Holman C D, McCartney A J, Hyde K L, Armstrong B K
Med J Aust. 1981 Nov 28;2(11):597-8. doi: 10.5694/j.1326-5377.1981.tb113010.x.
We reviewed the cytological histories of 100 women diagnosed as having invasive carcinoma of the cervix in Western Australia in 1977-80. Sixty-one women had never had a cervical smear test before the diagnosis of cancer. Among the remaining 39 patients, nine had one or more dyskaryotic cervical smears taken, up to eight years before the diagnosis of invasive cancer was made. Another patient had two smears, suspicious of malignancy, taken 15 years before diagnosis. Wider use of colposcopy and selective biopsy in the management of patients with abnormal smear test results is recommended.
我们回顾了1977年至1980年在西澳大利亚被诊断为宫颈浸润癌的100名女性的细胞学病史。61名女性在癌症诊断之前从未做过宫颈涂片检查。在其余39名患者中，9名在浸润癌诊断前长达8年做过一次或多次核异质宫颈涂片检查。另一名患者在诊断前15年做过两次怀疑恶性的涂片检查。建议在管理涂片检查结果异常的患者时更广泛地使用阴道镜检查和选择性活检。
