system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 38 year old woman with a history of multiple sexual paners is most at risk for which of the following?
assistant
The correct answer is  In a sense, cervical carcinoma can be considered a "sexually transmitted disease," since human papilloma virus (typically strains HPV-16 or HPV- 18) is transmitted venereally. In our culture, HPV-related dysplasia of the cervix is common, even in the 18-28 year old group, and carcinomas of the cervix (more rare now than in the past due to screening and aggressive therapy of dysplasia) can occur in the 35-45 age group. The other cancers listed typically occur in older age groups and are not as clearly related to venereal agents. Ref: Hoffman B.L., Schorge J.O., Schaffer J.I., Halvorson L.M., Bradshaw K.D., Cunningham F.G., Calver L.E. (2012). Chapter 30. Cervical Cancer. In B.L. Hoffman, J.O. Schorge, J.I. Schaffer, L.M. Halvorson, K.D. Bradshaw, F.G. Cunningham, L.E. Calver (Eds), Williams Gynecology, 2e.