Cervical Cancer in Elderly Thais
MANEE PIYA-ANANT, MD*, SUWANIT THEAASAKVICHYA, MD*, CHAIRATANA LEELAPHATANADIT, MD*, KITIRA T TECHATRISAK, MD*, * SUPORN WORAPITAKSANOND, MA
Affiliation : * Department of Obstetrics and Gynecology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand.
Method : A cross-sectional study of healthy elderly women (age~ 60 years) who lived within a 10-kilometer radius of Siriraj Hospital was carried out. All had their history taken and were examined by vaginal examination and Papanicolaou smear for cancer screening three times; on the day of enroll ment, at one-year and two-years.
Results : Six hundred and eighty two women aged 60-88 years were recruited. There were 7 cases (1.0%) who had a positive Papanicolaou smear on the day of enrollment. Six cases (0.9%) had complete investigations : 2 cases (33.3%) had invasive cervical cancer stage III b, 4 cases had CIN III. There was one case out of 268 (0.4%) at one-year and one case out of 342 (0.3%) at two-years who had a positive Papanicolaou smear and the final diagnosis was CIN III.
Conclusion : The prevalence of cervical cancer in Thai elderly women in this study was I per cent. Thai elderly women need a yearly Papanicolaou smear check up.
Keywords : Key ward : Elderly Women, Cervical Cancer, Papanicolaou Smear
