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Previous Volume 361:271-278 July 16, 2009 Number 3 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette that includes a therapeutic recommendation. A discussion of the clinical problem and the mechanism of benefit of this form of therapy follows. Major clinical studies, the clinical use of this therapy, and potential adverse effects are reviewed. Relevant formal guidelines, if they exist, are presented. The article ends with the author's clinical recommendations.

A sexually active 18-year-old woman presents to her internist for an annual examination. During the review of her family history, she notes that her mother recently received a diagnosis of "pre–cervical cancer" and underwent a loop electrosurgical excision procedure. . . . [Full Text of this Article]

The Clinical Problem

Pathophysiological Features and Effect of Therapy

Clinical Evidence

Clinical Use

Adverse Effects

Areas of Uncertainty

Guidelines

Recommendations

Source Information

From the Division of Adolescent Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati.

Address reprint requests to Dr. Kahn at the Division of Adolescent Medicine, MLC 4000, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave., Cincinnati, OH 45229, or at jessica.kahn@cchmc.org.

Related Letters:

HPV Vaccination
Leiner S., Kahn J. A.
Extract | Full Text | PDF  
N Engl J Med 2009; 361:1610-1611, Oct 15, 2009. Correspondence

This article has been cited by other articles:

• Polzer, J., Knabe, S (2009). Good girls do...get vaccinated: HPV, mass marketing and moral dilemmas for sexually active young women. J. Epidemiol. Community Health 63: 869-870 [Full Text]  
• Schiffman, M., Solomon, D. (2009). Screening and Prevention Methods for Cervical Cancer. JAMA 302: 1809-1810 [Full Text]  
• Leiner, S., Kahn, J. A. (2009). HPV Vaccination. NEJM 361: 1610-1611 [Full Text]