The Ka-Ngwane screening programme was initiated by the Department of Anatomical Pathology and the Department of Community Health at Medunsa to establish the incidence of cervical intraepithelial neoplasia (CIN) and cervical carcinoma (CaCx) in previously unscreened rural population in our catchment area.
Ten thousand consecutive PAP smears from Ka-Ngwane (Mpumalanga) area are the subject of the analysis.
The incidence of CIN I - CIN III and CaCx is calculated in the screened material.
The changes are related to age, age of first pregnancy and parity of the patients.
The incidence of cervical abnormalities is compared with 20000 consecutive cases from Pretoria and 18000 consecutive cases from previously unscreened rural population of Transkei.
Positive cases consisted of three per cent in Ka-Ngwane, five per cent in Greater Pretoria area and of more than six per cent in Transkei.
CaCx constituted 12.35% of all positive cases for Ka-Ngwane, 4.8% for urban population and 26% of Transkei positive cases.
More than 75% of positive cases in Ka-Ngwane were below 40 years of age and five cases of CaCx were found in the 21-30 year age group.
In Pretoria more than 80% of positive cases were younger than 41 years.
In the material from Transkei similarly 80% of the positive cases were younger than 41 years. (...)
Mots-clés Pascal : Carcinome, Col utérus, Femelle, Programme sanitaire, Dépistage, Epidémiologie, Etude comparative, République Sud Africaine, Afrique, Race, Négroïde, Appareil génital femelle pathologie, Col utérus pathologie, Tumeur maligne, Homme
Mots-clés Pascal anglais : Carcinoma, Uterine cervix, Female, Sanitary program, Medical screening, Epidemiology, Comparative study, South Africa(Republic), Africa, Race, Negroid, Female genital diseases, Uterine cervix diseases, Malignant tumor, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0346579
Code Inist : 002B20C02. Création : 14/12/1999.