Cervical lesions among rural women in Hebei province, 2017: an analysis on screening data

  Objective  To examine prevalence characteristics of cervical lesions among rural women in Hebei province.

  Methods  Gynecological examination and cervical cytology examination were conducted among 370 139 married women aged 35 – 64 years in rural regions of 66 prefectures/counties during 2017. Colposcopy was performed among the examinees with Papanicolaou (Pap) smear of grade IIB and above or abnormal cervical thin-cytologic test (TCT) findings and multiple biopsy was subsequently carried out among the examinees with suspicious cervical lesions.

  Results  Among all the women surveyed, the detection rate of cervical cancer was 5.69%. Abnormalities were identified in 86 767 (23.44%) of the women undergoing the gynecological examination; of them, 29 859 (8.07%) were diagnosed with chronic cervicitis, 733 with cervical intraepithelial neoplasia based on histopathology (including 352 and 381 low- and high-grade lesions), and 67 (0.17‰) with invasive cervical cancer, respectively. No other gynecological malignant tumor was detected.

  Conclusion  Cervical lesion is prevalent among rural married women in Hebei province and regular screening on cervical cancer and other diseases could promote health status of the women.