Detección precoz del cáncer cervicouterino en Chile: tiempo para el cambio

Autores/as

  • Javiera Léniz Martelli Facultad de Medicina. Pontificia Universidad Católica de Chile
  • Vanessa Van De Wyngard Facultad de Medicina. Pontificia Universidad Católica de Chile
  • Marcela Lagos Facultad de Medicina. Pontificia Universidad Católica de Chile
  • María Isabel Barriga Facultad de Medicina. Pontificia Universidad Católica de Chile
  • Klaus Puschel Illanes Facultad de Medicina. Pontificia Universidad Católica de Chile
  • Catterina Ferreccio Readi Facultad de Medicina. Pontificia Universidad Católica de Chile

Palabras clave:

Delivery of health care, Early detection of cancer, Human papiloma virus, Uterine cervical neoplasms

Resumen

Mortality rates for cervical cancer (CC) in Chile are higher than those of developed countries and it has an unequal socioeconomic distribution. The recognition of human papilloma virus (HPV) as the causal agent of cervical cancer in the early 80's changed the prevention paradigms. Current goals are to prevent HPV infection by vaccination before the onset of sexual activity and to detect HPV infection in women older than 30 years. This article reviews CC prevention and early detection methods, discusses relevant evidence to support a change in Chile and presents an innovation proposal. A strategy of primary screening based on HPV detection followed by triage of HPV-positive women by colposcopy in primary care or by cytological or molecular reflex testing is proposed. Due to the existence in Chile of a well-organized nationwide CC prevention program, the replacement of a low-sensitivity screening test such as the Papanicolau test with a highly sensitive one such as HPV detection, could quickly improve the effectiveness of the program. The program also has a network of personnel qualified to conduct naked-eye inspections of the cervix, who could easily be trained to perform triage colposcopy. The incorporation of new prevention strategies could reduce the deaths of Chilean women and correct inequities.

Biografía del autor/a

Javiera Léniz Martelli, Facultad de Medicina. Pontificia Universidad Católica de Chile

Av. Vicuña Mackenna 4686, Macul. Santiago. Telefono: 23548688. Departamento de Medicina Familiar, Facultad de Medicina, Profesor Instructor Adjunto.

Vanessa Van De Wyngard, Facultad de Medicina. Pontificia Universidad Católica de Chile

Facultad de Medicina. Departamento de Salud Pública

Marcela Lagos, Facultad de Medicina. Pontificia Universidad Católica de Chile

Facultad de Medicina. Departamento de Laboratorios Clínicos

María Isabel Barriga, Facultad de Medicina. Pontificia Universidad Católica de Chile

Facultad de Medicina. Departamento de Ginecología-Obstetricia

Klaus Puschel Illanes, Facultad de Medicina. Pontificia Universidad Católica de Chile

Facultad de Medicina. Departamento de Medicina Familiar

Catterina Ferreccio Readi, Facultad de Medicina. Pontificia Universidad Católica de Chile

Facultad de Medicina. Departamento de Salud Pública

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Publicado

2014-08-11

Cómo citar

Léniz Martelli, J., Van De Wyngard, V., Lagos, M., Barriga, M. I., Puschel Illanes, K., & Ferreccio Readi, C. (2014). Detección precoz del cáncer cervicouterino en Chile: tiempo para el cambio. Revista Médica De Chile, 142(8). Recuperado a partir de https://revistamedicadechile.cl/index.php/rmedica/article/view/3064

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