Cervical cytology in Zambia

The problem of cervical cancer in Zambia is discussed. The pathogenesis of carcinoma of the cervix is described and the benefits of cervical cytology are highlighted. The role of cervical cytology in the context of a developing country is also discussed and a plea is made for a selective mass screening programme, the objective of which will be to limit and prevent cancer of the cervix. The establishment of a Central Cytology Laboratory at the University Teaching Hospital is described in some detail. This service could be extended in stages until it is possible to screen all women over the age of 20 years, at least every 3 years.