CERVICOGRAPHY - ADJUNCTIVE CERVICAL-CANCER SCREENING BY PRIMARY-CARE CLINICIAN

被引:0
|
作者
FERRIS, DG
PAYNE, P
FRISCH, LE
MILNER, FH
DIPAOLA, FM
PETRY, LJ
机构
[1] ST JOHNS MERCY MED CTR,ST LOUIS,MO 63141
[2] HUMBOLDT STATE UNIV,STUDENT HLTH SERV,ARCATA,CA 95521
[3] MED COLL GEORGIA,STUDENT HLTH SERV,AUGUSTA,GA 30912
来源
JOURNAL OF FAMILY PRACTICE | 1993年 / 37卷 / 02期
关键词
CERVIX DISEASE; PAPANICOLAOU SMEAR; PHOTOGRAPHY; MASS SCREENING; DISEASE PREVENTION;
D O I
暂无
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background. Cervicography is an adjunct method of cervical cancer screening intended to complement cervical cytologic sampling, ie, Papanicolaou (Pap) smear. Cervicography involves obtaining and evaluating a photographic image of the cervix. The purpose of this investigation was to evaluate the screening use of cervicography as an adjunct to clinical cytologic screening. Methods. Women presenting at four clinical sites for annual cervical cytologic screening or for follow-up evaluation after receiving an abnormal Pap smear result were enrolled in the study. Each patient received a Pap smear and a cervigram. Those women in whom abnormalities were detected by either test subsequently underwent colposcopy, and when appropriate, histologic specimens were obtained. Results. Pap smear and cervigram data were obtained for 1449 women. When premalignant or malignant histologic test results were considered as a true positive, the Pap smear correctly identified 25.6% of subjects with dysplasia and 37.5% with severe dysplasia. The Pap smear failed to identify the one patient with invasive cancer. The cervigram detected 50.5% of the subjects with dysplasia and 77.8% of the subjects with severe dysplasia, and it identified the one patient with invasive cancer when a positive cervigram was considered a true positive. When the results were combined, the two tests identified 62.9% of subjects with histologically confirmed dysplasia, 81.3% of subjects with severe dysplasia, and 100% (one patient) with cancer. Conclusions. The cervigram detected twice the number of patients with premalignant disease as the Pap smear alone, and correctly identified the invasive cancer. Cervicography improved the detection of cervical
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页码:158 / 164
页数:7
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