الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
One of the essential responsibilities of the gynaecologist
is to detect neoplasia of the female genital tract at ~~e
earliest possible opportunity and to institute appropriate
treatment.
The position of the uterine cervix and its easy accessibility
for examination and screening is o= great advantage. This
also puts the cervix in a position of g~eat ~isk, being e~~osed
to infectio~ and carcinogenic agents. It is well established
~~at cervical carcino~a is a sexually-transwitted disease.
Cervical intra-epithelial neoplasia a~d ITicro-invasion is
a precliLical disease. Cervical screeni~g by Pap~~icolaou (?AP)
s:r:.ear is the only practical methoC. nov:adays t.o identify abnor:r.al
T~is brir.qs the disease intc ~ig~t, ~he~ trea~ent
can be o==ered. Creas~an and Weed (1980) ~ave stated that
cervical ca..Jcer could be a.n. entirely pre’\’”entable :naligna:ncy i::::,
i~ fact, all feffiales ~ere scree~ed adequate~y, but ur~fortlli”1ately
only 75 per cent of adult =eoales ta~e advantage of ~~is siople
an::i relatively painless procedure.
Tbe i:nplicatior.. of the apparently prolo:1ged natural history
of the disease and ~~e higbly localised r.ature of ~~e lesio~ in
most cases did not ~eceive clinical applicatio:1 until the ”\\ridespread
application of colposcopy ~”1d conservative treatment,
V.’hen Feld::r.an et al (1978), a..JC :r.any ot.hers, fot:nC. t.’;.at ”:.here v..ras
an increase in cervical intra-epithelial neoplasia in yo~~g
~ooen early in their reproductive careers.