Introduction: India fights massive cervical cancer burden. This article highlights an innovative feasible approach enabling tertiary hospitals to contribute to cancer prevention without compromising their primary mandate to provide treatment. Methodology: Since 1979, National Institute of Cancer Prevention and Research (NICPR) support a tertiary hospital in cervical cancer screening through a satellite clinic. Record review of 5328 attendees of this clinic between January-December 2016 was done. Pap-smear testing and reporting were performed by trained NICPR personnel. Patients’ demographics, reproductive history, Pap-test date, cytology results were recorded and results were communicated to respective units for further management. Results: Among 5328 women screened, 2% (96/5328) had abnormal cytology, which included malignancy(33%; 32/96), Atypical Squamous Cells-Undetermined Significance(ASC-US) (20%; 19/96), Atypical Glandular Cells(AGC) (23%; 22/96) with complaints of pain in lower abdomen 65.6%(59/90), white discharge per vaginum 46.7%(42/90) and backache 23.3%(21/90). In which, Muslims- 67% (65/96), illiterates- 58% (56/96). Age>35(p<0.001), parity>3(p<0.05), illiteracy (p<0.05), Muslim women (p<0.05) had positive association with abnormal cytology. Conclusion: Awareness about cervical cancer screening is the immediate need in resource-limited countries. Government hospitals in such countries should house dedicated preventive oncology unit for cancer screening.
Dhanasekaran, K., Verma, C., Kumar, V., Hariprasad, R., Gupta, R., Gupta, S., & Mehrotra, R. (2019). Cervical Cancer Screening Services at Tertiary Healthcare Facility: An Alternative Approach. Asian Pacific Journal of Cancer Prevention, 20(4), 1265-1269. doi: 10.31557/APJCP.2019.20.4.1265
MLA
Kavitha Dhanasekaran; Chandresh Verma; Vipin Kumar; Roopa Hariprasad; Ruchika Gupta; Sanjay Gupta; Ravi Mehrotra. "Cervical Cancer Screening Services at Tertiary Healthcare Facility: An Alternative Approach". Asian Pacific Journal of Cancer Prevention, 20, 4, 2019, 1265-1269. doi: 10.31557/APJCP.2019.20.4.1265
HARVARD
Dhanasekaran, K., Verma, C., Kumar, V., Hariprasad, R., Gupta, R., Gupta, S., Mehrotra, R. (2019). 'Cervical Cancer Screening Services at Tertiary Healthcare Facility: An Alternative Approach', Asian Pacific Journal of Cancer Prevention, 20(4), pp. 1265-1269. doi: 10.31557/APJCP.2019.20.4.1265
VANCOUVER
Dhanasekaran, K., Verma, C., Kumar, V., Hariprasad, R., Gupta, R., Gupta, S., Mehrotra, R. Cervical Cancer Screening Services at Tertiary Healthcare Facility: An Alternative Approach. Asian Pacific Journal of Cancer Prevention, 2019; 20(4): 1265-1269. doi: 10.31557/APJCP.2019.20.4.1265