Sack R A
Am J Obstet Gynecol. 1978 May 15;131(2):208-13. doi: 10.1016/0002-9378(78)90666-x.
This is a retrospective 5 year study of cancer detection in the suburban office of a primary-care physician. There were 127 diagnoses of malignancy confirmed in 5,011 patients, 62 in the reproductive system and 62 in other organ systems. More than 9,000 Pap smears resulted in the final diagnosis of carcinoma of the cervix in only seven patients. 374 curettages yielded 37 cases of endometrial carcinoma. All of these patients had Class I Pap smears preoperatively.
这是一项针对一位基层医疗医生郊区诊所癌症检测情况的回顾性5年研究。在5011名患者中确诊了127例恶性肿瘤,其中62例发生于生殖系统,62例发生于其他器官系统。9000多次巴氏涂片检查仅在7名患者中最终确诊为宫颈癌。374次刮宫术确诊了37例子宫内膜癌。所有这些患者术前巴氏涂片检查均为I级。