title: Cervical cancer screening in Italy: quality of colposcopy and treatment. 2009 activity.
abstract: We collected data from organised Italian cervical screening programmes on: a) the correlation between colposcopic findings (according to the 1990 international classification) and histology, and (b) the treatment/management of screen-detected histologically-confirmed cervical intraepithelial neoplasia (CIN). Data routinely registered by organised programmes were obtained as aggregated tables. Of the 30,049 reported colposcopies, 40.3% were classified as normal and 19.9% as unsatisfactory. CIN2 or more severe histology was detected in 66.4% of colposcopies classified as grade 2 or higher. Of all colposcopies, the outcome of which was CIN2 or more severe histology, 41.8% were classified as grade 2 or higher. Of the 5,734 women with CIN1, 73%were recommended to have follow-up only. However, 0.8%of them had cold-knife conisation and 3.8%were treated by diathermocoagulation. Of the 3,713 women with CIN2 or CIN3, 5.1%had not yet been treated when data were collected, and no data were available for a further 15.1%. Excision by radio-frequency device was the most common treatment among these women (68.6% of those with known treatment). However 0.4% of all CIN2 and 3.6% of all CIN3 had hysterectomy. Among the 199 women with invasive carcinoma, 12% plausibly with microinvasive disease had only excisional treatment reported.
authors.affiliation: CPO Piemonte, Torino. guglielmo.ronco@cpo.it
authors.forename: Guglielmo
authors.initials: G
authors.lastname: Ronco
authors.forename: Renzo
authors.initials: R
authors.lastname: Volante
authors.forename: Pamela
authors.initials: P
authors.lastname: Giubilato
mesh_terms: D002277:Carcinoma / Q000453:epidemiology / Q000473:pathology* / Q000601:surgery*; D017115:Catheter Ablation / Q000706:statistics & numerical data; D003127:Colposcopy / Q000592:standards* / Q000706:statistics & numerical data; D019092:Conization / Q000706:statistics & numerical data; D003625:Data Collection; D055088:Early Detection of Cancer / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007044:Hysterectomy / Q000706:statistics & numerical data; D015994:Incidence; D007558:Italy / Q000453:epidemiology; D009367:Neoplasm Staging; D016896:Treatment Outcome; D002583:Uterine Cervical Neoplasms / Q000453:epidemiology / Q000473:pathology* / Q000601:surgery*; D002578:Uterine Cervical Dysplasia / Q000473:pathology / Q000601:surgery