Follow-up care of women with an abnormal cytology in a low-resource setting

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• 作者：Gage ; Julia C. ; Ferreccio ; Catterina ; Gonzales ; Miguel ; Arroyo ; Raul ; Huiví ; n ; Militza ; et. al.
• 关键词：Cervix neoplasms/prevention and control ; Developing countries ; Cervical intraepithelial neoplasia/prevention and control ; Vaginal smears ; Mass screening ; Peru
• 刊名：Cancer Detection and Prevention
• 出版年：2003
• 出版时间：2003
• 年：2003
• 卷：27
• 期：6
• 页码：466-471
• 全文大小：107 K

文摘

Study purpose: We ascertained the follow-up care after an abnormal cytology (Papanicolaou) screening in the San Martín region of Perú and assessed the status of women who had not received adequate care. Basic procedures: We identified women with an abnormal cytology and assessed their medical records, laboratory registries, death certificates and interviewed them at home. Re-screening, diagnosis and treatment were offered. Main findings: Only 46 (25 % ) of the 183 women identified received appropriate follow-up care. At re-screening 31 (34 % ) had a normal result, 9 (10 % ) were diagnosed with CIN1 and 50 (56 % ) had CIN2 or worse. Principal conclusions: In this setting, follow-up care after an abnormal cytology was very poor and could explain the lack of impact of cervical cancer screening. Women with an abnormal cytology constitute a high-risk group that should be a priority for health services.