Journal of Regional Section of Serbian Medical Association in Zajecar

Year 2007     Volumen 32     Number 1
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UDK:618.146’006.6(497.11)”1996/2006” ISSN 0350-2899, 32(2007) 1p. 19-23
Original paper

Cervical cancer in the District of Zajecar in the period of 1996/2006

Vera Najdanović – Mandić
Zdravstveni centar Zaječar, Ginekološko-akušerska služba



Cervical cancer, besides breast cancer and colon and rectal cancer, is the most frequent malignant neoplasm that affects women. There is 80% cervical cancer in the developing countries. The highest incidence of cervical cancer in Europe is in Serbia 24.8 per 100 000 women, while the Zaječar District is in the first place with 43.4/100 000. Screening is detecting of the disease in the presymptomatic period and in our circumstances it is based on a conventional Papanicolau smear .The objective of the paper is to show the frequency of cervical intraepithelial neoplasia (CIN), the preinvasive and invasive cervical cancer, in patients who were operated, operated and with postoperative radiation therapy and those who were only radiated. It also shows age distribution of our patients who were treated in this way in the period 1996-2006. in the GO department HC Zaječar. The method is retrospective analysis of histopathologic findings, operative and oncology protocol as well as the evidence of cervical cancer screening in the period of 1996-2006. in the GO department HC Zaječar. In the period 1996-2006 the evidence shows that 37,116 cervical cancer (organized and opportune) screenings with pap smear were done. In the same period 350 women were treated (operated, operated and radiated, only radiated) for CIN, preinvasive and invasive cervical cancer. There were 249 women treated for CIN and preinvasive cancer by conization and hysterecomy. Out of this number, 225 (90.36%) cases were detected by cervical cancer screening. 125 women with the invasive cancer were operated and with postoperative radiation therapy or only radiated. Out of this number 48 (38.40%) cases were detected by cervical cancer screening. Those women who were only radiated (56 or 44.80%) completely neglected cervical-cancer screening or had not done pap smear in the last ten years at least. In these circumstances, Papanicolau smear with colposcopy is the key component for the cervical cancer screening. Screenings do not only enable early detection of cervical cancer, but also early detection of other pathological conditions of the genital tract, their treatment and also health education of women.
Key Words: cervical cancer, screening, Papanicolau smear

kompletan tekst rada na srpskom jeziku
full text in Serbian
  Corresponding Address:
Vera Najdanović-Mandić
Zdravstveni Centar Zaječar, Odeljenje ginekologije i akušerstva
Rasadnička bb, 19000 Zaječar, Serbia

Paper received: 7.2.2007.
Paper accepted: 3.4.2007.
Published online: 8.5.2007.
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