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CERVICAL CYTOLOGY
During the year the scheme for cervical screening for the detection
of precancerous changes was continued. The number of smears dealt with per
week was increased from 24 to 30. These examinations were carried out
at the six major Health Centres in the Borough and, as before all applicants
had first to obtain the consent of their General Practitioner before the
smear was taken. The General Practitioner was subsequently notified of the
result.
In each case complete pelvic examination and breast examination,
urine testing and blood pressure recording was routinely carried out. There
were no changes in the types of cases who qualified for cervical cytology
which are as follows
(1) Any cases referred from post-natal clinics who were over 25 years
of age and had more than one child.
(2) Cases making direct application provided they were over 25 years
of age and had more than one child.
(3) Cases referred from the Family Planning Clinics who had applied there
for cytology only.
(4) Any patient referred by a general practitioner.
(5) Mothers of large families.
The total number of women who had one or more cervical smears
taken in 1967 was 1,098 (228).
The number of cases having smears taken for the first time 815.
The number of repeat smears - 283.
Classification of smears
Class I 346
Class II 730
Class III 7
Class IV 2
Class V 0
Breast lesions were found in four cases, all of whom were referred to their
general practitioners.
The Social classes from which the cases originated were as follows
Social Class I 15$ Social Class IV 4$
Social Class II 26$ Social Class V less than 1$
Social Class III 49$
Classification of defects
As a result of the pelvic screening already mentioned the following defects
were found 5-
No apparent defect 833 Cervicitis 48
Erosions 114 Fibroid 14
Polyp 22 Bulky uterus 8
Trichomas 5 Prolapse 20
Breast defects 4 Others 30 TOTAL 1,098
Number of women referred to their family doctor for treatment 116.
Of the 9 Class III and IV smears taken in 1967* 4 were under 35 years of age.
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