ANALYSIS OF FREE CERVICAL CANCER SCREENING RESULTS IN URAL AREAS OF SOUTH CHINA FROM 2019 TO 2022

Chen Qiugui*, Ye Caiqiong, Pan Fengjuan and Zhou Zhiheng

ABSTRACT

Objective: The aim of this study is to explore the completion status and screening results of free cervical cancer screening in Xinfeng, Shaoguan City, in ural areas of South China, and to provide a basis for the cervical cancer prevention and control strategies. Methods: A retrospective analysis was conducted on the gynecological examination, HPV infection, liquid based thin layer cytology (TCT), colposcopy, tissue biopsy, and pathological examination results of married women aged 35-64 in Xinfeng, Shaoguan City, South China from 2019 to 2022. Results: Over the past four years, 9042 women in Xinfeng have completed free cervical cancer screening. 1036 women (11.46%) had bacterial vaginitis, and 1273 women (14.08%) tested positive for HPV. The positive rate of HPV testing in 2019 was 18.4%, significantly higher than the positive rates in the other three years (11.6%, 10.4%, 12.9%). 272 women (3.01%) were TCT positive (ASC-US and above), all from HPV positive individuals. The positive rates of ASC-US, ASC-H, LSIL, and HSIL were 1.90%, 0.55%, 0.27%, and 0.28%, respectively. The proportion of TCT positive women among HPV positive women was 21.37%, with the positive rates of ASC-US, ASC-H, LSIL, and HSIL being 13.5%, 3.93%, 1.89%, and 2.04%, respectively. A total of 340 women underwent cervical tissue pathology testing, of which 55 (16.18%) had low-grade lesions, 62 (18.25%) had high-grade precancerous lesions, and 2 each had minimal invasive cancer and invasive cancer. The incidence of advanced precancerous lesions has decreased at the past four years. Conclusions: The free cervical cancer screening has been successfully completed in ural of South China. The HPV infection rate among women is higher than the average level in Guangdong Province China, while the level of precancerous lesions in cervical cancer screening is similar to the average level in Guangdong Province China. The incidence of advanced precancerous lesions has decreased over the past four years. The early diagnosis and early diagnosis of cervical cancer should be continued to strengthen in ural of South China

Keywords: Women, Cervical cancer, Screening, Cervical liquid based thin layer cytology examination.