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Screening unneeded in some older women?(Gynecology)
VANCOUVER, B.C. -- Women over age 50 with normal Pap results who don't have human papillomavirus probably can safely be excused from cervical screening, Marc F.D. Baay, Ph.D., said in a poster presentation at the 22nd International Papillomavirus Conference.
That would encompass 93% of women older than 50 years, said Dr. Baay of the University of Antwerp, Belgium.
Dr. Baay and his associates followed 513 women in three age groups for a median of 3 years with 1,952 Pap smears and testing for high-risk human papillomavirus (HPV) types. Results showed 41 transient infections and 9 persistent HPV infections, with only 2 of the persistent infections in women aged 50 and up, they reported at the conference, sponsored by the University of California, San Francisco.
HPV infection in 16% of 68 women aged younger than 30 years was transient in every case. HPV infection in 14% of 175 women aged 30-49 years and 6% of 270 women aged 50 years and older was persistent in 4% of women in the middle-age group and less than 1% of the women over age 50. Five out of the nine persistent infections were related to HPV 16. All women had normal cytology results at the time HPV was first detected.
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