Test Usage. The Cobas HPV is a qualitative in vitro test for the detection of Human Papillomavirus in clinician-collected cervical specimens using an endocervical brush/spatula or broom and placed in the ThinPrep® Pap Test™ PreservCyt® Solution. This test detects the high-risk HPV types 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66
The HPV test will either give a positive or negative result. "With the [older] pap smear … if there were abnormal cells, we would then order a HPV test," Dr Farrell says. She says the new test
This includes using an HPV DNA primary screening test followed by a triage test if results are positive for HPV, to evaluate the results for risk of cervical cancer and need for treatment. The global recommendations also advise that screening start at an earlier age (25 years of age) than for the general population of women (30 years of age).
HPV DNA testing alone without a Pap smear test may also be used for screening in women aged 25 years and older (Qiao et al 2008, Wright et al 2015). It is as effective as a hybrid screening strategy that uses cytology in women aged 25–29 years and co-testing in those at 30 years or older ( Wright et al 2015 ).
At the same time, one sample of HSIL presented with negative expression. It was speculated that the reasons might be, as follows: (1) the lesion was in the phase of regression; (2) the possibility of mRNA degradation in tissue sections; (3) the HPV test may be false positive. HPV E6/E7mRNA directly reflects the state of HPV transcription.
The six main possible clinical applications of HPV DNA testing are: (i) triage of women with equivocal or low-grade cytological abnormalities; (ii) follow-up of women with abnormal screening results who are negative at colposcopy/biopsy; (iii) prediction of the therapeutic outcome after treatment of cervical intraepithelial neoplasia (CIN); (iv) primary screening for HPV DNA testing, alone or
Analyses were undertaken to exclude the patients provided by France and the Netherlands to account for any bias they could introduce, because they undertook p16 immunohistochemistry first, then did HPV DNA testing only on p16-positive patients, assuming that p16-negative patients would also be HPV-negative (data not shown).
Vaginal estriol can be useful in increasing the accuracy of the Pap-test and in evidencing the SCJs in post-menopausal women. In our group of post-menopausal women, we found an incidence of CIN2+ lesions of 10.7% (37 cases/ 346): the HPV test showed an increased sensitivity and, above all, an increased NPV.
.
hpv dna test negative means