Hasegawa K, Miyazaki Y, Kitaura Y, Ohtsu F, Takeuchi K
Nihon Sanka Fujinka Gakkai Zasshi. 1981 Dec;33(12):2097-104.
A result of mass-screening for uterine cervical cancer conducted by Hyogo Cancer Hospital performed using mobilunit from 1965 to 1978 was analyzed and presented in this paper. The total number of women taking our initial screening examination was 188, 183.5% women screened or 9,447 were transferred for the further accurate examination. The rate of participants for this 2nd examination was 93.8% on the average. In this initial screening examination, a result of cytological examination on Papanicolaou's classification was as follows; 94.87% for class I and II, 4.81% for class III, and 0.21% for class IV and V. In the 2nd examination, the rate of the negative, suspected positive were 70.6%, 22.5% and 6.9% respectively. 759 cervical cancers were detected in our screening. The detecting rate of cervical cancer was 0.4% among initially screened women and 8.6% among women who appeared for the accurate examination. As the detecting rate among women for the 2nd examination became higher year by year (20% increase during recent 3 years), the accuracy of our screening methodology appeared to be improving. The incidence rate of cervical cancer in our screening was classified as stage 0; 49.0%, Ia; 36.4%, Ib; 9.1%, II; 3.9% an III; 1.6%. The most of detected cancer was occupied by cancer in situ and early invasive cancer. Annual review showed there is a gradual and steady increase in incidence rate to stage 0 in our screening.
本文分析并呈现了1965年至1978年兵库癌症医院使用移动设备对子宫颈癌进行大规模筛查的结果。接受我们初次筛查的女性总数为188,183人，其中3.5%（即9,447人）的女性被转诊进行进一步的精确检查。第二次检查的参与者平均比例为93.8%。在这次初次筛查中，巴氏分类法的细胞学检查结果如下：I级和II级为94.87%，III级为4.81%，IV级和V级为0.21%。在第二次检查中，阴性、疑似阳性的比例分别为70.6%、22.5%和6.9%。在我们的筛查中检测出759例子宫颈癌。子宫颈癌在初次筛查女性中的检出率为0.4%，在接受精确检查的女性中的检出率为8.6%。由于第二次检查女性中的检出率逐年提高（最近3年提高了20%），我们筛查方法的准确性似乎在提高。我们筛查中子宫颈癌的发病率分类为：0期49.0%，Ia期36.4%，Ib期9.1%，II期3.9%，III期1.6%。检测出的癌症大多为原位癌和早期浸润癌。年度复查显示，我们筛查中0期的发病率有逐渐稳步上升的趋势。
