Necessity of Cervical Cancer Screening in Middle and Low Income Countries

Background: In low- and middle-income countries, cervical cancer is considered one of the common causes of cancer related- death in women. Even though cervical cancer has been controlled by cytology-based screening in developed countries, unfortunately the majority of women who develop cervical cancer live in societies with no or poor access to regular screening. Method: All cases of cervical neoplastic lesions including Low grade squamous intraepithelial lesion(LSIL), High grade squamous intraepithelial lesion(HSIL), Insite squamous cell carcinoma, Insite adenocarcinoma, Invasive squamous cell carcinoma(SSC) and invasive adenocarcinoma were retrieved from file of pathology department of university affiliated Alzahra hospital(Tabriz-Iran) from April 2016 to April 2018 to achieve of relative incidence of pervasive and invasive cervical neoplastic lesions. Repeated surgical specimens from one patient were excluded. Result: A total number of 43 cases of cervical pervasive and invasive neoplasia lesions were found in the study period. Conclusion: Based on the results of this study, it can be concluded that, nowadays cervical cancer is considered truly a curable cancer if diagnosed in preinvasive or very early stages of invasive. We strongly recommend that national appropriate screening program in association with social education about HPV infection should be start in Iran.