[Results of combined examinations using the colposcopic and cytologic technics in the detection of uterine cervix cancer in patients with vaginal portio erosions].
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11 364 systematical gynecological items including colposcopy and cytology have been performed in the specialized consultation of the "Centre des Examens de Santé de la Gironde". 58 severe dysplasias and cancers were found, all of them by tissue section. The efficiency of this screening amongst a non selected population is of 0,51 per cent. This study, the results of which are compared to a few recent statistics, is an approach to a regional epidemiologic research, upon uterine carcinomas. It may define a high risk group which should benefit a more frequent survey.
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The smears preceding the histologic diagnosis of cervical intraepithelial neoplasia (CIN 3) were examined in 100 consecutive cases from an intensively screened population. In 60 patients, negative cytology has been recorded prior to the development of dysplasia; in 27 this had occurred within two years of the histologic diagnosis. These findings suggest that the transition time from epithelial normality to CIN 3 may be shorter than has been generally assumed; therefore, the intensity and frequency of screening should be reviewed.
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