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Cervical Carcinoma Surveillance Counterpoint: Japan

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Patient Surveillance After Cancer Treatment

Abstract

Uterine cervical cancer is one of the most common malignancies affecting women in developing countries, with approximately 500,000 new cases diagnosed annually [1]. Approximately 11,270 new cases and 4,070 deaths are anticipated in the United States for 2009 [2]. In Japan, the cervical cancer incidence has remained stable with 8,832 cases diagnosed in 1975 and 8,779 cases reported in 2002. The number of deaths has increased slightly from 1,583 cases in 1958 to 2,481 cases in 2006 [3]. However, the number of new cases per year in Japan of the other female malignancies has annually increased to 249,643 and the number of deaths per year has increased to 131,262. Therefore, the number of deaths caused by cervical cancer comprises only 1.8 % of the deaths from all kinds of gynecological malignancies. Early detection of cervical cancer and its precursors is quite effective. Until the early 1970s, approximately 75–80 % of cervical cancer cases in the United States were invasive at the time of diagnosis [4]. The national screening system for detecting cervical cancer and its precursors has dramatically reduced the incidence and mortality rate of this malignancy in Japan. Since 2004, biennial cervical cancer screening has been available to all Japanese women over the age of 20. The number of women screened was 3,538,132 in 2007; additional diagnostic testing was needed for 40,392, resulting in the identification of 1,921 cancer cases [5]. However, only 18.8 % of eligible women were screened. Therefore, a significant number of cancers likely will be prevented by increasing the screening rate.

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Correspondence to Kenzo Sonoda MD, PhD .

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Sonoda, K., Kobayashi, H., Wake, N. (2013). Cervical Carcinoma Surveillance Counterpoint: Japan. In: Johnson, F., et al. Patient Surveillance After Cancer Treatment. Current Clinical Oncology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-60327-969-7_65

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  • DOI: https://doi.org/10.1007/978-1-60327-969-7_65

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