Vloga ginekologa na primarni ravni na zmanjšanje incidence invazivnega raka na materničnem vratu
The role of the gyneacologist at the primary level in decreasing the incidence of invasive forms of the cervical cancer

slovenian

2004

volume 73, issue 3

Biopsy   Carcinoma In Situ   Cervix Neoplasms   Conization   Diagnosis   diagnostika   Neoplasm Invasiveness   Neoplasm Staging   Pathology   Vaginal Smears

Slovensko zdravniško društvo
(Obvezni izvod spletne publikacije)

Background. Since 1993, an average annual crude incidence rates for cervical cancer has increased from 14/100,000 (1979-1993) to 23/100,000 (1997). Untill 1993, there was no permanently employed gynecologist in the Šmarje pri Jelšah country. In the period 1988-1992 the ratio between non-invasive vs. invasive cervical cancer was 1/18. In the same period the average annual incidence for cervical cancer was 28/100,000 women. The author was interested in whether theactive approach of the gynaecologist at the primary level affected the non-invasive: invasive cervical cancer ratio, and whether that changed ratio further influenced the average annual incidence of invasive forms of cervical cancer. Methods. The data from the outpatient clinic in Rogaška Slatina showedthat in the period 1993-2000 there were 54 diagnosed cases: 45 (84%) cases of non-invasive and 9 (16%) cases of invasive forms of cervical cancers.For diagnostic purposes 63 colposcopic punch biopsies were performed. Besides punch biopsies 7 diagnostic cone biopsies and 6 curretage of the cervical canal were also performed. HPV-DNA testing was performed in three women. Results. Of the 63 biopsies 45 (72%) showed CIN III and 18 (28%) other non malignant changes of the cervical canal. The CIN III cases were treated byconization in 44 cases, and by hysterectomy in 1. Mean 3 PAP smear were taken to make the diagnosis. From the first suspicious PAP smear to the diagnosis average 5.1 month were needed, and average 8.3 month to the surgery and/or the definitive diagnosis. The number of patients with invasive cervicalcancer increases proportionally with the number of years the women didnot visit the gynaecologist according to the FIGO classification. (Abstracttruncated at 2000 characters).

10.04.2014