[Precancerous conditions in the cervix uteri in young women]

The author presents the increasing securing of various degrees of atypiae of the epithelium in the uterine neck including carcinoma in situ, and even carcinoma invasivum in young females in connection with preventive examinations being extended even on young females without age limit. In the years 1961 to 1973 only in the district Hradec Králové and its environment, a total of 181 females with a pathological finding in the cervix was found. Out of them in 19 females carcinoma in situ with with the onset of invasion was observed, in 13 females progressive carcinoma invasivum was found. Mutual relations are shown in Table I and Table II. In Table III the author wants to show that all preventive examinations in all females coming to the prenatal consulting centre for the first time are worth being carried out thoroughly. Thus 51 females--very young--with a finding in the cervix were discovered. The performance of preventive examinations as late as after the thirtieth year of age is considered to be incorrect. When searching for precanceroses of the uterine neck it is not possible to state any limits. The sooner and the more frequent the prebioptic examination methods are employed, the more probably the changes which may be, however, reversible, but which never exclude any possibility of malignant development may be found.