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Screening strategies for cervical cancer and cervical intraepithelial neoplasia
Author(s) -
Richart Ralph M.,
Barron Bruce A.
Publication year - 1981
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/1097-0142(19810301)47:5+<1176::aid-cncr2820471321>3.0.co;2-x
Subject(s) - medicine , cervical cancer , cervical intraepithelial neoplasia , cervix , cervical cancer screening , incidence (geometry) , cytology , gynecology , cancer , intraepithelial neoplasia , obstetrics , colposcopy , cancer screening , oncology , pathology , prostate cancer , physics , optics
Exfoliative cytology is a highly sensitive and inexpensive screening technique for cervical cancer and its precursors. The detection and eradication of the precursors have led to a significant fall in cervical cancer incidence rates and death rates in those areas in which there has been widespread and prolonged use. Recently, however, the utility and cost‐effectiveness of cytology has been questioned, and it has been suggested that screening strategies be altered. A consideration of the effect of the transit times of cervical intraepithelial neoplasia on screening intervals and the impact of the changing patterns of cervix cancer epidemiology on screening strategy suggests that a significant change in screening intervals may be counterproductive. Cancer 47:1176–1181, 1981.