Læknablaðið - 01.08.1974, Page 38

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LÆKNABLAÐIÐ
andi kliniskra stiga leghálskrabbameins,
sem finnast í Leitarstöð B miðað við þau
leghálskrabbamein, sem greind voru áður
með venjulegri læknisskoðun. Þannig
voru 80-90% af þeim ífarandi legháls-
krabbameinum, sem greind voru í Leitar-
stöð B á fyrstu 3 árunum, á I. stigi,5 en
af þeim leghálskrabbameinum, sem greind
voru á öllu landinu á árunum 1955-1964
voru aðeins 35% á þessu stigi.7 Gera má
ráð fyrir, að þetta verki í þá átt að bæta
heildarárangur af meðferð til muna, enda
þótt þess sjáist ekki merki í lækkun dán-
artíðni, fyrr en að mörgum árum liðnum.
SUMMARY
Results of the Cancer detection clinic B of
the Icelandic Cancer Society for uterine can-
cer during its first six and a half years of
operation, is reported. A total of 84 malignant.
tumors were detected. Of these 61 (72.6%)
were found by cytological screening, 58 in-
vasive cervical carcinomas and 3 adenocar-
cinomas of the uterine corpus and 23 (27.4%)
other malignancies were detected by gyneco-
logical examination (cf. table VII).
The number of women screened once were
28.1ÍJL and 12.175 were screened twice. Ap-
proximately 83 per cent of cases found to
have invasive carcinoma of the cervix by this
mass screening were in gynecological stage
IA or IB. In the screening programme 24.5
per cent of the female population never par-
ticipated. Unscreened women, in particular
elderly women, who were diagnosed during
the period with cervical carcinoma, contribute
significantly to the numbers of the more ad-
vanced cases with higher mortality rate (cf.
table II).
No changes in mortality rates from car-
cinoma of the cervix can as yet be observed
after the 6% years period of mass screening.
HEIMILDIR
1. a. Alma Þórarinsson, Ólafur Jensson, Ól-
afur Bjarnason. Krabbameinsleit hjá
konum með fjöldarannsókn. Lœkna-
blaðiS 52:145-157. 1966.
2. b. Alma Þórarinsson, Ólafur Jensson, Ól-
afur Bjarnason. Masseundersögelser
med henblik pá collum cancer. Nordisk
Medicin 78:1608-1611. 1967.
3. c. Alma Þórarinsson, Ólafur Jensson, Ól-
afur Bjarnason. Screening for Uterine
Cancer in Iceland. Acta Cytologica 13:
304-307. 1969.
4. Green, G. H. The significance of cervical
carcinoma in situ. A. J. Obstet. Gynec. 94:
1009-1022. 1966.
5. Guðmundur Jóhannesson. Krabbamein í
leghálsi. Árangur meðferðar á íslandi ár-
in 1955-1966. Lœknablaöiö 54:190-208.
1968.
6. MacGregor, E., Fraser, M. E., Mann, E.
Improved Prognosis for Cervical Cancer
due to Comprehensive Screening. Acta
Cytologica 16:14-15. 1972.
7. Ólafur Bjarnason. Uterine Carcinoma in
Iceland. Doktorsritgerð. Reykjavik. Prent-
smiðjan Hólar 1963.
8. Pedersen, E., Höeg, K., Kolstad, P. Mass
Screening for Cancer of the Uterine Cer-
vix in Östfold County. Acta Obstetricia et
Gynecologica Scandinavica. Supplement 11,
5-18. 1971.
9. Petersen, O. Precancerous changes of the
cervical epithelium in relation to manifest
cervical carcinoma. Acta Radiol. suppl.
127:1-168. 1955.
10. Ringertz, O. E. N., Nasiell, M. Cytological
Cervical Cancer Detection in Sweden.
4th International Congress of Cytology.
London 1971. May 23-27.