Cervical intraepithelial lesions in females attending XXXX 's Health Clinics in Alexandria, Egypt.

@entity1 @entity0 @entity75 @entity5 @entity74 @entity15709 @entity3146
BACKGROUND: Data from Egyptian studies provide widely varying estimates on the prevalence of preinvasive @entity75 . The aim of this study was to estimate the rate of @entity3146 ( @entity3146 ) in Egyptian @entity1 living in Alexandria to clarify the need for implementing a national organized screening program and a vaccination program in our community. MATERIALS AND METHODS: The study was conducted over a 6 years period and covered the different socioeconomic levels to have a representative sample for @entity1 living in Alexandria. All @entity1 included did not have any @entity74 related complaints. Conventional Pap smears were obtained and diagnosed using the Bethesda system. @entity1 with abnormal Pap smears were managed according to the 2006 consensus guidelines within the available facilities. Persistent abnormal cytological results were referred for colposcopic biopsy. Histological results were grouped into: Reactive changes, @entity3146 1, @entity3146 2/ @entity3146 3 and @entity15709 ( @entity15709 ). RESULTS: Out of the 6173 smears included in the study 6072 (98.36%) were normal and only 101 (1.63%) were abnormal. After colposcopic biopsies, 0.08% had @entity3146 1, 0.03% had @entity3146 2, 3 and 0.01% had @entity15709 . CONCLUSION: We concluded that cervical @entity5 screening programs, although life-saving for a number of @entity1 , are not a sufficiently high priority in our community. Money for national health screening programs should preferably be directed more towards recruiting @entity1 for @entity0 screening, since @entity0 accounts for about 33% of all female cancers in Egypt ranking number one, while cervical @entity5 ranks number 13.
