Analysis of Cervical Cytologic Screening Test for Health Care; A 2 Year Experience from 1998 to 2000

Shin, Jin Woo; Lee, Kyu Wan

Abstract

OBJECTIVE
To investigate the efficacy of the cervical cytology as a screening tools for cervical cancer and to roughly estimate the prevalence of cervical cancer and precancerous lesion in the general population by evaluating the cytologic results in the group of women visited our health care center.
METHODS
Pap smear was used for cervical cancer screening and interpretated with The Bethesda system. Women who had abnormal Pap result were evaluated with Punch biopsy or cone biopsy at the outpatient unit if possible.
RESULTS
For the past two years, Pap smear tests have been given to 4536 women without any symptoms in health care center, and the results are as follows: The average age was 47.9 +/- 11.8 years. Of the 4536 who were tested 4337 women (95.6%) showed normal cytology. 147 (3.2%)of the women showed ASCUS or AGUS; LGSIL and HGSIL each had 24 (0.5%) women. And 4 (0.1%) women showed malignant cells. 37 (59.7%) of the women who have been given punch biopsy showed chronic cervicitis and 16 (25.8%) of them had dysplasia and 7 (11.3%) had CIS and 2 (3.2%) had invasive cervical cancer. 6 of HGSIL cytology were found to be CIS, and 1 of women who had malignant cells was found to be CIS and 2 of them were found to be invasive cervical cancer.
CONCLUSION
As the result, women without any previous symptoms showed signs of either: moderate dysplasia, severe dysplasia, CIS or invasive cervical cancer. Of the fourteen women who had severe dysplasia and CIS, nine (60.4%) were 4 th decade or less. Therefore, routine pap smear testing to younger aged women who have not had any symptoms should be recommended.