Autor: |
de Bie RP, Vergers-Spooren HC, Massuger LF, Siebers AG, Salet-van der Pol MR, Vedder JE, Melchers WJ, Bulten J, Bekkers RL |
Zdroj: |
American Journal of Obstetrics & Gynecology; Jul2011, Vol. 205 Issue 1, p64.e1-7, 1p |
Abstrakt: |
OBJECTIVE: The objective of the study was to assess the screening history of women with cervical cancer and review normal cervical smears 5 years preceding the diagnosis. STUDY DESIGN: Cytological and histological results of 401 women treated for invasive cervical cancer between 1991 and 2008 at the Radboud University Nijmegen Medical Center were studied. Ninety-eight normal smears were reviewed. RESULTS: Of the 401 women, 269 (67%) received at least 1 invitation for the national screening program for cervical cancer (NCSP). One- third fell outside the target age of the NCSP. Seventeen percent never responded to the invitation(s). Twenty-one percent had 1 or more normal smears within 5 years preceding the diagnosis. After review, only 39% of those smears were reviewed as a normal smear. CONCLUSION: Half of the women with cervical cancer were never screened because of the limited target age range or nonattendance. Twenty-one percent had a normal smear within 5 years preceding the diagnosis, caused by interpretation and/or sampling errors. [ABSTRACT FROM AUTHOR] |
Databáze: |
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