Professional paper
CERVICAL INTRAEPITHELIAL NEOPLASIA IN HEALTH CENTER BENKOVAC
Vjekoslav Krpina
Domagoj Krpina
Abstract
Objective. To investigate the frequency of cervicovaginal smear tests in the screening program of cancer and premalign lesions of the cervix uteri in rural environment; to find out at what age women undergo screening most frequently, and the number of abnormal cytologic findings in cervical lesions; the number of changes in cervicovaginal smears associated with the human papilloma virus (HPV). Method. In a three-year period, from January 2000 to December 2002, 792 cervicovaginal smear tests or in about 10% women patients in the primary health care unit at the Benkovac Health Care Center, were taken. The subjects were sorted out according to age, examination age and to the frequency of abnormal cytologic findings. Results. In the examination period, the greatest number of cervicovaginal smear tests was taken in the 30–49-year-old group (451 – 56.94%) and in the 50-year and older group (245 – 30.93%). They were fewer in the 20–29-year-old group (94 – 11.86%) and the fewest in 19-year-old and younger group (2 – 0.25%). There were 42 (5.30%) abnormal cytologic findings: 21 (2.65%) DL, 8 (1.01%) DM, 12 (1.52%) DG and 1 (0.13%) IC. Of all 792 cervicovaginal smear tests, there were 8 (66.66%) serious cytologic findings (DG) in the 20–39-year-old group, and 4 (33.33%) in the 40-year and older group; there was 1 (1.00%) IC in the group of 50-year olds and older. Cervicovaginal smear and changes associated with HPV (coilocytes) were found in 4 (0.50%) women only. Conclusion. During our research made in the rural environment, only 10% cervicovaginal smear tests were taken which is insufficient for the prevention of cancer of cervix uteri as there were 5.30% abnormal cytologic findings.
Keywords
cervicovaginal smear; cervical dysplasia; cytologic screening
Hrčak ID:
15543
URI
Publication date:
1.12.2003.
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