PMID: 2511973Oct 28, 1989Paper

Diagnosis and treatment of cervical intraepithelial neoplasia in general practice

BMJ : British Medical Journal
D B Johnson, C J Rowlands

Abstract

To audit the first five years of a colposcopy and treatment service for cervical dysplasia established within a general practice. A cervical smear register was established to determine which women were "at risk" of dysplasia. The results of colposcopy and treatment of dysplasia were analysed. A large rural general practice with community hospital facilities in mid-Wales. 4437 Women at risk in a total practice population of 14,100. Colposcopy of women with dyskaryotic smear results, persistent inflammatory smear results, or vulval warts. Treatment of women with proved dysplasia by electrodiathermy of the cervix or cone biopsy. 138 Women with dysplasia were diagnosed over five years: 36 mild, 97 moderate or severe, and five with microinvasion. Despite a 78% smear rate of at risk women over five years, nine invasive cancers still occurred. The results of treatment are acceptable. Cervical dysplasia has become very common, the risk of a dysplasia in women aged 20-39 who had smear tests being one in 14 over five years.

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Citations

Sep 1, 1995·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·M van BallegooijenJ D Habbema
Nov 5, 1999·Obstetrics and Gynecology·D P ShackelfordD E Jones
Nov 25, 1989·BMJ : British Medical Journal·K BoomlaS Fitzpatrick
Sep 6, 2011·Radiologic Clinics of North America·Brian D Coley
Nov 25, 1989·BMJ : British Medical Journal·S V Davies, J A Murray
Nov 25, 1989·BMJ : British Medical Journal·T Forsey, P D Minor
Sep 1, 1991·International Journal of STD & AIDS·P M Nathan, T R Moss

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