Division of ECD, Indian Council of Medical Research, Ansari Nagar, New-Delhi, 110029, India.
Division of ECD, Indian Council of Medical Research, Ansari Nagar, New-Delhi, 110029, India.
Cancer Treat Res Commun. 2023;37:100780. doi: 10.1016/j.ctarc.2023.100780. Epub 2023 Nov 21.
Cervical cancer is one of the most common cancers in women aged 15-44 years in the world, with more than three-quarters of cases diagnosed at a locally advanced clinical stage with minor prospects of survival. Although only a small percentage of women with Human Papilloma Virus (HPV) develop cervical cancer and most of the HPV infections are cleared subsequently at primary stage itself, but seroconversion not always guarantees that the individual is immune to HPV. The advent of the cervical carcinoma vaccine has raised the expectations that eradication of cervical carcinoma might be possible in the near future as it exhibited remarkably high efficacy against the vaccine-specific types in naive women with no serious vaccine-related adverse events. Few prophylactic HPV vaccines are currently licensed in over 100 countries. It has also been suggested that vaccinating both men and women is more beneficial than vaccinating only females. Vaccination is a cost-effective strategy to reduce the incidence of cervical cancer and mortality compared to no vaccination based on the cost of cancer treatment. Well-coordinated vaccination strategy with focus on adolescent girls and if possible, boys can lead to dramatic impact on disease reduction around the world.
宫颈癌是全球 15-44 岁女性中最常见的癌症之一,超过四分之三的病例在局部晚期临床阶段被诊断出来,生存机会渺茫。尽管只有一小部分感染人乳头瘤病毒(HPV)的女性会发展为宫颈癌,而且大多数 HPV 感染在原发性阶段本身就会被清除,但血清转化并不能保证个体对 HPV 具有免疫力。宫颈癌疫苗的出现提高了人们的期望,即宫颈癌可能在不久的将来被根除,因为它在没有严重疫苗相关不良事件的情况下,对天真女性中特定类型的 HPV 显示出极高的疗效。目前已有几种预防性 HPV 疫苗在 100 多个国家获得许可。有人还建议,接种疫苗不仅对女性有益,对男性和女性同时接种也更有益。与不接种疫苗相比,接种疫苗可降低癌症发病率和死亡率,基于癌症治疗的成本,这是一种具有成本效益的策略。如果可能的话,通过集中在青少年女孩,以及如果可能的话,男孩身上的协调良好的疫苗接种策略,可能会对全球疾病减少产生巨大影响。