Diagnostics the cervical cancer in situ of the uterus at women, living in Karelia Republic

Identification of a cervical cancer (CCU) at a screening stage is an important task. The analysis of 473 cases of preinvasive cervical cancer (cancer in situ ) and 1138 cases of invasive cervical cancer for the 14- year period (1998-2011) at women was carried out in Karelian Republic. It is noted that the morbidity of cervical cancer in Karelian Republic has 4 times increased from 10, 5 to 40, 3 cases among 100 thousand of female population. The frequency of 1-2 stages of cervical cancer has increased from 55,8% (1998) to 81,0% in 2011, the number of the sick of cervical cancer revealed on screening inspections (from 3,6% to 48,9%) increased. The increase of cancer in situ from 8,5% to 27,4% is noted in 2011. In article the analysis of early diagnostics taking into account a cancer in situ and the I-II stage of cervical cancer in RK is presented. This indicator increased from 59,6% (1998) to 86,2% in 2011. There are 3 groups of districts in Karelian Republic with different levels of early cervical cancer diagnosis (cancer in situ 1-2 stages). The coverage of female population by cytological screening in Karelian Republic varies from 11,5% to 61,9% in different districts and in average amounts 43-46%. The sensitiveness of cytological screening in the diagnosis of cervical cancer amounts 90, 5%, varying from 86% in cancer in situ to 96, 3-100, 0% in 3-4 stages.