Cervical cancer screening. On organization

DOI

https://dx.doi.org/10.18565/aig.2021.4.143-149

Smetanina O.V., Kuzminykh D.A., Smetanina S.V., Gamayunov S.V., Uskova E.Yu.
1) Volga Research Medical University, Ministry of Health of the Russian Federation, Nizhny Novgorod, Russia; 2) Nizhny Novgorod Regional Clinical Oncology Dispensary, Nizhny Novgorod, Russia

Despite the available opportunities for screening for cervical cancer, this disease in Russia is diagnosed at late stages in almost a third of cases. The paper deals with the organization of cervical cancer screening as a highly effective procedure for early detection of abnormal changes. It analyzes publications from the PubMed, eLibrary, Cochrane, and CyberLeninka databases during the past 10 years. There are statistical data proving the effectiveness of cervical cancer screening in Russia. The essential components of successful cytology screening are determined. Emphasis is laid on the need for organized cervical cancer screening programs. Much attention is paid to the choice of the optimal method for diagnosing cervical pathology: the parameters and results of conventional and liquid-base cytology are compared. The lack of reliable advantages of a particular procedure is shown. There is a need for the maximum possible coverage of the female population by medical examinations as an essential component of high-quality screening, regardless of the method used. Consideration is given to the reasons for ignoring screening programs by reproductive-aged women and, as a result, the low coverage of the population by preventive medical examinations. The expediency of HPV testing at the cervical screening stage is discussed.
Conclusion. The obstacles to effective cervical cancer screening, which are discussed in the article, and the indicated ways for their elimination can be used to improve the system of All-Russian screening.

review

cervical cancer

screening

Full text (in Russian)

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Received 23.10.2020

Accepted 07.12.2020

Olga V. Smetanina, a member of the scientific society of young scientists and students, Privolzhsky Research Medical University, Ministry of Health of the Russian Federation. E-mail: smetanina-svetlana@rambler.ru. ORCID: 0000-0002-7000-5910. 603950, Russia, Nizhny Novgorod, Semashko str., 22.
Darya A. Kuzminykh, a member of the scientific society of young scientists and students, Privolzhsky Research Medical University, Ministry of Health of the Russian Federation. E-mail: darya.kuzminykh1@yandex.ru. , ORCID: 0000-0003-0877-0715. 603950, Russia, Nizhny Novgorod, Semashko str., 22.
Svetlana V. Smetanina, Head of the Cytological Laboratory, Nizhny Novgorod Regional Clinical Oncology Center, E-mail: smetanina-svetlana@rambler.ru.
ORCID: 0000-0002-7000-5910. 603163, Russia, Nizhny Novgorod, Delovaya str., 11/1.
Sergey V. Gamajunov, MD, PhD, Head physician, Nizhny Novgorod Regional Clinical Oncology Center. E-mail: gamajnovs@mail.ru. ORCID: 0000-0002-0223-0753.
603163, Russia, Nizhny Novgorod, Delovaya str., 11/1.
Evgenia Yu. Uskova, Cytology laboratory doctor, Nizhny Novgorod Regional Clinical Oncology Center. E-mail: muza-nk@mail.ru. ORCID: 0000-0002-1694-2321.
603163, Russia, Nizhny Novgorod, Delovaya str., 11/1.

For citataion: Smetanina O.V., Kuzminykh D.A., Smetanina S.V., Gamayunov S.V., Uskova E.Yu. Cervical cancer screening. On organization.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2021; 4: 143-149 (in Russian)
https://dx.doi.org/10.18565/aig.2021.4.143-149

Cervical cancer screening. On organization

Smetanina O.V., Kuzminykh D.A., Smetanina S.V., Gamayunov S.V., Uskova E.Yu.

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