Abstract
Objective: To ensure proper recommendation of medical consultation after primary screening of the uterine cervix, a follow-up study of persons examined at Kariya Toyota General Hospital was carried out.
Methods: The results of 7,065 primary cervical screenings conducted from April 2010 to March 2011 and the follow-up status of examinees requiring further consultation were analyzed.
Results: Eighty-six (1.2%) of the 7,065 persons who underwent screening were recommended to have further consultation and 57 underwent examination, 50 of them at our hospital and 7 at other hospitals. Biopsy exams on 28 revealed 17 cases of cervical intraepithelial neoplasia (4 with CIN3, 6 with CIN2, 7 with CIN1) and there were 11 without dysplasia. Twenty-four underwent detailed cytology only without biopsy and the details of 5 were unknown. Operations on 6 revealed 4 CIN3, 1 CIN2 and 1 tubular cancer with CIN1.Of 29 who were thought not to have had further examination, 13 came back for our next our primary cervical screening and 6 were recommended to have further consultation.
Conclusion: Eighty-six of 7,065 examinees screened for uterine cervical cancer required further consultation, Gynecologists examined 57 of them and 29 were thought not to have been examined. Of them, 13 underwent our next primary cervical screening and 6 were recommended to have further consultation. Thus, it is important to provide proper follow-up after primary cervical screening.
