Sicard A
Hist Sci Med. 1997 Oct-Dec;31(3-4):255-60.
Cervico-vaginal smears were quite difficult to accept when they were at first introduced in France, during the fifties, probably due to fear that cytology might replace surgical pathology, where as both methods may develop close together. At last, bridging the gap was accomplished by the pathologists and, nowadays, many cytopathologists have been trained and became quite clever. Obviously, clinicians cannot do without the method described by George N. Papanicolaou (the so-called Pap test). Although cervical carcinoma is the very one cancer that should have been eradicated, as complete recovery is the rule when the diagnosis is made in time, at the preinvasive state of the tumor, in France it is still responsible for 2000 annual deaths. Systematical target pollution screening should be organized, as well as in other countries and should become one of the main priorities into health care control
宫颈阴道涂片在五十年代首次引入法国时很难被接受,这可能是因为担心细胞学检查会取代手术病理学,而实际上这两种方法可以共同发展。最终,病理学家们弥合了这一差距,如今,许多细胞病理学家已经得到培训并相当熟练。显然,临床医生离不开乔治·N·帕帕尼科拉乌所描述的方法(即所谓的巴氏试验)。尽管宫颈癌本应是那种能够被根除的癌症,因为如果在肿瘤的浸润前阶段及时做出诊断,完全康复是常有的事,但在法国,它每年仍导致2000人死亡。应该像在其他国家一样组织系统性的目标人群筛查,并且这应该成为医疗保健控制的主要优先事项之一。