Patients with cervical cancer: why did screening not prevent these cases? - 19/08/11
, Henke C. Vergers-Spooren, MD a, Leon F.A.G. Massuger, MD, PhD a, Albertus G. Siebers, PhD b, Maria R.J. Salet-van der Pol b, Judith E.M. Vedder b, Willem J.G. Melchers, PhD c, Johan Bulten, MD, PhD b, Ruud L.M. Bekkers, MD, PhD a
Reprints: Roosmarie P. de Bie, MD, Radboud University Nijmegen Medical Center, Department of Obstetrics and Gynecology (internal mail 791), P.O. Box 9101, 6500 HB Nijmegen, The NetherlandsRésumé |
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.
Le texte complet de cet article est disponible en PDF.Key words : cervical cancer, cervical smear, screening
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| Cite this article as: de Bie RP, Vergers-Spooren HC, Massuger LFAG, et al. Patients with cervical cancer: why did screening not prevent these cases? Am J Obstet Gynecol 2011;205:64.e1-7. |
Vol 205 - N° 1
P. 64.e1-64.e7 - juillet 2011 Retour au numéro
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