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Screening history of elderly women diagnosed with cervical cancer
Örebro University, School of Medical Sciences. Örebro University Hospital. Center For Clinical Research, Dalarna.ORCID iD: 0000-0002-7407-9642
School Of Medicine, Faculty Of Medicine And Health, Örebro University, Örebro, Sweden.
2018 (English)In: International Journal of Gynecology & Obstetrics, ISSN 0020-7292, E-ISSN 1879-3479, Vol. 143, no S3, p. 927-927Article in journal, Meeting abstract (Refereed) Published
Abstract [en]

Objectives: Cervical cancer in elderly women is often discovered at advanced stages and the prognosis is poor. In Sweden, where the screening program ends at the age of 60 in most counties, approximately 30% of the women diagnosed with cervical cancer are older than 60. The aim of this study was to investigate the cytological screening history in women diagnosed with cervical cancer at the age of 61 years and older.

Method: This is a retrospective study including women from the counties of Örebro, Dalarna, and Gävleborg, (Sweden,) diagnosed with cervical cancer at the age of 61 years and older between 2001 and 2016. Screening history was obtained from 1967.

Results: Out of the 223 women, 142 (63.7%) had participated in the screening program at least once and 95 (42.6%) had participated in the screening five times or more. Of the 142 women with at least one screening sample, 76 (53.5%) had a benign screening history. Of all women 76 (34.1%) had benign screening history, 66 (29.6%) had had dysplasia and 19 (8.5%) high-grade dysplasia. It was more common with a benign screening history among women diagnosed with adenocarcinomas compared to squamous cell carcinomas (p=0.002).

Conclusions: In elderly women diagnosed with cervical cancer, more than one third had not participated in the screening program, nearly one third had a benign screening history and one-third of the women had dysplasia in their screening history. Continuing screening past the age of 60 can decrease the incidence of cervical cancer.

Place, publisher, year, edition, pages
Wiley-Blackwell Publishing Inc., 2018. Vol. 143, no S3, p. 927-927
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
URN: urn:nbn:se:oru:diva-73752OAI: oai:DiVA.org:oru-73752DiVA, id: diva2:1305133
Conference
FIGO XXII, Rio de Janeiro, Brazil, 14-19 October, 2018
Available from: 2019-04-15 Created: 2019-04-15 Last updated: 2019-04-15Bibliographically approved

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Lindström, Annika K.

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CiteExportLink to record
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  • apa
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