The Clinical Role of HPV Testing in Primary and Secondary Cervical Cancer Screening

الملخص EN

Traditional population-based cervical screening programs, based on cytology, have successfully reduced the burden of cervical cancer.

Nevertheless limitations remain and new screening methods are emerging.

Despite vaccination against the 2 most oncogenic types (HPV 16/18), cervical cancer screening will have to continue as an essential public health strategy.

As the acquisition of an HR-HPV infection is critical in the progression to (pre-)cancerous cervical lesions, recent research has focused on HR-HPV detection.

The sensitivity of HPV testing in primary and secondary prevention outweighs that of cytology, at the cost of slightly lower specificity.

Although most of the HR-HPV infections are cleared after conization, new evidence from numerous studies encourages the implementation of HR-HPV testing and genotyping to improve posttreatment surveillance.

An HR-HPV test 6 months after conization is a promising useful clinical marker to detect persistence and prevent progression.

This review highlights the clinical role of HPV testing in primary and secondary cervical cancer screening.