Science Links Japan | Results of Two Different Screening Systems for Cervical Cancer in the Past Ten Years in Fukui Prefecture. Mass-screening in a Public Mobile Clinic and Individual Screening at a Clinic.

Results of Two Different Screening Systems for Cervical Cancer in the Past Ten Years in Fukui Prefecture. Mass-screening in a Public Mobile Clinic and Individual Screening at a Clinic.

Accession number;01A0881538

Title;Results of Two Different Screening Systems for Cervical Cancer in the Past Ten Years in Fukui Prefecture. Mass-screening in a Public Mobile Clinic and Individual Screening at a Clinic.

Author; IIDA KAZUTADA (Fukui Prefect. Inst. of Public Health) MATSUI TOSHIO (Fukui Prefect. Inst. of Public Health) MORISHITA YOKO (Fukuikenkenkokanrikyo)

Journal Title;Hokuriku Journal of Public Health

Journal Code:L0109A

ISSN:0386-3530

VOL.27;NO.1;PAGE.19-25(2000)

Figure&Table&Reference;FIG.6, TBL.6, REF.12

Pub. Country;Japan

Language;Japanese

Abstract;We compared data obtained from mass-screening of 197,088 women with findings obtained from individual screening of 21,567 women between the ten year period of 1987 and 1996. 1) Both the ratio of cases where a second examination was required and the rates of cases where dysplasia and carcinoma in situ and infiltrative carcinoma were higher in individual screening than mass-screening. 2) Dysplasia and carcinoma in situ detection rates were higher for the women in the 30's and 40's. 3) The ratio of class IIIa, IIIb, IV, V of cytology were higher in individual screening than mass-screening. 4) The ratio f accuracy of cytologic examination was class IIIa 25.3%, class IIIb 80.5%, class IV 82.1%, class V 100.0% in mass-screening. The ratio of accuracy of cytologic examination was class IIIa 25.2%, class IIIb 79.4%, class IV 62.5%, class V 83.3% in individual screening. The ratio of false positive of cytologic examination were class IV 3.6%, and class V 0.0%. in mass-screening. The ratio of false positive of cytologic examination were class IV 16.7% and class V 0.0% in individual screening. 5) Cytologic classification is compares with histologic findings except for benign cases. The ratio of dysplasia detection in class IIIa was 87.1% in mass screening and 78.0% in individual screening. The ratio of dysplasia detection in class IIIb was 37.3% in mass screening and 60.7% in individual screening. The ratio of carcinoma in situ detection in class IIIb was 43.1% in mass screening and 32.1% in individual screening. The ratio of carcinoma in situ and infiltrative carcinoma detection in class IV was 86.2% in mass screening and 60.7% in individual screening. In class V, all 31 subjects of mass screening were detected carcinoma and 5 out of 6 subjects were detected carcinoma from individual screening. 6) The percentage of subjects who took the test for the first visit was 13.7-17.4% in mass-screening and 25.6-35.1% individual screening.... (author abst.)

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