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CERVICAL CANCER SCREENING GUIDELINE THAT WOMEN SHOULD BE AWARE

CERVICAL CANCER SCREENING GUIDELINE THAT WOMEN SHOULD BE AWARE

Vietnam’s cervical cancer rate is equal to ⅓ of the United States', but the mortality rate is 1.5 times higher. 

  • Every day, 9 women die from the disease. 

  • For every 100,000 women, there are 20 cases with 11 deaths 

  • Each year, there are >5,000 new cases and over 2,000 deaths. 

However, cervical cancer can be 100% curable when lesions are detected early (observed under a microscope), with this rate being 80-90% in stage I and 75% in stage II. Therefore, HPV vaccination and regular cervical cancer screening are cost-effective measures to prevent and treat cervical cancer. 

Cervical cancer screening guideline 

Under 21 years old 

No screening required. 

21-25 years old 

Pap tests every 3 years 

25-29 years old 

Prioritize HPV primary testing every 5 years or co-testing (HPV test + Pap test) every 5 years, or Pap test every 3 years 

30-65 years old 

Choose one of the following options: 

Pap test and HPV test every 5 years. 

Pap tests every 3 years. 

HPV test every 5 years. 

For management of positive results and subsequent monitoring, refer to the ASCCP 2019 Risk-Based Management Consensus Guidelines. 

Over 65 years old: No screening if: 

No history of abnormal cervical cells (CTC) and:  

  • Three consecutive negative Pap tests, or  

  • Two consecutive negative HPV tests, or  

  • Two consecutive negative co-tests in 10 years (Tests must be performed according to recommended intervals). 

Other cases 

Cases vaccinated against HPV still require screening.  

Cases of total hysterectomy due to cervical cancer or high-grade lesions should continue screening for 20 years thereafter.  

Cases of total hysterectomy for other reasons do not require screening. 

HPV vaccination, screening, and treating precancerous lesions are effective ways to prevent cervical cancer and are very cost-effective. Cervical cancer can be cured if detected early and treated promptly. 

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