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논문 기본 정보

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학술저널
저자정보
Niresh Thapa (Department of Gynecological Oncology Zhongnan Hos) Girishma Shrestha (Department of Pathology Patan Hospital Patan Aca) Muna Maharjan (HOPE School of Nursing Zhongnan Hospital of Wuhan University Wuhan China.) Deborah Lindell (Frances Payne Bolton School of Nursing Case West) Ninu Maskey (Department of Haemato-Pathology Zhongnan Hospital) Rajiv Shah (Department of Obstetrics and Gynecology Karnali Academy of Health Sciences Jumla Nepal.) Caiyun Ge (Department of Gynecological Oncology Zhongnan Hos) Hongbing Cai (Department of Gynecological Oncology Zhongnan Hospital of Wuhan University Hubei Cancer Clinical St)
저널정보
대한부인종양학회 Journal of Gynecologic Oncology Journal of Gynecologic Oncology Vol.29 No.5
발행연도
2018.1
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1 - 11 (11page)

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Objective: To assess the burden of cervical neoplasia in mid-western rural, Nepal using cytology, visual inspection with acetic acid (VIA) and visual inspection with Lugol's iodine (VILI). Method: A cross-sectional, population-based study was conducted. Total of 2,279 married, non-pregnant women aged 20–65 years participated in a screening clinic from May 2016 to January 2017. All eligible women completed self-report of socio-demographic and reproductive health data followed by screening tests. Biopsies were obtained from areas on the cervix assessed by VIA and or VILI to be abnormal. Final disease was confirmed by biopsy report. Results: A total of 96.09% (n=2,190) women were eligible for this study with mean age 32.78±9.33 years. The overall rate of positive cytology, VIA, and VILI were 3.69%, 12.45%, and 16.89%, respectively. Sixty-two cases were biopsy proven cervical neoplasia. Altogether 78 (3.69%) cases were cytologically abnormal: 25 (1.18%) were atypical squamous cells of undetermined significance, 33 (1.56%) were low-grade squamous intraepithelial lesion, 11 (0.52%) were high-grade squamous intraepithelial lesion, and 9 (0.42%) were squamous cell carcinoma. Illiterate women appeared to be at higher risk for cervical neoplasia (p<0.001). Similarly, age ≥46 years (p<0.013), participant's multiple marriages or sexual partners (p<0.005), and positive human immunodeficiency virus status (p<0.001) were significantly associated with abnormal cytology. Conclusion: Based on cytology report, there is 3.69% prevalence of cervical neoplasia among women in a rural region of mid-western, Nepal. A “screen and treat” approach would be more attractive in low resource settings.

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참고문헌 (27)

참고문헌 신청
Ferlay J / GLOBOCAN 2012: estimated cancer incidence, mortality and prevalence worldwide in 2012. GLOBOCAN 2012 v1.0 google schola Sankaranarayanan R / 2001 / Effective screening programmes for cervical cancer in low- and middle-income developing countries / Bull World Health Organ 79:954~962 google schola Hakama M / 2013 / Epidemiologic studies in cancer prevention and screening / Springer :223~232 google schola Raychaudhuri S / 2012 / Current status of knowledge, attitude and practice (KAP) and screening for cervical cancer in countries at different levels of development / Asian Pac J Cancer Prev 13:4221~4227 Crossref ICO/IARC Information Centre on HPV / 2016 / Nepal: human papillomavirus and related cancers, fact sheet 2016 / ICO/IARC Information Centre on HPV and Cancer google schola

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