COMPLEX DIAGNOSIS OF CERVICAL INTRAEPITHELIAL NEOPLASIA IN THE REPUBLIC OF TAJIKISTAN
Objective: To study the experience of a comprehensive diagnosis of cervical intraepithelial neoplasia (CIN) based on the results of the first pilot visual screening in the Republic of Tajikistan. Methods: The first pilot visual screening in two large districts of the Republic of Tajikistan was ca...
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| Format: | Article |
| Language: | English |
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Avicenna Tajik State Medical University
2022-12-01
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| Series: | Паёми Сино |
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| Online Access: | https://doi.org/10.25005/2074-0581-2022-24-4-463-470 |
| _version_ | 1797803685191876608 |
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| author | N.A. MUKHSINZODA S.G. UMAROVA |
| author_facet | N.A. MUKHSINZODA S.G. UMAROVA |
| author_sort | N.A. MUKHSINZODA |
| collection | DOAJ |
| description | Objective: To study the experience of a comprehensive diagnosis of cervical intraepithelial neoplasia (CIN) based on the results of the first pilot visual screening in the Republic of Tajikistan.
Methods: The first pilot visual screening in two large districts of the Republic of Tajikistan was carried out in 2016. A total of 68,391 women of the target groups took part in this study, of which 26,691 (39%) were from the Kushoniyon district and 41,700 (61%) from the B. Gafurov district. According to the algorithm of organized visual screening, extended colposcopy, cytological examination, and biopsy with histological examination were performed.
Results: According to the results of the tests performed, in 164 cases (0.24%) CIN was diagnosed, while in 20 cases (0.03%) cervical cancer (CC) was detected (p<0.001). Mild low-grade squamous intraepithelial lesions (LSIL) lesions were detected in 99 cases (70 women from B. Gafurov district and 29 patients from Kushoniyon district), while severe high-grade squamous intraepithelial lesions (HSIL) were detected in 65 cases (59 women from B. Gafurov district and 6 women from Kushoniyon district). Patients with histologically confirmed precancerous pathology and cervical cancer were referred for outpatient and inpatient treatment.
Conclusion: The strategy of organized visual screening "detection-diagnosis-treatment", recommended by WHO for countries with limited resources, is optimal for implementation in the conditions of the Republic of Tajikistan at the national level. |
| first_indexed | 2024-03-13T05:24:37Z |
| format | Article |
| id | doaj.art-c5299b5ec98844658af83c8b1633bb02 |
| institution | Directory Open Access Journal |
| issn | 2074-0581 2959-6327 |
| language | English |
| last_indexed | 2024-03-13T05:24:37Z |
| publishDate | 2022-12-01 |
| publisher | Avicenna Tajik State Medical University |
| record_format | Article |
| series | Паёми Сино |
| spelling | doaj.art-c5299b5ec98844658af83c8b1633bb022023-06-15T09:03:14ZengAvicenna Tajik State Medical UniversityПаёми Сино2074-05812959-63272022-12-0124446347010.25005/2074-0581-2022-24-4-463-470COMPLEX DIAGNOSIS OF CERVICAL INTRAEPITHELIAL NEOPLASIA IN THE REPUBLIC OF TAJIKISTANN.A. MUKHSINZODA0S.G. UMAROVA1Republican Cancer Research Center, Dushanbe, Republic of TajikistanDepartment of Oncology and Radiation Diagnostics, Avicenna Tajik State Medical University, Dushanbe, Republic of TajikistanObjective: To study the experience of a comprehensive diagnosis of cervical intraepithelial neoplasia (CIN) based on the results of the first pilot visual screening in the Republic of Tajikistan. Methods: The first pilot visual screening in two large districts of the Republic of Tajikistan was carried out in 2016. A total of 68,391 women of the target groups took part in this study, of which 26,691 (39%) were from the Kushoniyon district and 41,700 (61%) from the B. Gafurov district. According to the algorithm of organized visual screening, extended colposcopy, cytological examination, and biopsy with histological examination were performed. Results: According to the results of the tests performed, in 164 cases (0.24%) CIN was diagnosed, while in 20 cases (0.03%) cervical cancer (CC) was detected (p<0.001). Mild low-grade squamous intraepithelial lesions (LSIL) lesions were detected in 99 cases (70 women from B. Gafurov district and 29 patients from Kushoniyon district), while severe high-grade squamous intraepithelial lesions (HSIL) were detected in 65 cases (59 women from B. Gafurov district and 6 women from Kushoniyon district). Patients with histologically confirmed precancerous pathology and cervical cancer were referred for outpatient and inpatient treatment. Conclusion: The strategy of organized visual screening "detection-diagnosis-treatment", recommended by WHO for countries with limited resources, is optimal for implementation in the conditions of the Republic of Tajikistan at the national level.https://doi.org/10.25005/2074-0581-2022-24-4-463-470cervical intraepithelial neoplasiavisual screeningvia/vili visual methodcolposcopy. |
| spellingShingle | N.A. MUKHSINZODA S.G. UMAROVA COMPLEX DIAGNOSIS OF CERVICAL INTRAEPITHELIAL NEOPLASIA IN THE REPUBLIC OF TAJIKISTAN Паёми Сино cervical intraepithelial neoplasia visual screening via/vili visual method colposcopy. |
| title | COMPLEX DIAGNOSIS OF CERVICAL INTRAEPITHELIAL NEOPLASIA IN THE REPUBLIC OF TAJIKISTAN |
| title_full | COMPLEX DIAGNOSIS OF CERVICAL INTRAEPITHELIAL NEOPLASIA IN THE REPUBLIC OF TAJIKISTAN |
| title_fullStr | COMPLEX DIAGNOSIS OF CERVICAL INTRAEPITHELIAL NEOPLASIA IN THE REPUBLIC OF TAJIKISTAN |
| title_full_unstemmed | COMPLEX DIAGNOSIS OF CERVICAL INTRAEPITHELIAL NEOPLASIA IN THE REPUBLIC OF TAJIKISTAN |
| title_short | COMPLEX DIAGNOSIS OF CERVICAL INTRAEPITHELIAL NEOPLASIA IN THE REPUBLIC OF TAJIKISTAN |
| title_sort | complex diagnosis of cervical intraepithelial neoplasia in the republic of tajikistan |
| topic | cervical intraepithelial neoplasia visual screening via/vili visual method colposcopy. |
| url | https://doi.org/10.25005/2074-0581-2022-24-4-463-470 |
| work_keys_str_mv | AT namukhsinzoda complexdiagnosisofcervicalintraepithelialneoplasiaintherepublicoftajikistan AT sgumarova complexdiagnosisofcervicalintraepithelialneoplasiaintherepublicoftajikistan |