HPV infection - Screening, diagnosis and management of HPV-induced lesions

Key points

• Address the importance of organized screening for cervical cancer.

• Indicate new technologies in screening.

• Anogenital warts are caused by HPV, mainly 6 and 11.

• The diagnosis of condyloma acuminata is clinical with several effective therapeutic options.

• Low-grade squamous intraepithelial lesion (LSIL) and atypias of undetermined significance in squamous cells (ASC-US).

• As the risk of histological high-grade squamous intraepithelial lesion (HSIL) in a patient with cytological LSIL is significant, the quality of the cytopathological examination is essential.

• Cases of cytological HSIL should be systematically referred to colposcopy.

• “See-and-treat” is a diagnostic and therapeutic procedure and must be performed according to rules established for non-pregnant women over 25 years of age.

• “See-and-treat” should not be performed in adolescents given the future possibility of obstetric comorbidities.

The National Specialty Commission for Lower Genital Tract of the Brazilian Federation of Gynecology and Obstetrics Associations (FEBRASGO) endorses to this document. The content production is based on scientific studies on a thematic proposal and the findings presented contribute to clinical practice.

Publication History

Article published online:
15 April 2021

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