{"id":140448,"date":"2020-03-05T10:57:14","date_gmt":"2020-03-05T10:57:14","guid":{"rendered":"https:\/\/labinsights.com\/acf_article\/%ec%9e%90%ea%b6%81-%ea%b2%bd%eb%b6%80%ec%95%94-%ec%8a%a4%ed%81%ac%eb%a6%ac%eb%8b%9d%ec%97%90-%eb%8c%80%ed%95%9c-%ec%b5%9c%ec%a0%81-%ed%91%9c%ec%a4%80%ec%9d%84-%ea%b2%80%ed%86%a0%ed%95%a0-%ec%8b%9c\/"},"modified":"2026-01-23T09:18:54","modified_gmt":"2026-01-23T09:18:54","slug":"time-to-review-the-gold-standard-for-cervical-cancer-screening","status":"publish","type":"acf_article","link":"https:\/\/labinsights.com\/ko\/disease-area\/womens-health\/time-to-review-the-gold-standard-for-cervical-cancer-screening\/","title":{"rendered":"\uc790\uad81 \uacbd\ubd80\uc554 \uc2a4\ud06c\ub9ac\ub2dd\uc5d0 \ub300\ud55c \ucd5c\uc801 \ud45c\uc900\uc744 \uac80\ud1a0\ud560 \uc2dc\uac04"},"content":{"rendered":"

HPV Information Centre\uc758 2019\ub144 \ubcf4\uace0\uc11c\uc5d0 \ub530\ub974\uba74 \ud0dc\uad6d\uc5d0\uc11c \ub9e4\ub144 5,000\uba85 \uc774\uc0c1\uc758 \uc5ec\uc131\uc774 \uc790\uad81 \uacbd\ubd80\uc554\uc73c\ub85c \uc0ac\ub9dd\ud569\ub2c8\ub2e4[1]. \uc774\ub7ec\ud55c \uc554\uc758 70%\ub294 \ub2e8 \ub450 \uac00\uc9c0 \uc778\uccb4 \uc720\ub450\uc885\ubc14\uc774\ub7ec\uc2a4(HPV) \uacc4\ud1b5\uc778 HPV16\uacfc HPV18\uc5d0 \uc758\ud574 \uc720\ubc1c\ub429\ub2c8\ub2e4. \uc774 \ub450 \uac00\uc9c0 \ubcc0\uc885\uc740 \ud604\uc7ac \ubc31\uc2e0\uc73c\ub85c \uc608\ubc29\ud560 \uc218 \uc788\uc9c0\ub9cc HPV Information Centre\ub294 \ubc31\uc2e0\uc758 \uc644\uc804\ud55c \uc601\ud5a5\uc774 \ub290\uaef4\uc9c0\uae30\uae4c\uc9c0 \uc218\uc2ed \ub144\uc774 \uac78\ub9b4 \uac83\uc73c\ub85c \ucd94\uc815\ud569\ub2c8\ub2e4. \ub610\ud55c \ubc31\uc2e0\uc774 \ubaa8\ub4e0 HPV \uac10\uc5fc\uc774\ub098 \uc554\uc744 \uc608\ubc29\ud560 \uc218\ub294 \uc5c6\uae30 \ub54c\ubb38\uc5d0 \uc5ec\uc131\uc740 \uc5ec\uc804\ud788 \uc790\uad81 \uacbd\ubd80\uc554\uc758 \uc870\uae30 \uc9c4\ub2e8\uc744 \uc704\ud574 \uc815\uae30\uc801\uc778 \uc120\ubcc4 \uac80\uc0ac\uc5d0 \uc758\uc874\ud574\uc57c \ud569\ub2c8\ub2e4.\u00a0<\/a> \uc624\ub298\ub0a0\uc758 \uc5ec\uc131\ub4e4\uc740 \uc9c0\ub09c 70\ub144 \ub3d9\uc548 \uc0ac\uc6a9\ub41c \uac80\uc0ac\ub85c \uc2a4\ud06c\ub9ac\ub2dd\uc744 \uc81c\uacf5\ubc1b\uace0 \uc788\ub2e4. Dr George Nicholas Papanicolaou\uac00 \uac1c\ubc1c\ud558\uc5ec \uadf8\uc758 \uc774\ub984\uc744 \ub534 Pap \ub3c4\ub9d0 \uac80\uc0ac\ub294 \uc554\uc758 \uc804\uc870\uc778 \uc790\uad81 \uacbd\ubd80\uc758 \ube44\uc815\uc0c1\uc801\uc778 \ud3b8\ud3c9 \uc138\ud3ec\ub97c \uac10\uc9c0\ud558\ub294 \ud669\uae08 \ud45c\uc900 \uc120\ubcc4 \ub3c4\uad6c\uc600\uc2b5\ub2c8\ub2e4. \uadf8\ub7ec\ub098 \ubbfc\uac10\ub3c4\uac00 55%\ub97c \uc870\uae08 \ub118\uace0[2],\u00a0\ub354 \uc0c8\ub86d\uace0 \ubbfc\uac10\ud55c \uc120\ubcc4\uac80\uc0ac \ub3c4\uad6c\ub97c \uc0ac\uc6a9\ud560 \uc218 \uc788\ub294 \uc774 \ub0a1\uc740 \uc811\uadfc\ubc95\uc744 \ud3d0\uae30\ud560 \ub54c\uac00 \ub418\uc5c8\uc2b5\ub2c8\uae4c? <\/p>\n

\uc77c\ucc28 HPV \uc2dc\ud5d8 \ub300 Pap \ub3c4\ub9d0 \uac80\uc0ac<\/h2>\n

Pap \ub3c4\ub9d0 \uac80\uc0ac\uac00 \uc2dc\uc791\ub41c \uc774\ud6c4 \uc790\uad81 \uacbd\ubd80\uc554\uc5d0 \ub300\ud55c \uc6b0\ub9ac\uc758 \uc774\ud574\ub294 \uadf9\uc801\uc73c\ub85c \ubc1c\uc804\ud588\uc2b5\ub2c8\ub2e4. \uc774\uc81c \uc6b0\ub9ac\ub294 HPV\uac00 HPV16\uacfc 18\uc744 \ud3ec\ud568\ud55c \uace0\uc704\ud5d8 \ubc14\uc774\ub7ec\uc2a4\ubfd0\ub9cc \uc544\ub2c8\ub77c 31, 33, 45, 52, 58 \ubc0f \uba87 \uac00\uc9c0 \ub2e4\ub978 \uade0\uc8fc\uc640 \uac19\uc740 \ub35c \uc77c\ubc18\uc801\uc778 \uade0\uc8fc[3], \uc0dd\uc2dd\uae30 \uc0ac\ub9c8\uadc0\uc758 \uc57d 90%\ub97c \ucc28\uc9c0\ud558\ub294 HPV6\uacfc 11\uacfc \uac19\uc740 \uc800\uc704\ud5d8 \uade0\uc8fc\ub85c \ub098\ub258\uc9c0\ub9cc \uc554\uc73c\ub85c \ubc1c\uc804\ud558\ub294 \uacbd\uc6b0\ub294 \uac70\uc758 \uc5c6\ub2e4\ub294 \uac83\uc744 \uc54c\uace0 \uc788\uc2b5\ub2c8\ub2e4[3].\u00a0Pap \ub3c4\ub9d0 \uac80\uc0ac\ub294 \uc774 \ub450 \uc720\ud615\uc744 \uad6c\ubcc4\ud558\uc9c0 \uc54a\uc2b5\ub2c8\ub2e4. \uc545\uc131 \uc774\uc0c1\uacfc \uc591\uc131 \uc774\uc0c1\uc744 \uad6c\ubcc4\ud560 \uc218 \uc5c6\ub294 \uc774\ub7ec\ud55c \ubb34\ub2a5\ub825\uc740 \uc77c\ub828\uc758 \ucd94\uac00 \uc870\uc0ac\ub97c \ucd09\ubc1c\ud558\uba70, \uadf8 \uc911 \ub9ce\uc740 \uac83\uc740 \ubd88\ud544\uc694\ud558\uba70 \uc5ec\uc131\uc5d0\uac8c \ubd88\ud544\uc694\ud55c \ubd88\uc548\uc744 \uc720\ubc1c\ud569\ub2c8\ub2e4. \uadf8\ub7ec\ub098 \uc774 \ubaa8\ub4e0 \uac83\uc774 \ubcc0\ud654\ud558\uace0 \uc788\uc2b5\ub2c8\ub2e4. 2014\ub144 \ubbf8\uad6d \uc2dd\ud488\uc758\uc57d\uad6d\uc740 \uc790\uad81 \uacbd\ubd80\uc554 \uac80\uc9c4\uc744 \uc704\ud55c \uccab \ubc88\uc9f8 HPV \uac80\uc0ac\ub97c[4]\u00a0\uc2b9\uc778\ud588\uc2b5\ub2c8\ub2e4. \uc774 DNA \uae30\ubc18 \uac80\uc0ac\ub294 94% \uc774\uc0c1\uc758 \ubbfc\uac10\ub3c4 \uc218\uc900\uc5d0\uc11c \uace0\uc704\ud5d8 HPV \ubc14\uc774\ub7ec\uc2a4\uc758 \uc874\uc7ac\ub97c \uc131\uacf5\uc801\uc73c\ub85c \uac80\ucd9c\ud569\ub2c8\ub2e4[2]. \ub9c8\ucc2c\uac00\uc9c0\ub85c \uc911\uc694\ud55c \uac83\uc740 \uc74c\uc131 \uac80\uc0ac \uacb0\uacfc\uc5d0 \ub300\ud55c \ub192\uc740 \uc2e0\ub8b0 \uc218\uc900\uc785\ub2c8\ub2e4. \uc778\ub3c4\uc758 2009\ub144 \uc5f0\uad6c \uacb0\uacfc\uc5d0 \ub530\ub974\uba74 HPV \uc74c\uc131 \uacb0\uacfc\ub97c \uac00\uc9c4 \uc5ec\uc131 \uac00\uc6b4\ub370\uc11c 8\ub144 \uc5f0\uad6c \uae30\uac04 \ub3d9\uc548 \uc790\uad81 \uacbd\ubd80\uc554\uc73c\ub85c \uc0ac\ub9dd\ud55c \uc0ac\ub78c\uc774 \uc5c6\uc5c8\uc2b5\ub2c8\ub2e4[5]. \ucd94\uac00 \uc5f0\uad6c\uc5d0\uc11c\ub3c4 \uc720\uc0ac\ud558\uac8c 3\ub144\uc5d0 \uac78\uce5c \uace0\uc704\ud5d8 HPV \uac80\uc0ac \uc74c\uc131 \uacb0\uacfc\uc758 \uc548\uc804\uc131\uc744 \ubcf4\uace0\ud588\uc2b5\ub2c8\ub2e4. 2015\ub144, American Society for Colposcopy and Cervical Pathology(ASCCP)\ub294 \uc0c8\ub85c\uc6b4 \uc2a4\ud06c\ub9ac\ub2dd \uc54c\uace0\ub9ac\uc998\uc744 \ubc1c\ud45c\ud588\uc2b5\ub2c8\ub2e4. \ud611\ud68c\ub294 \uace0\uc704\ud5d8 HPV \uac80\uc0ac\ub97c 1\ucc28 \uc2a4\ud06c\ub9ac\ub2dd \ub3c4\uad6c\ub85c \uc0ac\uc6a9\ud568\uc73c\ub85c\uc368 \ud6c4\uc18d \uc870\uce58\uac00 \uac1c\ubcc4 \uc5ec\uc131\uc758 \ud544\uc694\uc5d0 \ub9de\uac8c \uc870\uc815\ub418\uc5b4 \ubd88\ud544\uc694\ud55c \uac80\uc0ac\ub97c \uc81c\uac70\ud558\uace0 \uac80\uc0ac\uc2e4 \uc758\ud559 \uc11c\ube44\uc2a4\uac00 \uc801\uc2dc\uc5d0 \ubd80\uac00\uac00\uce58\ub97c \ub192\uc774\uace0 \uc9d1\uc911\ub41c \uc2a4\ud06c\ub9ac\ub2dd \ud504\ub85c\uadf8\ub7a8\uc744 \uc81c\uacf5\ud560 \uc218 \uc788\ub2e4\uace0 \uc8fc\uc7a5\ud569\ub2c8\ub2e4. \ud280\ub974\ud0a4\uc608, \ub124\ub35c\ub780\ub4dc, \ud638\uc8fc\uac00 \uac00\uc7a5 \uba3c\uc800 \uc120\ubcc4\uac80\uc0ac \ud504\ub85c\uadf8\ub7a8\uc758 \ubcc0\uacbd\uc744 \uc2dc\ud589\ud588\uc2b5\ub2c8\ub2e4. <\/p>\n

\"\uad8c\uc7a5\ub418\ub294<\/p>\n

\ud0dc\uad6d\uc5d0\uc11c Thai Gynecologic Cancer Society\ub294 2016\ub144\uc5d0 \uc720\uc0ac\ud55c \uc120\ubcc4\uac80\uc0ac \uc54c\uace0\ub9ac\uc998\uc744 \ud3c9\uac00\ud558\uae30 \uc704\ud55c \ud30c\uc77c\ub7ff \ud504\ub85c\uc81d\ud2b8\uc5d0 \ucc29\uc218\ud588\uc2b5\ub2c8\ub2e4. \ub2e4\ub978 \uace0\uc704\ud5d8 HPV \uade0\uc8fc\ub97c \ucd94\uac00\ub85c \uad6c\ubcc4\ud558\uae30 \uc704\ud574 ASCCP \uc54c\uace0\ub9ac\uc998\uc744 \uc801\uc6a9\ud588\uc73c\uba70 \uc77c\uc0c1\uc801\uc778 \uc2a4\ud06c\ub9ac\ub2dd\uc744 \uc704\ud55c \uad8c\uc7a5 \uac04\uaca9\uc744 3\ub144\ub9c8\ub2e4 \uc218\uc815\ud588\uc2b5\ub2c8\ub2e4. \uc2a4\ud06c\ub9ac\ub2dd \ud504\ub85c\uadf8\ub7a8\uacfc \uac19\uc740 \ube44\uc6a9 \ud6a8\uc728\uc131\uc744 \uacb0\uc815\ud558\uae30 \uc704\ud574 Pap \ub3c4\ub9d0 \uac80\uc0ac, \uace0\uc704\ud5d8 HPV \uc2dc\ud5d8 \ubc0f \uc9d1\uc911 HPV16\/18 \uc720\uc804\uc790\ud615\uc758 \uc138 \uac00\uc9c0 \uc2a4\ud06c\ub9ac\ub2dd \uc811\uadfc\ubc95\uc744 \uc218\ud559\uc801\uc73c\ub85c \ubaa8\ub378\ub9c1\ud588\uc2b5\ub2c8\ub2e4[6].\u00a0\uc6b0\ub9ac\ub294 \uace0\uc704\ud5d8 HPV \uc2dc\ud5d8\uc774 \uac00\uc7a5 \ube44\uc6a9 \ud6a8\uc728\uc801\uc778 \uc120\ubcc4 \ub3c4\uad6c\ub77c\uace0 \uacb0\ub860\uc9c0\uc5c8\uc2b5\ub2c8\ub2e4. HPV \uc2dc\ud5d8\uc740 \uc138\ud3ec \uac80\uc0ac\ubcf4\ub2e4 \uc800\ub834\ud558\uba70 \uc138\ud3ec \uac80\uc0ac\ub9cc \ud558\ub294 \uac83\ubcf4\ub2e4 \uc790\uad81 \uacbd\ubd80\uc554 \ucd08\uae30 \ub2e8\uacc4\ub97c \ub354 \ub9ce\uc774 \ubc1c\uacac\ud569\ub2c8\ub2e4. \ud0dc\uad6d\uc758 \uc790\uad81 \uacbd\ubd80\uc554 \uac80\uc9c4\uc728\uc740 50%\uc5d0 \ubd88\uacfc\ud558\uc5ec \ucd5c\uc801\uc774 \uc544\ub2c8\ubbc0\ub85c Chulalongkorn University\uc758 \ub3d9\ub8cc\ub4e4\uc740 \uc9d1\uc5d0\uc11c \uc790\uac00 \uc0d8\ud50c\ub9c1\ud558\uc5ec \uc5bb\uc740 \uacb0\uacfc\uc758 \uc815\ud655\uc131\uc744 \uac80\ud1a0\ud588\ub294\ub370, \uc774\ub294 \uc9d1\uc5d0\uc11c \uc5bb\uc740 \uc790\uac00 \uc0d8\ud50c\ub9c1\uacfc \ube44\uc2b7\ud558\uba70 \uc758\uc0ac \ub610\ub294 \uc758\ub8cc \uc804\ubb38\uac00\uac00 \uc0d8\ud50c\ub9c1\ud560 \ub54c \uc5bb\uc740 \uac83\uacfc \ube44\uc2b7\ud569\ub2c8\ub2e4[7].\u00a0\uc790\uac00 \uc0d8\ud50c\ub9c1\uc740 \uc120\ubcc4\uac80\uc0ac\uc758 \ud761\uc218\ub97c \ub354\uc6b1 \uc720\ub3c4\ud558\ub294 \ub370 \ub3c4\uc6c0\uc774 \ub420 \uc218 \uc788\uc2b5\ub2c8\ub2e4. DNA HPV \uac80\uc0ac\ub97c \ud1b5\ud55c \uc77c\ucc28 \uc2a4\ud06c\ub9ac\ub2dd\uc740 \ub354 \ub9ce\uc740 \uc5ec\uc131\uc5d0\uc11c \uc790\uad81\uacbd\ubd80 \uc804\uc554 \ubc0f \uc554\uc744 \uc870\uae30\uc5d0 \ubc1c\uacac\ud558\uace0 \uad81\uadf9\uc801\uc73c\ub85c \uc774 \uc9c8\ubcd1\uc73c\ub85c \uc778\ud55c \ubd88\ud544\uc694\ud55c \uc0ac\ub9dd\uc744 \ud53c\ud560 \uc218 \uc788\ub294 \ube44\uc6a9 \ud6a8\uc728\uc801\uc778 \uc804\ub7b5\uc785\ub2c8\ub2e4. \ucc38\uace0\ubb38\ud5cc:<\/em> <\/p>\n

[1]<\/a>\u00a0Human Papillomavirus and Related Diseases Report. HPV Information Centre<\/p>\n

[2]<\/a>\u00a0Pap Smear vs. HPV Screening Tests for Cervical Cancer<\/p>\n

[3]<\/a> HPV\/Genital Warts<\/p>\n

[4]<\/a>\u00a0FDA approves first human papillomavirus test for primary cervical cancer screening; US Food and Drug Administration<\/p>\n

[5]<\/a>\u00a0Sankaranarayanan, R., et al.,\u00a02009. HPV Screening for Cervical Cancer in Rural India.\u00a0New England Journal of Medicine<\/i>, 361(3), pp.304-306.<\/p>\n

[6]<\/a>\u00a0Termrungruanglert, W., et al., 2017.\u00a0Cost-effectiveness analysis study of HPV testing as a primary cervical cancer screening in Thailand.\u00a0Gynecologic oncology reports<\/i>,\u00a022, pp.58\u201363.<\/p>\n

[7]<\/a>\u00a0Nilyanimit, P., et al., 2014.\u00a0Comparison of Detection Sensitivity for Human Papillomavirus between Self-collected Vaginal Swabs and Physician-collected Cervical Swabs by Electrochemical DNA Chip.\u00a0Asian Pacific Journal of Cancer Prevention,\u00a015(24), pp.10809-10812.<\/p>\n","protected":false},"excerpt":{"rendered":"

\ud0dc\uad6d\uc5d0\uc11c \ub9e4\ub144 5,000\uba85 \uc774\uc0c1\uc758 \uc5ec\uc131\uc774 \uc790\uad81 \uacbd\ubd80\uc554\uc73c\ub85c \uc0ac\ub9dd\ud569\ub2c8\ub2e4. \uc774 \uc554\uc758 70%\ub294 \ub450 \uac00\uc9c0 \uc778\uac04 \uc720\ub450\uc885 \ubc14\uc774\ub7ec\uc2a4(HPV) \uade0\uc8fc\ub85c \uc778\ud574 \ubc1c\uc0dd\ud558\uba70, \ub458 \ub2e4 \ud604\uc7ac \ubc31\uc2e0\uc744 \ud1b5\ud574 \uc608\ubc29\ud560 \uc218 \uc788\uc2b5\ub2c8\ub2e4.<\/p>\n","protected":false},"author":1,"featured_media":84213,"parent":0,"menu_order":0,"template":"","meta":{"_acf_changed":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center 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