Human papillomavirus infection in adolescents: a rational approach.
Human papillomavirus (HPV) infection has variable clinical manifestations, from transient subclinical disease to serious cervical cancer precursors. An understanding of the natural history of this common sexually transmitted infection is necessary to allow diagnosis of clinically significant disease and judicious application of treatment modalities, especially in young adolescents. This article reviews new recommendations for initiation of screening, revisions in cytology terminology, and evidence-based guidelines for management of lower genital tract disease, including the application of HPV testing.
Bartholomew
Deborah A
DA
Department of Obstetrics and Gynecology, The Ohio State University College of Medicine and Public Health, Columbus, OH 43210, USA. bartholomew-1@medctr.osu.edu
D000293:Adolescent; D052776:Female Urogenital Diseases / Q000473:pathology / Q000517:prevention & control / Q000628:therapy; D006801:Humans; D052801:Male Urogenital Diseases; D030361:Papillomavirus Infections / Q000473:pathology / Q000517:prevention & control / Q000628:therapy; D017410:Practice Guidelines as Topic; D012307:Risk Factors; D014626:Vaginal Smears