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A comparative analysis of outcomes of preventive screening for early detection of cervical cancer in patients from two diff erent regions in the Lubusz Province (Poland)

Hanna Giezowska1,2

Affiliacja i adres do korespondencji
Curr Gynecol Oncol 2017, 15 (4), p. 246–262
DOI: 10.15557/CGO.2017.0024
Streszczenie

Introduction: Cervical cancer is one of the most commonly diagnosed gynecologic malignancies in Poland. Due to effective prevention and increasing health awareness among women, the incidence of cervical cancer is dropping in many European countries. In Poland, morbidity and mortality due to cervical cancer vary depending on the region. Unfortunately, the Lubusz Province has had one of the highest rates of morbidity and mortality from cervical cancer for the last 10 years. HPV infection is a necessary, but may not be sufficient for the initiation of neoplastic processes in the cervix. Other factors include chronic vaginitis, early sexual initiation, multiparity, age, tobacco smoking, immune deficiencies and low socioeconomic status of women. The aim of the study was to compare cytological findings in patients from Lubusz Province, from two regions different in terms of the socioeconomic status of inhabitants – Słubice County (borderland) and Zielona Góra (a city). Material and methods: Cytological findings from the Cytodiagnostic Laboratory of the Zdrojowa Clinic in Zielona Góra from years 2010–2013 were used in the study. Results: Comparative analysis of cytological findings showed a significantly higher number of high-grade lesions in patients from Słubice County vs. Zielona Góra. Conclusions: The risk of pathological cervical lesions was higher among young women from borderland. The risk of high-grade intraepithelial lesions and cervical cancer is determined by the socioeconomic status.

Słowa kluczowe
cervical cancer, cytology, preventive screening