NON SURGICAL PREVENTION OF UTERINE CANCER S

Non surgical prevention of uterine cervical cancer relies on regular p erformance of Pap smears and colposcopy. Screening for cervical dyspla sia allows their treatment by laser vaporisation or cone biopsy, accor ding to their gi ade, and therefore the prevention of invasive carcino ma. Infortunetly, 40 % of the female population does not comply to cer vical screening and Pap smears entail 20 % false negative results. Pre vention of endometrial carcinoma is even far more difficult in that en dometrial smears are seldom practised. Periodic surveillance of women receiving oestrogenic hormonal therapy, addition of progesterone in or der to eventually protect the endometrium, hysteroscopic detection of irregular endometrial hyperplasia, represent the only tools available today.