A 52 year old woman attends for a cervical smear test. Her doctor later contacts her...

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A 52 year old woman attends for a cervical smear test. Herdoctor later contacts her and asks her to return because the smearwas abnormal. The doctor recommends colposcopy, that is endoscopicexamination of the cervix and vagina, but is unable to say whetherthe result of the smear showed pre-cancerous changes or not â€“ infact the concern may be technical. The woman is extremely concernedand not especially reassured that it may be a false alarm.

3a) What is the purpose of cancer screening in general?

3b) A proposal is put forward for a new screening programme.List as many criteria as possible that should be considered indeciding whether the new screening programme should beimplemented.

3c) What controls and checks would you wish to see developedfor the new screening programme?

3d) What medicolegal problems does a screening programraise?

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Screening helps to detect cancers early even before they cause symptomsE arly detection is important because when abnormal tissue or cancer is detected earlyit is easy to treat than in advanced cases where metastasis occurs 3b various criteria considered for implementing a new screening program are the approach screening programs uses one of the two approachesa Opportunistic screening See Answer

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