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American Journal of Public Health, Vol 90, Issue 4 620-623, Copyright © 2000 by American Public Health Association


JOURNAL ARTICLE

Revisiting the effect of the Pap test on cervical cancer

ND Holmquist
Dept of Pathology, Louisiana State University, School of Medicine, New Orleans 70112, USA.

OBJECTIVES: This report documents the effect of not having had a Papanicolaou (Pap) test on survival with uterine cervical squamous carcinoma. METHODS: Data were derived from Charity Hospital of Louisiana at New Orleans Tumor Registry reports for 1984-1987 and 1996. RESULTS: During the 5 study years, 101 of 213 women (47%) with invasive carcinoma had not undergone a previous Pap test. From 1984 to 1987, the observed 5-year survival rate for 171 patients with invasive carcinoma was 43%. The observed 5-year rate for 107 patients with carcinoma in situ from 1984 to 1986 was 99%. CONCLUSIONS: The goal of a yearly Pap test for all women can be approached by a number of different routes, with the use of all health facilities augmented with collection of specimens by trained nonphysician personnel.


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Obstet GynecolHome page
M. Saraiya, N. C. Lee, D. Blackman, M.-J. Smith, B. Morrow, and M. A. McKenna
Self-Reported Papanicolaou Smears and Hysterectomies Among Women in the United States
Obstet. Gynecol., August 1, 2001; 98(2): 269 - 278.
[Abstract] [Full Text] [PDF]




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