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Indian J Med Res. 2018 Dec;148(6):687-696. doi: 10.4103/ijmr.IJMR_5_17.

Cervical cancer screening in rural India: Status & current concepts.

Author information

1
Department of Pathology, Era's Lucknow Medical College & Hospital, Era University, Lucknow, India.
2
Department of Genetics, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India.
3
Amity Institute of Molecular Medicine & Stem Cell Research, Noida, India.
4
ICMR-National Institute of Cancer and Prevention Research, Noida, India.

Abstract

Cervical carcinoma is one of the most common and dreaded diseases of women, and in India, it accounts for 16 per cent of total cervical cancer cases occurring globally. The situation is more alarming in the rural areas where the majority of women are illiterate and ignorant about the hazards of cervical cancer. Different screening strategies such as rural cancer registries and camp approach for cancer detection have been found useful in minimizing the problem of cervical cancer in the villages. Various screening techniques such as visual inspection with acetic acid, visual inspection with Lugol's iodine, visual inspection with magnification devices-magnavisualizer, Pap smear and HPV-DNA testing have been suggested and tried under low-resource settings of our country, and cervical cytology screening has been found effective in reducing incidence of the disease. In the present review, feasibility of different screening methods has been assessed to find out the most suitable mode applicable at the rural level. Single lifetime screening particularly of high-risk women along with analysis of cost-effective tumour markers such as Argyrophilic nucleolar organizer regions (AgNOR) counts to discriminate high-risk dysplasia cases appears to be an appropriate approach in fighting against cervical cancer.

KEYWORDS:

AgNOR; carcinoma cervix; rural cervical cancer screening; single lifetime cytological screening; squamous intraepithelial lesion

PMID:
30778002
DOI:
10.4103/ijmr.IJMR_5_17
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