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Tubal Cytology of the Fallopian Tube as a Promising Tool for Ovarian Cancer Early Detection
Published on: July 25, 2017
Follow-up care of women with an abnormal cytology in a low-resource setting
Julia C Gage1, Catterina Ferreccio, Miguel Gonzales
1Health Resources and Services Administration, 5600 Fishers Lane, Room 18-41, Rockville, MD, USA. jgage@hrsa.gov
Study Purpose:
We ascertained the follow-up care after an abnormal cytology (Papanicolaou) screening in the San Marti;n region of Perú and assessed the status of women who had not received adequate care.
Basic Procedures:
We identified women with an abnormal cytology and assessed their medical records, laboratory registries, death certificates and interviewed them at home. Re-screening, diagnosis and treatment were offered.
Main Findings:
Only 46 (25%) of the 183 women identified received appropriate follow-up care. At re-screening 31 (34%) had a normal result, 9 (10%) were diagnosed with CIN1 and 50 (56%) had CIN2 or worse.
Principal Conclusions:
In this setting, follow-up care after an abnormal cytology was very poor and could explain the lack of impact of cervical cancer screening. Women with an abnormal cytology constitute a high-risk group that should be a priority for health services.
