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The high proportion of abnormalities detected justifies the
clinical procedures adopted, and the existence of the clinic. There
must be a close link between the pathologist, gynaecologist, clinic
doctor and general practitioner because it is imperative for women
showing abnormal smears to have further investigations and/or
treatment, and whenever this is not carried out in the hospital
where the smear was diagnosed the patient is followed-up and the
pathologist concerned is notified.
The need for this service is emphasized by the results obtained.
Six cases of malignancy have been detected in the pre-symptomatic
stage, i.e. when treatment can assure 100% cure ; in addition,
two cases of malignancy were ultimately discovered on further
hospital investigation suggested by the clinic doctor after the examination.
Many other conditions requiring specialist treatment or
general practitioner's attention were discovered, usually in women
with minimal symptoms. The relief from anxiety afforded to all
our asymptomatic cases has also proved of immense value.
Special acknowledgment is due to Dr. Elizabeth R. Hicks of
the South London Hospital for Women (reporting on 120 smears
per month) and Dr. G. T. Allen of St. James' Hospital (reporting
on 40 cases per month). Without their co-operation the service
would not be possible.
There are prospects of further development of this service and
at the time of writing (June, 1967) two additional clinics have been
opened, one in Fairfield Centre and one at Stormont Road Centre.
This will allow screening of approximately 2,200 women annually.
It is hoped that action now being taken by the Ministry of Health
and the Regional Hospital Board will result in increased laboratory
facilities being made available.