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학술저널
저자정보
Wang, Ying (Department of Obstetrics and Gynecology and Department of Pathology, Bo Ai Hospital, Southern Medical University Affiliated Hospital) Yu, Yan-Hong (Department of Obstetrics and Gynecology, Nanfang Hospital, Southern Medical University) Shen, Keng (Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College) Xiao, Lin (Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College) Luan, Feng (Department of Obstetrics and Gynecology and Department of Pathology, Bo Ai Hospital, Southern Medical University Affiliated Hospital) Mi, Xian-Jun (Department of Obstetrics and Gynecology and Department of Pathology, Bo Ai Hospital, Southern Medical University Affiliated Hospital) Zhang, Xiao-Min (Department of Obstetrics and Gynecology and Department of Pathology, Bo Ai Hospital, Southern Medical University Affiliated Hospital) Fu, Li-Hua (Department of Obstetrics and Gynecology and Department of Pathology, Bo A) Chen, Ang Huang, Xiang
저널정보
아시아태평양암예방학회 Asian Pacific journal of cancer prevention : APJCP Asian Pacific journal of cancer prevention : APJCP 제15권 제2호
발행연도
2014.1
수록면
671 - 676 (6page)

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Objective: The objective of this study was to establish a program model for use in wide-spread cervical cancer screening. :Methods: Cervical cancer screening was conducted in Zhongshan city in Guangdong province, China through a coordinated network of multiple institutes and hospitals. A total of 43,567 women, 35 to 59 years of age, were screened during regular gynecological examinations using the liquid-based ThinPrep cytology test (TCT). Patients who tested positive were recalled for further treatment. Results: The TCT-positive rate was 3.17%, and 63.4% of these patients returned for follow-up. Pathology results were positive for 30.5% of the recalled women. Women who were younger than 50 years of age, urban dwelling, low-income, had a history of cervical disease, began having sex before 20 years of age, or had sex during menstruation, were at elevated risk for a positive TCT test. The recall rate was lower in women older than 50 years of age, urban dwelling, poorly educated, and who began having sex early. Ahigher recall rate was found in women 35 years of age and younger, urban dwelling, women who first had sex after 24 years of age, and women who had sex during menstruation. The positive pathology rate was higher in urban women 50 years of age and younger and women who tested positive for human papillomavirus. Conclusion: An effective model for large-scale cervical cancer screening was successfully established. These results suggest that improvements are needed in basic education regarding cervical cancer screening for young and poorly educated women. Improved outreach for follow-up is also necessary to effectively control cervical cancer.

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