Between November 1993 and February 1995, 283 Pap smears were carried out in 6 peripheric settlements. Some preliminary meetings, requiring a variable lag of 2-4 months, preceded clinical activity. Every Pap smear was obtained by a midwife, supported in 70% of cases by a gynecologist, in the local general practitioner's office. For each case the following data were recorded: age-parity-job-years from menopause-years from last visit and from last cervical cytology-complaint of genital symptoms (suggestive or not for a malignancy), use of contraceptives or hormonal therapy, risk factors as smoking, obesity, diabetes or hypertension. 170 Pap smears were classified as «negative» by the pathologist (60,07%), 109 as «inflammatory» (38,52%), 4 as «mild dysplasia» (1,41%); no cases of moderate or severe dysplasia or presence of neoplastic cells were found. A therapy was prescribed in 70 cases (24,73%) on the basis of symptoms referred, clinical findings or presence of an inflammation in the smear. 23 women (8,13%) were sent to the 2nd level check at the Department of Obstetrics and Gynaecology of the general Hospital of Isernia. Each patient was submitted to inspection of the vulva and breast examination and complete information for breast self-test was offered. Difficulties in carrying on the program, women's acceptance and cost-benefit ratio are analysed.

Lo screening per la prevenzione del cervicocarcinoma uterino in aree rurali: Metodologia, risorse, ostacoli / G., Candussi; Reale, Carlo; T., Basti; Carlomagno, Giorgio. - In: GIORNALE ITALIANO DI OSTETRICIA E GINECOLOGIA. - ISSN 0391-9013. - 18:2(1996), pp. X4-122.

Lo screening per la prevenzione del cervicocarcinoma uterino in aree rurali: Metodologia, risorse, ostacoli

REALE, Carlo;CARLOMAGNO, Giorgio
1996

Abstract

Between November 1993 and February 1995, 283 Pap smears were carried out in 6 peripheric settlements. Some preliminary meetings, requiring a variable lag of 2-4 months, preceded clinical activity. Every Pap smear was obtained by a midwife, supported in 70% of cases by a gynecologist, in the local general practitioner's office. For each case the following data were recorded: age-parity-job-years from menopause-years from last visit and from last cervical cytology-complaint of genital symptoms (suggestive or not for a malignancy), use of contraceptives or hormonal therapy, risk factors as smoking, obesity, diabetes or hypertension. 170 Pap smears were classified as «negative» by the pathologist (60,07%), 109 as «inflammatory» (38,52%), 4 as «mild dysplasia» (1,41%); no cases of moderate or severe dysplasia or presence of neoplastic cells were found. A therapy was prescribed in 70 cases (24,73%) on the basis of symptoms referred, clinical findings or presence of an inflammation in the smear. 23 women (8,13%) were sent to the 2nd level check at the Department of Obstetrics and Gynaecology of the general Hospital of Isernia. Each patient was submitted to inspection of the vulva and breast examination and complete information for breast self-test was offered. Difficulties in carrying on the program, women's acceptance and cost-benefit ratio are analysed.
1996
01 Pubblicazione su rivista::01a Articolo in rivista
Lo screening per la prevenzione del cervicocarcinoma uterino in aree rurali: Metodologia, risorse, ostacoli / G., Candussi; Reale, Carlo; T., Basti; Carlomagno, Giorgio. - In: GIORNALE ITALIANO DI OSTETRICIA E GINECOLOGIA. - ISSN 0391-9013. - 18:2(1996), pp. X4-122.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/140347
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