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. 1989 Jun;35:1365–1372.

Screening for Squamous Cell Carcinoma of the Cervix

Grahame Owen
PMCID: PMC2280384  PMID: 21248974

Abstract

The author reviews the origins of screening for squamous cell carcinoma of the cervix and the question of its value. Definitions of screening and case finding are given. The natural history of carcinoma of the cervix is explored. Barriers to screening and items that facilitate the process are described. A selection of the many recommendations which have been tabled since 1976 are documented. An appropriate screening plan for Canadian family physicians is suggested.

Keywords: cervical cancer, screening techniques, squamous cell carcinoma

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Anderson G. H., Boyes D. A., Benedet J. L., Le Riche J. C., Matisic J. P., Suen K. C., Worth A. J., Millner A., Bennett O. M. Organisation and results of the cervical cytology screening programme in British Columbia, 1955-85. Br Med J (Clin Res Ed) 1988 Apr 2;296(6627):975–978. doi: 10.1136/bmj.296.6627.975. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Arbogast J. G., Dodrill W. H. Health maintenance and the personal computer. J Fam Pract. 1984 Jun;18(6):947–950. [PubMed] [Google Scholar]
  3. Bass M. J. Organizing the office for effective detection and management of hypertension. Can Fam Physician. 1985 Feb;31:351–354. [PMC free article] [PubMed] [Google Scholar]
  4. Brinton L. A., Schairer C., Haenszel W., Stolley P., Lehman H. F., Levine R., Savitz D. A. Cigarette smoking and invasive cervical cancer. JAMA. 1986 Jun 20;255(23):3265–3269. [PubMed] [Google Scholar]
  5. Clarke E. A., Anderson T. W. Does screening by "Pap" smears help prevent cervical cancer? A case-control study. Lancet. 1979 Jul 7;2(8132):1–4. doi: 10.1016/s0140-6736(79)90172-7. [DOI] [PubMed] [Google Scholar]
  6. Draper G. J., Cook G. A. Changing patterns of cervical cancer rates. Br Med J (Clin Res Ed) 1983 Aug 20;287(6391):510–512. doi: 10.1136/bmj.287.6391.510. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Elmslie T. J. The pap smear and cervical cancer screening. Can Fam Physician. 1987 Jan;33:131–137. [PMC free article] [PubMed] [Google Scholar]
  8. Fedorkow D. M., Robertson D. I., Duggan M. A., Nation J. G., McGregor S. E., Stuart G. C. Invasive squamous cell carcinoma of the cervix in women less than 35 years old: recurrent versus nonrecurrent disease. Am J Obstet Gynecol. 1988 Feb;158(2):307–311. doi: 10.1016/0002-9378(88)90144-5. [DOI] [PubMed] [Google Scholar]
  9. Fink D. J. Change in American Cancer Society Checkup Guidelines for detection of cervical cancer. CA Cancer J Clin. 1988 Mar-Apr;38(2):127–128. doi: 10.3322/canjclin.38.2.127. [DOI] [PubMed] [Google Scholar]
  10. Frame P. S., Kowulich B. A., Llewellyn A. M. Improving physician compliance with a health maintenance protocol. J Fam Pract. 1984 Sep;19(3):341–344. [PubMed] [Google Scholar]
  11. Gunby P. Compromise reached on suggested intervals between Pap tests. JAMA. 1980 Sep 26;244(13):1411–1413. [PubMed] [Google Scholar]
  12. Hudson E. The prevention of cervical cancer: the place of the cytological smear test. Clin Obstet Gynaecol. 1985 Mar;12(1):33–51. [PubMed] [Google Scholar]
  13. Lără E., Day N. E., Hakama M. Trends in mortality from cervical cancer in the Nordic countries: association with organised screening programmes. Lancet. 1987 May 30;1(8544):1247–1249. doi: 10.1016/s0140-6736(87)92695-x. [DOI] [PubMed] [Google Scholar]
  14. Madlon-Kay D. J. Improving the periodic health examination: use of a screening flow chart for patients and physicians. J Fam Pract. 1987 Nov;25(5):470–473. [PubMed] [Google Scholar]
  15. Mandelblatt J. S., Hammond D. B. Primary care of elderly women: is Pap smear screening necessary? Mt Sinai J Med. 1985 Apr;52(4):284–290. [PubMed] [Google Scholar]
  16. Mandelblatt J., Gopaul I., Wistreich M. Gynecological care of elderly women. Another look at Papanicolaou smear testing. JAMA. 1986 Jul 18;256(3):367–371. [PubMed] [Google Scholar]
  17. Miller A. B. Cervical cancer screening: a time for reappraisal in Canada. Can J Public Health. 1988 Mar-Apr;79(2):90–91. [PubMed] [Google Scholar]
  18. Mitchell H., Drake M., Medley G. Prospective evaluation of risk of cervical cancer after cytological evidence of human papilloma virus infection. Lancet. 1986 Mar 15;1(8481):573–575. doi: 10.1016/s0140-6736(86)92807-2. [DOI] [PubMed] [Google Scholar]
  19. Morell N. D., Taylor J. R., Snyder R. N., Ziel H. K., Saltz A., Willie S. False-negative cytology rates in patients in whom invasive cervical cancer subsequently developed. Obstet Gynecol. 1982 Jul;60(1):41–45. [PubMed] [Google Scholar]
  20. Peck S. D. The yearly Pap test--a necessity for American women. J Am Osteopath Assoc. 1982 May;81(9):625–631. [PubMed] [Google Scholar]
  21. Prislin M. D., Vandenbark M. S., Clarkson Q. D. The impact of a health screening flow sheet on the performance and documentation of health screening procedures. Fam Med. 1986 Sep-Oct;18(5):290–292. [PubMed] [Google Scholar]
  22. Robertson J. H., Woodend B. E., Crozier E. H., Hutchinson J. Risk of cervical cancer associated with mild dyskaryosis. BMJ. 1988 Jul 2;297(6640):18–21. doi: 10.1136/bmj.297.6640.18. [DOI] [PMC free article] [PubMed] [Google Scholar]
  23. Rourke J. T., Rourke L. L. Well baby visits: screening and health promotion. Can Fam Physician. 1985 May;31:997–1002. [PMC free article] [PubMed] [Google Scholar]
  24. Sadeghi S. B., Hsieh E. W., Gunn S. W. Prevalence of cervical intraepithelial neoplasia in sexually active teenagers and young adults. Results of data analysis of mass Papanicolaou screening of 796,337 women in the United States in 1981. Am J Obstet Gynecol. 1984 Mar 15;148(6):726–729. doi: 10.1016/0002-9378(84)90555-6. [DOI] [PubMed] [Google Scholar]
  25. Sadeghi S. B., Sadeghi A., Robboy S. J. Prevalence of dysplasia and cancer of the cervix in a nationwide, planned parenthood population. Cancer. 1988 Jun 1;61(11):2359–2361. doi: 10.1002/1097-0142(19880601)61:11<2359::aid-cncr2820611135>3.0.co;2-7. [DOI] [PubMed] [Google Scholar]
  26. Shun-Zhang Y., Miller A. B., Sherman G. J. Optimising the age, number of tests, and test interval for cervical screening in Canada. J Epidemiol Community Health. 1982 Mar;36(1):1–10. doi: 10.1136/jech.36.1.1. [DOI] [PMC free article] [PubMed] [Google Scholar]
  27. Skrabanek P. Cervical cancer screening: the time for reappraisal. Can J Public Health. 1988 Mar-Apr;79(2):86–89. [PubMed] [Google Scholar]
  28. Starreveld A. A., Romanowski B., Hill G. B., Koch M., Pearce K. I. The latency period of carcinoma-in-situ of the cervix. Obstet Gynecol. 1983 Sep;62(3):348–352. doi: 10.1097/00006250-198309000-00017. [DOI] [PubMed] [Google Scholar]
  29. Sullivan F. M., Eagers R. C., Lynch K. Create and maintain an age-sex register. Br Med J (Clin Res Ed) 1987 Jul 11;295(6590):99–100. doi: 10.1136/bmj.295.6590.99. [DOI] [PMC free article] [PubMed] [Google Scholar]
  30. Syrjänen K. J., Syrjänen S. M. Human papilloma virus (HPV) infections related to cervical intraepithelial neoplasia (CIN) and squamous cell carcinoma of the uterine cervix. Ann Clin Res. 1985;17(2):45–56. [PubMed] [Google Scholar]
  31. Toews H. A. The abnormal pap smear: a rationale for follow up. Can Fam Physician. 1983 Apr;29:759–762. [PMC free article] [PubMed] [Google Scholar]

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