[The results of screening program for cervical cancer in Lodz].
OBJECTIVE
Despite effective screening methods, most often tumor of the urogenital tract is still cancer of the uterine cervix. Proven in many countries the value of widespread screening of the precancerous lesions and cervical cancer justifies carrying out such prophylactic tests in Poland.


METHODS
Assessment of results of screening as a method of early detection of cancer of the uterine cervix among inhabitants of Łódź area.


METHODS
Study was done between 1.07.2000 and 31.12.2000 among 5,000 women aged from 30 to 59 years, inhabitants of Łódź area. Smears were evaluated in five-grade Papanicolaou scale and according to TBS system. In cases of detection of erosion of the uterine cervix or abnormal results of cytological test (> or = III degree) biopsies were taken to make pathological diagnosis.


RESULTS
459 smears were qualified to group I according to Papanicolaou (9.18%), 4435 smears to group II (88.7%), 38 smears to II/III (0.76%), 65 smears to group III (1.3%), 2 smears to IV (0.04%) and 1 smear to V (0.02%). Due to histopathological verification of the cytological results 53 low grade cervical dysplasia (1.06%) were diagnosed, 8 dysplasia of medium grade (0.16%), 7 high grade dysplasia (0.14%), 3 pre-invasive cancers (0.06%) and 3 invasive cancers (0.06%).


CONCLUSIONS
Population of inhabitants of Łódź area aged 30 to 59 years old is characterised by a high frequency of incidence of pre-cancerous conditions and invasive cervical cancer. Number of detected pathologies of the uterine cervix proves purposefulness of this project.
Gottwald
Leszek
L
I Kliniki Ginekologii i Onkologii Ginekologicznej, Instytutu Ginekologii i Połoznictwa Akademii Medycznej w łodzi.
Giernat
Ludwika
L
Lech
Waldemar
W
Wójcik-Krowiranda
Katarzyna
K
Akoel
Kindah Mo
KM
Kowalczyk-Amico
Katarzyna
K
Estemberg
Dorota
D
Grzesiak
Mariusz
M
Sosnowski
Dariusz
D
Guzowski
Grzegorz
G
Baś
Elzbieta
E
Tyliński
Wiesław
W
Bieńkiewicz
Andrzej
A
D000328:Adult; D005260:Female; D006801:Humans; D008403:Mass Screening / Q000379:methods*; D008875:Middle Aged; D065006:Papanicolaou Test; D011044:Poland / Q000453:epidemiology; D012307:Risk Factors; D002578:Uterine Cervical Dysplasia / Q000175:diagnosis* / Q000453:epidemiology; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis* / Q000453:epidemiology; D014626:Vaginal Smears / Q000379:methods / Q000706:statistics & numerical data