The Pap smear history of patients developing cervical cancer: An assessment of screening protocols

1986 ◽  
Vol 23 (2) ◽  
pp. 248
Author(s):  
D. Bearman ◽  
W. Creasman
Keyword(s):  
Cervical Cancer ◽  
Pap Smear ◽  
History Of

“A Pap smear saved my life”: Personal experiences of cervical abnormalities shape attitudes to cervical screening renewal

2019 ◽  
Vol 27 (4) ◽  
pp. 223-226 ◽  
Author(s):  
Helena M Obermair ◽  
Kirsten J McCaffery ◽  
Rachael H Dodd
Keyword(s):  
Cervical Cancer ◽  
Pap Smear ◽  
Screening Program ◽  
Cervical Screening ◽  
Personal History ◽  
Pap Smears ◽  
Increased Risk ◽  
Women's Lives ◽  
History Of ◽  
Screening Intervals

Objective In 2017, the Australian National Cervical Screening Program changed from two-yearly Pap smears between ages 18 and 69, to five-yearly human papillomavirus screening between ages 25 and 74 (the “Renewal”). This study investigated attitudes towards the changes, among individuals previously affected by cervical abnormalities/cervical cancer, personally or through a friend/relative. Methods We conducted a thematic analysis of comments expressing personal history or a family/friend history of cervical abnormalities/cervical cancer as a reason for opposing changes to the cervical screening program. The comments were taken from a 20% random sample of 19,633 comments posted on the “Change.org” petition “Stop May 1st Changes to Pap Smears – Save Women's Lives” in February–March 2017. Results There were 831 (20.8%) commenters who reported that they were concerned about a change in screening due to: feelings of increased personal vulnerability to cervical cancer due to their own personal history of cervical abnormalities; comparison of extended screening intervals and later age of first screening to their own experiences; and a perception of increased personal risk due to family history. Conclusion Women previously affected by cervical abnormalities or cervical cancer, personally or through a friend/relative, expressed concern about changes to cervical screening due to perceived increased risk and feeling vulnerable due to personal history.

scholarly journals Countermeasures Against Cervical Cancer Through Detection of Fluor Albus Characteristic in Women at Medan, North Sumatera

2018 ◽  
Vol 1 (1) ◽  
pp. 1-8
Author(s):  
Fatwa Imelda ◽  
Nurbaiti
Keyword(s):  
Cervical Cancer ◽  
Pap Smear ◽  
Limited Resource ◽  
Reproductive Organs ◽  
Personal Hygiene ◽  
Early Screening ◽  
Risk Of Death ◽  
Late Stage Cancer ◽  
Reproductive Disorder ◽  
History Of

Cervical cancer is the first health problems for women in Indonesia with the highest risk of death. Delay diagnosis in late-stage cancer, vulnerable state, social status, low financial status, limited resource and facilities, type of histopathology and level of education determine patients’ prognosis. Fluor Albus is not a type of disease. It is a symptom of disease in female reproductive organs which can cause cervical cancer if it is not treated. Predisposition factors of Fluor Albus are including age, marital status, parity of menstrual cycle, contraception method, history of reproductive disorder, education, and job status. This community service aims to detect characteristic of fluor albus and to treat those identified with fluor albus atearly stage. The predisposition characteristics of fluor albus were collected from anamnesis while the Fluor Albus characteristic data were collected through direct observation of portio state of the uterian cervix. The activity was conducted from July to August 2017 in 3 different areas in Medan, North Sumatra with a total of 40 samples of women in their fertile age. Based on the analysis, 15 respondents (37.5%) found to suffer from Fluor Albus. Every woman is expected to be able to have early detection of Fluor Albus or symptoms of inflammatory infection of reproductive organs in order to prevent complication caused by Fluor Albus by paying more attention to personal hygiene, early screening by Pap Smear, IVA, and IHC (Immunohistochemistry).

scholarly journals A Novel Use of Laryngoscope for Difficult Papanicolaou Smear Collection

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Sarah Boudova ◽  
Caitlin Thomas ◽  
John Wolfe ◽  
Jeanne M. Schilder
Keyword(s):  
Cervical Cancer ◽  
Risk Factor ◽  
Pap Smear ◽  
Video Laryngoscope ◽  
Pelvic Anatomy ◽  
History Of ◽  
Intraepithelial Lesion ◽  
Glidescope Video Laryngoscope ◽  
Novel Approaches ◽  
Traditional Approaches

The prevalence of cervical cancer has dropped significantly since introduction of the Papanicolaou (Pap) screen. The greatest risk factor for cervical cancer is inadequate screening. Altered pelvic anatomy can limit the ability to collect a Pap smear. In the presented case, a woman with a history of fibroids and bleeding presented for an exam under anesthesia. Traditional approaches for collecting a Pap smear failed. A GlideScope video laryngoscope was used to visualize the cervix, and a Pap smear was collected. The specimen was satisfactory, negative for intraepithelial lesion or malignancy, and HPV negative. A laryngoscope can be repurposed to visualize collection of a challenging Pap smear. Novel approaches for Pap smear collection and cervical cancer screening are needed and have the potential to save lives.

AWARENESS REGARDING PAP SMEAR AMONG WOMEN IN BAGHDAD CITY, IRAQ

2021 ◽  
Vol 74 (9) ◽  
pp. 2287-2292
Author(s):  
Tiba Nezar Hasan ◽  
Taqi Mohammed Jwad Taher ◽  
Hasanain Faisal Ghazi
Keyword(s):  
Cervical Cancer ◽  
Family History ◽  
Pap Smear ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Care Level ◽  
Primary Care Level ◽  
History Of ◽  
Awareness Level

The aim: The aim of this study was to determine the awareness level regarding pap smear in women living in Baghdad city, Iraq. Materials and methods: A cross-sectional study was done in 265 women living in Baghdad city using internet-based survey. Questionnaire was adopted from a previous study to measure the awareness level among women. Results: the results showed that only 8(3%) of the respondent had a family history of cervical cancer. Almost (94%) have heard about cervical cancer, while only (38%) knew that HPV virus is the cause of cervical cancer. Majority of the respondents (87%) heard about pap smear while only 67 (25.0 %) had performed pap smear before. A total of 86% agreed that early diagnosis is important in treating of the cervical cancer. Conclusions: Majority of women heard of cervical cancer and pap smear, but the level of its practice is still low with only 25% of respondents had performed it before. More health promotion is needed especially, at the primary care level regarding the importance of performing regular pap smear especially for women with family history of the cervical cancer.

scholarly journals Riwayat Mendapat Konseling Tentang IVA Berhubungan dengan Keikutsertaan IVA pada Wanita Usia Subur di Puskesmas Sedayu I dan Sedayu II Bantul

2016 ◽  
Vol 4 (1) ◽  
pp. 25
Author(s):  
Arantika Meidya Pratiwi
Keyword(s):  
Cervical Cancer ◽  
Local Government ◽  
Pap Smear ◽  
Screening Program ◽  
Developed Countries ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Government Clinic ◽  
Incidence And Mortality ◽  
History Of

<p>Cervical cancer is a health problem that hit countries in the world. WHO estimates there are 460,000 new cases worldwide and 75% are in developing countries. The incidence of cervical cancer in Indonesia according to the Indonesia Departement of Public Health in 2010 reached 100 per 100,000 population per year. In contrast to the developed countries, the incidence and mortality from cervical cancer has decreased due to cervical cancer screening program that can be done with a pap smear or VIA (Visual Inspection of the Uterine Cervix with Acetic Acid). Based on the results of a survey conducted among women of childbearing age in Sedayu I and II Bantul Local Government Clinic in the last 3 years, it was found that the amount of data women of childbearing age inspecting VIA continues to decrease each year. The aim of research to determine the relationship between a history of getting counseling about VIA and VIA participation in women of childbearing age in Sedayu I and II Bantul Local Government Clinic. This study uses an analytical survey. The design of this study using cross sectional. The population in this study are all of women of childbearing age at Sedayu I and Sedayu II Local Government Clinic. The number of samples taken by counting the estimated number of samples obtained 102 women of childbearing age. The results showed that most of women of childbearing age ever get counseling from midwife/health workers about VIA as many as 65 people (63.7%) and the remaining 37 (36.3%). A total of 60 women of childbearing age (58.8%) has audited women of childbearing age VIA test and 42 (41.2%) have never done VIA test. The conclusion there was signifi cance correlation between a history of getting counseling about VIA and the VIA participation in women of childbearing age in Sedayu I and II Bantul Local Government Clinic with value of p=0.000.</p>

scholarly journals Effectiveness of Visual Inspection with Acetic Acid versus Papanicolaou Smear for Cervical Cancer Screening at Kirtipur Hospital

2017 ◽  
Vol 11 (2) ◽  
pp. 28-31
Author(s):  
Peru Pradhan ◽  
Sona Shrestha ◽  
Ganesh Dangal ◽  
Kabin Bhattachan
Keyword(s):  
Cervical Cancer ◽  
Acetic Acid ◽  
Predictive Value ◽  
Visual Inspection ◽  
Pap Smear ◽  
Lower Abdominal Pain ◽  
Suitable Alternative ◽  
History Of ◽  
Cervical Cells ◽  
Age Range

Aims: The aim of this study was to compare the accuracy of detecting precancerous cervical cells, via a visual inspection of the cervix and an application of acetic acid (VIA) with the Papanicolaou (Pap) smear,to screen for cervical cancer in resource poor countries.Methods: The study involved 189 women between the ages of 30-60 years, who attended the Gynaecological Out Patient Department at Kirtipur hospital from 1st December 2014 to 31st March 2015. A VIA and Pap smear was done in all women, with cervical biopsies conducted in VIA positive women.Results: Themajority of these women were in the age range of 30-39 years, non-smokers, housewives, multipara and non-users of contraception. Of the tested group 8 (4.2%) had a history of post coital bleeding, 64 (21.2%) presented with lower abdominal pain, 64 (33.9%) presented with suspected abnormal vaginal discharge and 34 (17.98%) with dysfunctional uterine bleeding. Out of 189 women the VIA was positive in 5 (2.62%) and a Pap smear was positive in 2 (1.1%). Bycomparison to a Pap smear the VIA has an accuracyof 100%, specificity 98.4%, positive predictive value 40% and negative predictive value 100%.Conclusions: A visual inspection of the cervix with acetic acid performed by a qualified physician is a suitable alternative for precancerous cell screening in low resource settings.

Predictors of compliance in colposcopy clinic follow-up among the uninsured

2009 ◽  
Vol 27 (15_suppl) ◽  
pp. e20511-e20511
Author(s):  
L. Wenzel ◽  
D. Chase ◽  
J. Hawk ◽  
K. Osann ◽  
K. Tewari
Keyword(s):  
Cervical Cancer ◽  
High Risk ◽  
Low Income ◽  
Pap Smear ◽  
Median Income ◽  
Screening Programs ◽  
Low Income Population ◽  
History Of ◽  
Colposcopy Clinic

e20511 Background: Despite successful screening programs for cervical cancer, ethnic disparities persist. The no-show rate for follow-up appointments after HPV-related abnormal pap smears approximates 50% in high risk populations. We sought to identify factors that may influence follow-up compliance in a multi-ethnic, low income population at risk for cervical cancer. Methods: A longitudinal cohort study was conducted by chart review for all patients identified as having had a colposcopy exam for HPV-associated cervical dysplasia at a southern California inner city clinic from 2006 to 2007. Compliance was defined as obtaining a pap smear within 3 to 14 months from the initial colposcopy. The following variables were evaluated in a multivariate logistic regression model to identify factors which predicted follow-up compliance: race, age, preferred language, insurance, income, marital status, cytology, histology, history of a LLETZ, and pregnancy status. Results: During the study period, 438 patients attended the colposcopy clinic. This approximates 52% of the 912 scheduled clinic appointments during 2006. Patients’ median age was 28 years, 41% were Spanish speaking, with an estimated median income of less than $20,000 for half of the sample. Approximately 71% of patients had temporary publically-funded insurance. Only 55% (239/438) returned for recommended follow-up pap smear. In univariate and multivariate analysis, neither language, Spanish surname, median income, age, histology, nor insurance status predicted adequate follow-up (p=ns). A history of having undergone a large loop excision of the transformation zone (LLETZ) was the only factor which significantly predicted compliance with recommended follow-up pap smear (OR=1.76; 95% CI 1.08–2.895). Conclusions: Follow-up compliance for this high-risk, low income population is very poor. Identifying factors which predict noncompliance could inform strategies to improve care. In this analysis a history of LLETZ was the only variable which predicted whether follow-up care occurred as recommended. Results suggest that intensive, culturally-sensitive colposcopy clinic-based educational interventions should be developed and evaluated. No significant financial relationships to disclose.

Awareness and Attitude to the Risk of Cervical Cancer and Screening Methods among Women in the Najran Region of Southern Saudi Arabia

2020 ◽  
Author(s):  
Majed Alshahrani ◽  
Salem Ali Alatef Sultan
Keyword(s):  
Risk Factors ◽  
Cervical Cancer ◽  
Pap Smear ◽  
Healthcare Providers ◽  
Screening Tests ◽  
Screening Methods ◽  
Sources Of Information ◽  
Cross Sectional ◽  
Pap Smear Screening ◽  
History Of

Abstract Introduction:The aim of this study was determined the level of awareness among women regarding risk factors for cervical cancer and screening methods, their sources of information, and general attitudes toward Pap smear screening tests and human papilloma virus vaccination.Method: A cross-sectional interviewer administered an electronic questionnaire among women in Najran City during the period from March 1, 2019 to June 30, 2019. The data were analyzed using IBM SPSS Statistics for Windows, Version 25.0. Armonk, NY: IBM Corp.Result: A total of 3,387 women participated in this study. Less than 10% of the participants had good awareness and 70% had poor awareness about the risk factors for cervical cancer. In terms of the major barriers to taking the Pap smear test among married women, 968 (56.7%) had no knowledge of the test and 338 (19.85%) considered it unnecessary. Significant predictors of the level of awareness about cervical cancer and Pap smear testing were identified as the age of women, occupation, family history of cancer, monthly income (P < 0.001) and education level (P = 0.003).Conclusion: we detected a lack of awareness about risk factors for cervical cancer and the benefits of early detection among women in this region. Healthcare providers should implement policies or programs for cervical cancer screening and vaccination throughout all primary healthcare centers.

scholarly journals Cancer, women, and public health: the history of screening for cervical cancer

2010 ◽  
Vol 17 (suppl 1) ◽  
pp. 53-67 ◽  
Author(s):  
Ilana Löwy
Keyword(s):  
Public Health ◽  
Cervical Cancer ◽  
Diagnostic Tests ◽  
Screening Test ◽  
Pap Smear ◽  
Lessons Learned ◽  
Early History ◽  
Human Malignancy ◽  
History Of ◽  
Cervical Tumors

Cytological screening for cervical cancer (the Pap smear), the first attempt at mass screening for a human malignancy, is often presented as a non-problematic demonstration of the feasibility of such screening. Screening for this tumor became a model for screening for other malignancies: breast, colon and prostate. My text follows the early history of the Pap smear and the conditions that led to its transformation into a routine screening test, despite persistent problems in stabilizing the readings of microscopic slides. It then analyzes the consequences of diffusion of the Pap smear, controversies surrounding this test, the mutual shaping of diagnostic tests and the disease cervical cancer, and the problematic extension of the lessons learned in screening for cervical tumors to other malignancies.

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