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Cervical screening

Maternal and Child Health Sciences, Ninewells Hospital, Dundee, Tayside, DD1 9SY, UK. email: ian.d.duncan{at}tuht.scot.nhs.uk

Since the introduction in the late 1980s of UK cervical screening programmes based on computerised call and recall, mortality from cervical cancer has fallen by one-third and incidence has dropped by two-thirds. Current methods of screening have probably reached the limits of their usefulness. However, encouraging new approaches involving liquid-based cytology and automation are in the advanced stages of development. Roles are also being researched for entirely different technologies, including human papillomavirus testing. It is anticipated that both sensitivity and specificity will improve.

Keywords Keywords / cancer / cervix / cytology / papillomavirus / screening