Downstaging of Carcinoma of Uterine Cervix in South Indian Women on Westcoast.

Kushtagi, Pralhad and Rao, Kuntal and Rao, Ravikala V (1995) Downstaging of Carcinoma of Uterine Cervix in South Indian Women on Westcoast. Journal of Obstetrics-Gynecology of India, 45 (5). pp. 666-670.

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Carcinoma of uterine cervix continues to be most frequent gynaecological cancer in India. The local population remains unscreened for carcinoma cervix, barring some who had attended hospital with gynaecological complaint(s). total of 4034 women in South Kanara attending family planning clinics (320), general gynaecological clinics (3241) and organized cancer detection camps (473) were subjected to clinical examination, pap smear and women with abnormal smear reports (351) to colposcopy/ biopsy. Comprehensive training workshops of 2 days duration were arranged for health workers and general practitioners to train in identification of cervical lesions on speculum examination and pap smear taking. Thirty-nine of 351 abnormal smears (11.1%) were found to be negative on subsequent colposcopy/ biopsy. Histopathological diagnosis was in agreement with colposcopic impression in 274, i.e. 78% cases. After the downstaging workshop, the agreement in clinical diagnosis between gynaecologists and general practitioners was 62.3% and that with health workers was 54.2%. routine screening in 1993 showed an apparent increase in detection rate of dysplasias and a relative decrease in the incidence of invasive cancers than in 1992. The present programme is believed to help in bringing awareness, downstage the disease and change the morbidity pattern in the society.

Item Type: Article
Uncontrolled Keywords: Carcinoma cervix; downstaging;
Subjects: Medicine > KMC Mangalore > Obstetrics & Gynaecology
Medicine > KMC Mangalore > Pathology
Depositing User: KMCMLR User
Date Deposited: 16 Apr 2012 05:11
Last Modified: 16 Apr 2012 05:11

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