Cervical cytologic examination during physical checkup of pregnant women: Cervical cancer screening in women under the age of thirty
Cervical cytologic examination during physical checkup of pregnant women: Cervical cancer screening in women under the age of thirty
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DOI：
10.1620/tjem.204.221
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发表时间：
2004-11-01
影响因子：
2.2
通讯作者：
Yaegashi, N
中科院分区：
文献类型：
--
作者：
Abe, Y;Ito, K;Yaegashi, N
近日，厚生劳动省提出，要对日本20至29岁的女性进行宫颈癌筛查。但是，日本没有关于对30岁以下妇女进行筛查的充分数据。因此，我们对孕妇宫颈细胞学检查结果进行了调查。以28616例孕妇为研究组。一组108 289名妇女，在宫城县进行宫颈癌的集体筛查，作为对照组进行了研究。孕妇组需要密切检查的受试者比例显著高于普查组（1.12% vs. 0.84%）。19岁或19岁以下妇女的近距离检查率明显高于25至39岁年龄组的妇女。20至24岁的妇女的死亡率也明显高于25至34岁的妇女。在321例需要密切检查的受试者中，34例接受了治疗，17例年龄在30岁以下。此外，所有3例微小浸润性和/或浸润性癌均在30岁以下（分别为23、23、27岁）。我们的研究结果表明，在怀孕期间进行宫颈癌筛查是发现年轻女性宫颈肿瘤的一种有用的手段，可以有效地降低宫颈癌的发病率。(C)东北大学医学出版社.
Recently, the Ministry of Health, Labor and Welfare proposed that cervical cancer screening should be conducted for women aged 20 to 29 years old in Japan. However, there are insufficient data available in Japan concerning the screening conducted for women under the age of 30. Therefore, we made a survey of the results of cervical cytologic examination for pregnant women. 28 616 pregnant women were examined as subjects of a study group. A group of 108 289 women, subjected to group screening for cervical cancer in Miyagi Prefecture, were studied as a control group. The rate of subjects who required close examination in the pregnant women's group was significantly higher than that in the mass screening group (1.12% vs. 0.84%). The rate of close examination was significantly higher in the women 19 years old or younger compared to those in the age group of 25 to 39 years old. The rate was also significantly higher in women aged 20 to 24 years old than those who are 25 to 34 years old. Of the 321 subjects who required close examination, 34 cases underwent treatment, and 17 cases were under age 30. Moreover, all three cases of microinvasive and/or invasive carcinoma were under the age of 30 years (23, 23, 27 years old, respectively). Our results suggest that screening for cervical cancer in pregnancy is a useful means to find cervical neoplasia in young women and is effective in reducing the cervical cancer morbidity rate. (C) 2004 Tohoku University Medical Press.