An evaluation of Cervical Cytological Screening in the University Teaching Hospital, Lusaka
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Date
 1977-08 
Authors
O'Dowd, M. j.
Grech, E.S.
Tsirkina, G.A.
Journal Title
Journal ISSN
Volume Title
Publisher
 University of Zambia, Medical Library 
Abstract
 Carcinoma  of  the  cervix  was  the  commonest type   of  female   cancer   recorded   over   a  four  year period   1968-1972,   in  the   Zambia  Southern  Cancer Registry.  Due  to  lack  of  knowledge  of the disease  in the  general  population,  patients fail  to  report  symptoms,  and  usually  present when the disease has reached a  late stage.  Results of treatment are then poor, as radiotherapy  is  not  available,  and  surgery  cannot be expected  to  cure  the  late  stage  of  the  disease  with which  the patient usually presents. Screening of cervical  scrape  smears  may  however detect carcinoma-insitu,   or   early   invasive   carcinoma   (Schiller   1933), and  the  results  of  surgery  in  these  early  cases  are good. An  educational  programme.  to  alert  those  patients  at  risk,  supplemented   by  cervical  cytological screening would  reduce the  number of patients being picked   up   in   the   late  stages  of  this  fatal  disease. Against this background it was decided to start a diagnostic cytology unit, initially as a pilot project. It was then  hoped  to expand  the service  to cope with mass cytological screening. An evaluation of the results of the initial screening is now presented. 
Description
Keywords
 Cervical Cytological Screening, Zambia , Cervical Smears , Vaginal Smears , Uterine Cervical Neoplasms , Cancer of the Cervix 
Citation
 O'Dowd, M. j. Grech, E.S. and Tsirkina, G.A. (1977). An evaluation of Cervical Cytological Screening in the  University Teaching Hospital,  Lusaka. Medical Journal of Zambia. 11 (4)