Original scientific paper

https://doi.org/10.20471/acc.2020.59.02.11

The Effect of Age on Cervical Cancer Screening in Women Aged 20-29

Hasan Aykut Tuncer orcid.org/0000-0002-5434-1025 ; Department of Obstetrics and Gynecology, Division of Gynecological Oncology, Akdeniz University School of Medicine Hospital, Antalya, Turkey
Serap Fırtına Tuncer ; Department of Obstetrics and Gynecology, Antalya Education & Research Hospital, Antalya, Turkey

Abstract

No definite consensus exists currently regarding the appropriate age at which to start cervical cancer screening. We analyzed the effectiveness of age in abnormal histology outcomes in women aged 20-29. Data on women aged 20-29 having undergone opportunistic cervical cancer
screening with cytology during the 2014-2019 period were retrospectively reviewed. Based on cytology outcomes, human papillomavirus test results (if present), age and clinical decision, patients underwent either colposcopy or observation. The effects of age and other epidemiologic factors on histologic diagnoses of cervical intraepithelial neoplasia (CIN ) or cancer [CIN (+)] were analyzed in univariate and binomial logistic regression analyses. Among 1649 women, CIN (+) lesions were observed in 61 (3.7%) women. The occurrence of CIN (+) lesions increased 1.149 times each year; thus, women aged 25-29 were more likely to have CIN (+) than those aged 20-24 (4.4% vs. 2.1%; p=0.019). A significant determinant of CIN (+) was the increase in age, i.e. women aged 20-29. Accordingly, considering age is crucial for the diagnosis of CIN (+) in cancer screening.

Keywords

Cervical cancer; Screening age; HPV; Cytology; Colposcopy

Hrčak ID:

243625

URI

https://hrcak.srce.hr/243625

Publication date:

1.6.2020.

Article data in other languages: croatian

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