Avtor/Urednik		Smrkolj, Špela
Naslov		Ali obstoja hitro rastoči rak materničnega vratu
Tip		monografija
Kraj izdaje		Ljubljana
Založnik		Medicinska fakulteta
Leto izdaje		2001
Obseg		str. 32
Jezik		slo
Abstrakt		Background. After 1994 the incidence of cervical cancer has been dramatically increasing; the stabilized incidence of 15-16 /100.000 women increased to 23/100.000 women in 1997. This steep increase might not be only the consequence of the womens negligence to come to preventive gynecological examinations, but very likely also the consequence of the actual higher number of interval cervical cancer cases. Interval cervical cancer is detected in women having the smear regularly taken (period 1-3 years) and being relatively young (30-40 years). Methods. In order to find whether interval cervical cancer exists also in Slovenia, we analysed 624 patients with cervical cancer, included in the Cancer Registry of the Republic of Slovenia in the period 1995-2000. We re-evaluated cytological smears taken from the uterine cervix and compared them to the initial ones. Additionally, we assessed the patient data considering histological type, stage made on clinical and surgical evaluations, surgical treatment and other known prognostic factors. Results. Of the 155 re-evaluated findings of cervical smears we found 9 (5.8%) cases of interval cervical cancer. 43 % of patients did not come to regular gynecological examinations; in the patients coming to regular gynecological examinations, there were errors found concerning the prescribed treatment-16 % these errors were obvious, whereas in 31.5 % they were minor; besides, there were 15.8 % of false negative cytologic diagnoses, either for inadequate sampling (7.3 %) or inaccurate interpretation (12.3 %). Among all patients there were 65 % cases of squamous cell carcinoma and 30 % cases of adenocarcinoma and adenosquamous cell carcinoma. Conclusions. The findings of this study confirm the existence of interval cervical cancer in Slovenia, but the incidence of this cancer cannot be estimated. However, the actual share of women with the rapid onset of cervical cancer is lower than expected (5 %). (Abstract truncated at 2000 characters).
Deskriptorji		CERVIX NEOPLASMS NEOPLASM STAGING DISEASE PROGRESSION REGISTRIES VAGINAL SMEARS PROGNOSIS