[Comparative studies of 2 systems of early cyto-oncologic diagnosis of cervix erosion]

In the years 1979-1980 screening examinations (by the open method) were given to 51232 women, that is 85.3% of the female population of Bytom at risk for cervical cancer. Grade I and II cytological smears were found in 46320 (98.52%) of women. Papanicolau grade III was found in 201 (1.12%), and grade IV-V in 64 (0.12%). At the same time, in the years 1978-1984 in the closed health service institutions 19968 women were examined, and suspected smears (grade III-IV) were noted in 368 cases (1.8%). Histological verification showed cervical dysplasia in 184 (0.36%) and 106 (0.53%) respectively, and cervical carcinoma grade 0-IV 52 (10%) and 156 (0.94%). The author compared the results with similar ones obtained in various regions of Poland and in foreign countries. The author failed to find greater detectability of cervical dysplasia and carcinoma in Silesia in comparison with certain, less industrialized, regions of Poland. The author thinks that the stationary system of cervical cancer prevention has a greater chance of being introduced on condition of reorganization of this system, introduction of training of cytological technicians and organization of centres of cytooncological examinations.