<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0300-9041</journal-id>
<journal-title><![CDATA[Ginecología y obstetricia de México]]></journal-title>
<abbrev-journal-title><![CDATA[Ginecol. obstet. Méx.]]></abbrev-journal-title>
<issn>0300-9041</issn>
<publisher>
<publisher-name><![CDATA[Federación Mexicana de Colegios de Obstetricia y Ginecología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0300-90412019001000696</article-id>
<article-id pub-id-type="doi">10.24245/gom.v87i10.3063</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Tratamiento inmediato en pacientes con cribado combinado (citología y prueba de VPH) para cáncer de cuello uterino. Revisión narrativa]]></article-title>
<article-title xml:lang="en"><![CDATA[Immediate treatment in patients with screening combined (cytology and HPV test) for cancer of cervix. A narrative review]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González-Mariño]]></surname>
<given-names><![CDATA[Mario Arturo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Colombia Facultad de Medicina Departamento de Obstetricia y Ginecología]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2019</year>
</pub-date>
<volume>87</volume>
<numero>10</numero>
<fpage>696</fpage>
<lpage>705</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412019001000696&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412019001000696&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412019001000696&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  ANTECEDENTES: Muchos países han optado por pruebas de ADN del virus del papiloma humano y citología, como prueba de triage para evaluación diagnóstica y establecer el tratamiento de acuerdo con los resultados. La colposcopia orienta la toma de biopsias.  Objetivo: Determinar porqué la escisión electroquirúrgica inmediata debe elegirse, en casos con lesión escamosa intraepitelial de alto grado, en programas de detección de VPH de alto riesgo y a la citología como prueba de triage.  METODOLOGÍA: Búsqueda en MEDLINE y Embase con los términos y filtros: uterine cervical neoplasms and mass Screening and papillomaviridae (ensayos clínicos controlados), colposcopy (ensayos clínicos controlados), uterine cervical neoplasms mass screening and papillomaviridae or papillomaviridae (metanálisis), squamous intraepithelial lesions of the cervix and therapeutics (metanálisis y revisiones sistemáticas), see and treat, screen-and-treat and cervix. Y en EBM Reviews - Cochrane Database of Systematic Reviews con colposcopy, cervical intraepithelial neoplasia, uterine cervical neoplasms and mass screening and papillomaviridae. La búsqueda se realizó entre diciembre de 2018 y marzo de 2019, limitándose a artículos publicados entre enero de 2000 y diciembre 2018, efectuándose una revisión narrativa con búsqueda manual.  RESULTADOS: De 1699 artículos localizados se seleccionaron 73 para su análisis; sin embargo, en ninguno se encontró una relación total con el objetivo. Los artículos seleccionados sirvieron de base para analizar el rendimiento de las pruebas de cribado y el conocimiento actual de la escisión electroquirúrgica inmediata.  CONCLUSIONES: En programas con detección de VPH de alto riesgo y citología como prueba de triage se recomienda la escisión electroquirúrgica inmediata cuando haya una lesión escamosa intraepitelial de alto grado.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  BACKGROUND: Many countries have opted for DNA testing of human papilloma virus and cytology as a triage test for diagnostic evaluation. Colposcopy is used to guide the taking of biopsies.  OBJECTIVE:  To demonstrate the reasons why immediate electro-surgical excision should be chosen in cases with high-grade squamous intraepithelial lesion in programs with detection of high-risk human papillomavirus and cytology as a triage test.  METHODOLOGY:  Search in MEDLINE, Embase with uterine cervical neoplasms and mass Screening and papillomaviridae (randomized controlled trial), colposcopy (randomized controlled trial), uterine cervical neoplasms mass screening and papillomaviridae or papillomaviridae (meta-Analysis), squamous intraepithelial lesions of the cervix and therapeutics , (meta-analysis and systematic reviews), squamous intraepithelial lesions of the cervix and see and treat, screen-and-treat and cervix and EBM Reviews - Cochrane Database of Systematic Reviews with colposcopy, cervical intraepithelial neoplasia, uterine cervical neoplasms and mass screening and papillomaviridae. Searches were from December 2018 to March 2019. Finally, it was changed to a narrative review and manual search.  RESULTS:  Out of 1699 articles located, 73 were selected for reading the entire article, none of which was found related to the objective. However, these articles served as the basis for analysing the performance of screening tests and the current knowledge about immediate electro-surgical excision.  CONCLUSIONS:  It is recommended immediate electro-surgical excision in cases with high-grade squamous intraepithelial lesion in programs with detection of high-risk human papillomavirus and cytology as a triage test.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[ADN]]></kwd>
<kwd lng="es"><![CDATA[virus del papiloma humano]]></kwd>
<kwd lng="es"><![CDATA[citología]]></kwd>
<kwd lng="es"><![CDATA[triage]]></kwd>
<kwd lng="es"><![CDATA[colposcopia]]></kwd>
<kwd lng="es"><![CDATA[lesiones intraepiteliales escamosas del cuello uterino]]></kwd>
<kwd lng="es"><![CDATA[neoplasias uterinas cervicales]]></kwd>
<kwd lng="en"><![CDATA[DNA]]></kwd>
<kwd lng="en"><![CDATA[Human Papilloma Virus]]></kwd>
<kwd lng="en"><![CDATA[Cytology]]></kwd>
<kwd lng="en"><![CDATA[triage]]></kwd>
<kwd lng="en"><![CDATA[Colposcopy]]></kwd>
<kwd lng="en"><![CDATA[Squamous intraepitelial lesions of the cervix]]></kwd>
<kwd lng="en"><![CDATA[Uterine cervical Neoplasms]]></kwd>
</kwd-group>
</article-meta>
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