
doi: 10.48620/92008
pmid: 41103225
Carcinogenic human papillomavirus (HPV) infections cause the majority of cervical cancers (CC). While vaccination represents primary prevention, screening remains essential. HPV testing, more sensitive than cytology, is recommended as the primary method in some European countries. Among women aged ≥ 30 years, HPV selfsampling improves access to screening and can increase coverage of underscreened populations by up to 2.5-fold; several countries have adopted this approach. In Switzerland, where screening is opportunistic and only cytology is reimbursed, 30 % of women remain under-or unscreened. Introducing HPV self-sampling for underscreened women could contribute to the goals set by the World Health Organization. This review provides an overview of the situation in Switzerland and Europe regarding CC screening.Les infections à papillomavirus humain carcinogène (HPV) causent la majorité des cancers du col utérin (CC). Si la vaccination constitue la prévention primaire, le dépistage reste essentiel. Le test HPV, plus sensible que la cytologie, est recommandé en première intention dans certains pays européens. Chez les femmes de ≥ 30 ans, l’autoprélèvement HPV améliore l’accès au dépistage et peut multiplier jusqu’à 2,5× la couverture des sous-dépistées ; plusieurs pays l’ont adopté. En Suisse, où le dépistage est opportuniste et seule la cytologie est remboursée, 30 % des femmes restent sous-ou non dépistées. Introduire l’autoprélèvement HPV chez les femmes sous-dépistées pourrait contribuer à atteindre les objectifs fixés par l’Organisation mondiale de la santé. Cette revue est un état des lieux de la situation en Suisse et en Europe concernant le dépistage du CC.
Adult, Vaginal Smears, Papillomavirus Infections, Uterine Cervical Neoplasms, Specimen Handling, Europe, Self Care, Humans, Mass Screening, Female, Papillomaviridae, Early Detection of Cancer, Switzerland
Adult, Vaginal Smears, Papillomavirus Infections, Uterine Cervical Neoplasms, Specimen Handling, Europe, Self Care, Humans, Mass Screening, Female, Papillomaviridae, Early Detection of Cancer, Switzerland
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