CERVICAL CYTOLOGY TRANSITION RATE IN CAN THO CITY FROM 2013 TO 2020
Main Article Content
Abstract
Background: Cervical cancer is the second most common genital cancers and the fourth among causes of death in women. Regular screening can help reduce risks by 90%. Objectives: The study was designed to determine PAP, VIA, pathology abnormal rate and PAP and VIA transition rates in women in Can Tho city from 2013 to 2020. Materials and methods: Prospective cohort study. Interviews, gynecological examinations and PAP, VIA, anapath testing were used to collect data for the study in 2018 and 2020. The results were recorded and compared with those of PAP, VIA in 2013 to assess the development of VIA, PAP over time: Transition included conversion to VIA/ PAP positive state. No transition included clearance of VIA/PAP and the results remained negative or positive. At the same time, determine rate of PAP, VIA, abnormal anapath in 2018 and 2020. Results: With the sample size of 225 caese in 2018; and 213 cases in 2020, the average age in the study was 49.6 ± 10.5 years old, of which age group ≥ 45 years old is the highest rate 62.4%; 85% of women were living with their husbands, while 5.6% of them were divorced, and women who lived away from their husbands due to work accounted for 3.3%. After following 7 years (2013–2020), Abnormal rate of PAP was 3.8%; VIA was 19.7%; abnormal anapath was 2.8%. The rate of change in the bad direction of PAP was 3.3%; of VIA was 16.3%. Conclusions: There is cervical cytology transition over time.
Keywords
VIA, PAP, pathological, transition, cervical cancer
Article Details
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References
acid acetic (VIA) trong sàng lọc ung thư cổ tử cung tại Bắc Ninh và Cần Thơ, một số yếu tố liên quan đến ung thư cổ tử cung, Luận án tiến sĩ Y tế công cộng, Trường Đại Học Y Tế Công Cộng.
2. Bộ Y Tế (2019), Quyết định về việc phê duyệt tài liệu “Đề án thí điểm sàng lọc phát hiện sớm ung thư cổ tử cung và xử trí tại một số tỉnh giai đoạn 2019-2025”, Số: 3877/QĐBYT, ngày 29 tháng 08 năm 2019.
3. Trịnh Quang Diện, Tạ Văn Tờ, Phạm Thị Hân (2014), Một số đặc điểm về tình trạng tổn thương cổ tử cung về mặt tế bào học ở phụ nữ một số xã thuộc huyện Bình Lục (tỉnh Hà Nam). Tạp chí Y học Thực hành, số 1(903), tr.121- 128.
4. Trần Ngọc Dung và cộng sự (2016), Nghiên cứu tình hình nhiễm HPV ở phụ nữ thành phố Cần Thơ bằng kỹ thuật PCR. Sở Khoa học – Công Nghệ thành phố Cần Thơ.
5. Ashlord Lori, Collymore Yvette (2005), Preventing cervical cancer worldwide. Population Reference Bureau.
6. Brenda E. Sirovich (2004), The Frequency of Pap Smear Screening in the United States. J Gen Intern Med, 19, pp. 243-250.
7. Kelly H, Mayaud P, Segondy M, Pai NP, Peeling RW (2017), A systematic review and meta-analysis of studies evaluating the performance of point-of-care tests for human papillomavirus screenin., Sex Transm Infect, (93), pp. 36–S45.
8. Megan J.Huchko, Jennifer Sneden, Jennifer M. Zakaras et al (2015), A randomized trial comparing the diagnostic accuracy of visual inspection with acetic acid to visual inspection with lugol’s iodine for cervical cancer screening in HIV- infected women. Journal pone, pp. 1371 – 1383.
9. National Center for Biotechnology Information (2019), Cervical Cancer Screening. PDQ Cancer Information Summaries, Update ngày 16/10/2019
10. Nogara P.R.B., Manfroni L.A.R., Consolaro M. E. L. (2013), Frequency of cervical intraepithelial neoplasia grade II or worse in women with a persistent low- grade squamous intraepithelial lesion seen by papanicolaou smears. Arch Gynecol Obstetrics, Volume 288, Issue 5, pp. 1125 – 1130.
11. Sarah L. Bedell, Lena S. Goldstein, Amelia R. Goldstein and Andrew T. Goldstein (2020), Cervical Cancer Screening: Past, Present, and Future. Sexual Medicine Reviews, Volume 8, Issue 1, pp. 28-37.
12. Siegel RL, Miller KD, Jemal A (2019), Cancer statistics. CA Cancer J Clin, 68, pp. 7-30.
13. Stewart Massad, Helen E. Cejtin (2004), Treatment of cervical entraepithelial neoplasia. Gynecology & Obstetrics, Chapter 3, Vol 4, Lippincott Williams and Wilkins.
14. Thomas J. Bader, Nguyễn Duy Tài biên dịch (2011), Ung thư cổ tử cung. Sản phụ khoa: những điều cần biết, ấn bản lần thứ 3, tr. 166 – 170.
15. Waren Levinson (2014), Review of Medical Microbiology and Immunology. Lange, Thirteenth edition.
16. World Health Organization (2019), Human papillomavirus (HPV) and cervical cancer. Available from: https://www.who.int/news-room/fact-sheets/detail/human-papillomavirus -(HPV)-and-cervical-cancer.
17. Yenrudee Poomtavorn, Komsun Suwannarurk (2015), Accuracy of visual Inspection with Acetic acid in detecting high grade cervical intraepithelial neoplasia in pre-and postmenopausal Thai women with minor cervical cytological abnormalities. Asian Pacific Journal of Cancer Prevention, Vol 16, pp. 2327 – 2331.