π'æπ∏åµ âπ

°“√§—¥°√Õß¡–‡√Áߧա¥≈Ÿ°„πÀ≠‘ß∑’˵‘¥‡™◊ÈÕ‡Õ™‰Õ«’

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*

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‡ªìπ¡“µ√∞“π„π°“√¥Ÿ·≈À≠‘ß∑’˵‘¥‡™◊ÈÕ‡Õ™‰Õ«’¢Õß∑ÿ°‚√ß欓∫“≈.

§” ”§—≠: °“√µ√«®§—¥°√Õ߇´≈≈å¡–‡√Áß, À≠‘ßµ‘¥‡™◊ÈÕ‡Õ™‰Õ«’, ¡–‡√Áߧա¥≈Ÿ°

Abstract Papanicolaou Smear Screening for Cervical Cancer in HIV-infected Women Pongsathorn Soi-kiri*

*Prachantakam Hospital, Prachinburi Province

The purposes of this study were to determine the results of the screening of Papani- colaou smears (Pap smears) for cervical cancer in HIV-infected women in Prachantakam district, Prachinburi Province. The subjects enrolled in this study were 34 HIV-infected women who were among the people living with HIV/AIDS.

PAP smears were done in 34 HIV-infected women; one (2.94%) of them was found to be abnormal, and one (2.94%) revealed cervical cancer. Compared with the results of PAP smear that had been done on 7,756 women in Prachinburi Province, 0.31 percent were found to be abnormal, and 0.04 percent had cervical cancer.

Therefore, standard routine screening for cervical cancer using PAP smears for HIV- infected women should be necessary under the health insurance policy.

Key words: Papanicolaou smears, HIV-infected women, cervical cancer

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ˆ. Six C, Heard I, Bergeron C, Orth G, Poveda JD, Zagury P, et al.

Comparative prevalence, incidence and shortterm prognosis of cer- vical squamous intraepithelial lesions amongst HIV - positive and HIV - negative women. AIDS 1988;12:1047-56.

˜. Wright TC Jr, Ellerbrock TV, Chiasson MA, Van Devanter N,

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Sun XW. Cervical intraepithelial neoplasia in women infected with human deficiency virus prevalence, risk factor and validity of Papanicolaou smears. New York Cervical Disease Study. Obset Gynecol 1944;84:591-7.

¯. Ellerbrock TV, Chaisson MA, Bush TJ, Sun XW, Sawo D, Brudney K, et al. Incidence of cervical squamous interaepithelial lesions in HIV - infected women. JAMA 2000;283:1031-7.

˘. Chin KM, Sidhu JS, Janssen RS, Weber JT. Invasive cervical cancer in human immunodeficiency virus infected and uninfected hospital patients. Obstet Gynecol 1998;92:83-7.