirus Vaccine Clinical Application of Chinese Experts Consensus", priority is given to women aged 9-26 to receive HPV vaccine, especially women before the age of 17, and it is also recommended for women aged 27-45 with conditions to receive HPV vaccine.

  So, how long can this preventive barrier be maintained after the vaccination?

Chen Chunlin said that current research shows that the barrier effect of HPV vaccine can be maintained for about 5-10 years.

  Receive scientific treatment

  Helps improve survival

  What if I find that I have cervical cancer?

Chen Chunlin said that if cervical cancer is really found, patients need to face it positively. After standardized treatment of cervical cancer, the early 5-year survival rate can reach more than 90%.

The treatment of cervical cancer is based on surgery and radiotherapy, supplemented by chemotherapy. The doctor will formulate an individualized treatment plan based on the patient's condition.

  "Early cervical cancer can be treated by surgery, and different surgical methods are adopted according to different stages. Young patients can retain ovarian and reproductive function according to this, and may even retain reproductive function."

  Chen Chunlin reminded that women who are vaccinated with HPV vaccine are not once and for all. They also need to be screened for cervical cancer regularly.

For women over 21 years of age who have had sex, cervical cytology is recommended every 3 years; when they are 30-65 years old, combined cervical cytology and HPV testing are recommended every 5 years; if they are over 65 and have been screened If there are no problems, there is no need to continue the screening.