Cervical Cancer, Cervical Intraepithelial Neoplasia
Conditions
Keywords
Cervical Intraepithelial Neoplasia, Grade III, Cervical Intraepithelial Neoplasia, Grade II
Brief summary
To compare the effects of conventional cytology testing with concommitant HPV-cytology testing for the detection of high grade cervical lesions in primary cervical cancer screening in Hong Kong Hypotheses: 1. There is a significant difference in the number of CIN2+ cases detected between the cytology testing group and the cytology-HPV co-testing group at baseline. 2. Significantly more CIN2+ cases will be detected at the second round of screening among participants with normal cytology result in the control arm than those with normal cytology and negative HPV results in the intervention arm.
Interventions
Subjects will receive HPV testing and conventional cytology testing at baseline. Follow up management will be based on both results.
Sponsors
Study design
Eligibility
Inclusion criteria
* Ethnic Chinese women aged 30 to 60 years who have completed a written consent * Women who have not attended screening for the past 3 years or more will be given priority
Exclusion criteria
* Currently pregnant * Without a cervix * Congenital abnormalities of the lower genital tract * Previous history of invasive cervical cancer * Who has been followed-up or treated for an abnormal cytology result in the past 12 months * Who are unable to provide consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Histological CIN2, CIN3 and cervical carcinoma | At baseline and each subsequent follow-up |
Secondary
| Measure | Time frame |
|---|---|
| Clearance of mild cervical abnormalities among HPV negative subjects | At baseline and 1-year after |
Countries
China