Cancer of uterine cervix in Indian women.Results of the population screening program

Abstract

There is no invasive cancer which at one stage was not cancer‐in‐situ. The cervical cancer if detected at its pre‐invasive stage is amenable to treatment with 100% survival rate. The knowledge that cancer is preventable if detected in its precancerous stage or is curable if detected in its early stage strongly supports the need for routine cytological examination of all young females from time to time for detection of cervical neoplastic lesion in its early stage and a follow‐up of all the dysplastic lesions of cervix. Present study comprises of an examination of vaginal smears of 39,587 women aged 14 to 80 years. Malignancy of female genital tract was observed in 693 cases. On cytological and histological examination the cancer of the cervix was diagnosed in 64 clinically unsuspected cases giving a pick up rate of 1.62/1000. In each of these cases the initial clinical impression of the cervix was other than carcinoma, the first indication of malignancy being the result of cytological examination. Cervical dysplasia was detected in 927 cases. A follow‐up study of progression or regression of dysplastic changes was done.

Significance of Persistent Inflammatory Cervical Smears in Sexually Active Women of Reproductive Age Group—A Prospective Study

“…Preponderance of CIN among parous was also noted by other workers. 12 Present study showed an increasing trend in the occurrence of CIN with age and parity.…”