ABSTRACT
Using Kato's Self-abrasive Device, mass-screening for uterine cervical cancer has been carried out for 5, 983 married women at Chicheng country of a mountainous farm village and Shijiazhuang city in Hebei province, China, and the following result has obtained:<BR>The women who diagnosed as class III and over were 42 persons (0.70%). Cancer cases which were confirmed by the biopsy were 10 (3 at Shijiazhuang city and 7 at Chicheng country); the occurrence rate of the cervical cancer was 0.17% and no false positive was observed. The mass -screening of the uterine cervical cancer has been carried out simultaneously by both way of the self-abrasive method and the scraper method for one third of persons who will take medical advice atboth districts. The result of comparative analysis for the quality of smear and the Papanicolaouclassification by the two method was;<BR>1. As for the self-abrasive method, mixing with erythrocytes and overlapping of cells were few compared with the scraper method, and the diagnosis was more easily made in cytological examination.<BR>2. The rate of coincidence by both methods were 78.85% in class I, 94.14% in class II, and 100.00% in class III-V.
ABSTRACT
The accuracy of Kato's self smear Kit was studied in screening a relatively unselected population group for cervical cancer. Routine cervicovaginal smears taken periodically would be the ideal method but would be unrealistic in view of the physician's time involved when considered on a large population scale. Three hundred patients were randomly selected at the Out Patient Clinic of Yonsei Medical Center and 26 cases grossly of cervical cancer were included in this group. We have here summarized the results briefly as follows. 1. Among 300 women examined in our OPD, 256 (85.3%) were classified as Pap. Class I or II, 9(0.3%) as a 'Defferred' group (Class II, Repeat), 18(6%) as Class III and 17(5.7%) as Class IV or V. 2. Fifteen of the total cases had insufficient material for evaluation (poor quality) and the major causes of the poor smears were vaginal douche within 24 hours, technical problems and cell degeneration. 3. The rate of agreement between the Self Smear Kit and cervicovaginal smear was as follows: a. The rate of complete agreement was 93.2% (280/300) b. The rate of complete or partial agreement was 96.7% (290/300). 4. The diagnostic accuracy of the Self Smear Kit was as follows: a. If we assumed the 'Deferred' group to be detection failures for uterine cancer, the diagnostic accuracy would be 82.4%. b. If we assumed the 'Deferred' group to be detection successes, the diagnostic accuracy would be 94.1%. 5. The quality of self smears was superior when taken by an aid nurse rather than by the patient herself. 6. Optimal time for good preservation with the Self Smear Kit prior to pap. stain under the following temperatures was proven experimentally to be as follows; a. At 5 degrees C: 3 days after smear b. At 15 degrees C: 3 days after smear c. At 30 degrees C: 2 days after smear