Screening of asymptomatic women for endometrial carcinoma

Abstract

A pilot study of the screening for endometrial carcinoma was performed to 4, 283 women who were asymptomatic and hoped to have the screening for uterine cancer by using endometrial cytology, and to evaluate the usefullness of the non-selected method of screening.
Two cases who showed positive smear were experienced, one of which was diagnosed as endometrial cancer i.e. 0.02% of the cancer detection rate. Another one was a false positive case who was realized to have IUD i.e. 0.02% of the false positive rate.
Those factors which are reportedly related to higher detection of endometrial cancer such as age, histories of nuli-gravidity and menopause and so-called complications of the carcinoma were evaluated. Our results conclude that those factors are no longer significant among the series of asymotomatic women, and instead emphasize the necessity of a selected screening system which is restricted in the group of women who show some symptom of genital bleeding in order to detect endometrial carcinoma with reasonable frequency.