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HPV感染相关肛门癌的预防与筛查:现状、挑战与未来

沈洁 居星语 郑莹

外科理论与实践2026,Vol.31Issue(2):100-107,8.
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外科理论与实践2026,Vol.31Issue(2):100-107,8.DOI:10.16139/j.1007-9610.2026.02.02

HPV感染相关肛门癌的预防与筛查:现状、挑战与未来

Prevention and screening of HPV-associated anal cancer:current status,challenges,and future perspectives

沈洁 1居星语 2郑莹1

作者信息

  • 1. 复旦大学附属肿瘤医院肿瘤预防办公室,上海 200032||复旦大学上海医学院肿瘤学系,上海 200032
  • 2. 复旦大学公共卫生学院,上海 200032
  • 折叠

摘要

Abstract

Anal cancer is a malignancy closely associated with human papillomavirus(HPV)infection,with a rising incidence globally.Persistent infection with high-risk HPV acted as the core driver of anal tumorigenesis.Currently,strategies for the prevention and control of HPV-related anal cancer primarily revolve around primary prevention(HPV vaccination)and secondary prevention(screening of high-risk populations).Based on existing evidence,HPV vaccination served as the core of primary prevention and demonstrated clear efficacy in reducing the incidence of anal intraepithelial neoplasia(AIN)by blocking persistent high-risk HPV infection.Regarding secondary prevention,domestic and international guidelines have reached a consensus recommending standardized screening based on anal cytology,high-risk HPV testing,and anoscopy for high-risk groups,such as people living with human immunodeficiency virus(HIV)and men who have sex with men(MSM),to facilitate early detection and intervention.

关键词

人乳头瘤病毒疫苗/肛门癌/一级预防/筛查

Key words

Human papillomavirus(HPV)vaccination/Anal cancer/Primary prevention/Screening

分类

医药卫生

引用本文复制引用

沈洁,居星语,郑莹..HPV感染相关肛门癌的预防与筛查:现状、挑战与未来[J].外科理论与实践,2026,31(2):100-107,8.

基金项目

上海市公共卫生研究专项(2024GKM32) (2024GKM32)

上海市徐汇区院地合作项目(23XHYD-04) (23XHYD-04)

上海市2024年度"科技创新行动计划"科普专项(24DZ2300300) (24DZ2300300)

外科理论与实践

1007-9610

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