Analysis of the situation of cervical cancer screening from 2018 to 2020 in Lucheng District of Changzhi City, Shanxi Province / 肿瘤研究与临床

ABSTRACT

Objective:To analyze the situation of free cervical cancer screening from 2018 to 2020 in Lucheng District of Changzhi City, Shanxi Province.Methods:The cervical liquid-based thin-layer cytology (TCT) results of 13 043 women who underwent free cervical cancer screening at the Lucheng District Maternal and Child Health Family Planning Service Center of Changzhi City in Shanxi Province from 2018 to 2020 were retrospectively analyzed. The women with positive TCT results underwent colposcopy and biopsy.Results:Among 13 043 women, 800 women were positive for TCT, with a positive rate of 61.3/100 000. The positive rates of cervical cancer screening TCT in 2018, 2019 and 2020 were 4.82% (145/3 006), 5.63% (170/3 017) and 6.91% (485/7 020), which showed an upward trend year by year (contingency coefficient = 0.037). In 2018, 2019 and 2020, the positive rates of TCT among women aged 35-44 years old were 2.95% (31/1 052), 3.78% (42/1 112) and 4.22% (82/1 969), among women aged 45-54 years old were 5.48% (68/1 241), 6.50% (90/1 385) and 7.72% (2 258/3 341), and among women aged 55-64 years old were 6.45% (46/713), 7.31% (38/520) and 8.42% (144/1 710); the positive rates of cervical cancer screening TCT among different age groups in the same year, same age group in different years and overall different age groups in 3 years were statistically significant (all P < 0.05), and the positive rates of cervical cancer screening TCT in women aged 45-54 and 55-64 years old were higher than those in women aged 35-44 years old (all P < 0.05). Among 800 cases of positive cervical cancer screening TCT, 615 cases (76.9%) were diagnosed with cervical intraepithelial neoplasia (CIN), and the incidence rate of CIN was 4.72% (615/13 043); there was statistical differences in the incidence of CIN among different years ( P < 0.05). Conclusions:The positive rates of cervical cancer screening increase year by year from 2018 to 2020 in Lucheng District of Changzhi City, Shanxi Province. Early cervical cancer screening can detect cervical lesions in time.