Screening for Endometrial Cancer: Is It Effective?

Editorials1 February 1989Screening for Endometrial Cancer: Is It Effective?Kathleen I. Pritchard, MDKathleen I. Pritchard, MDAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-110-3-177 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptPeriodic health examinations, although advocated in Britain before the turn of the century, were first introduced to North America in 1900 (1) and were widely popularized over the next 50 years, in part by physicians associated with life insurance companies. The work of such physicians (2) was quoted, somewhat incorrectly, as proving that screening measures of various types were effective in reducing mortality (3). The assumptions underlying the use of periodic health examinations are that asymptomatic individuals may harbor occult disease, that various examinations or screening procedures can detect this disease at an earlier stage than it would otherwise be...References1. Charap M. The periodic health examination: genesis of a myth. Ann Intern Med. 1981;95:733-5. LinkGoogle Scholar2. Fisk E. Extending the health span and life span after 40. South Med J. 1923;16:9-21. CrossrefGoogle Scholar3. Callen M. Periodic health examinations. Why? What? When? How? Prim Care. 1976;3:197-204. CrossrefMedlineGoogle Scholar4. Frame P and Carlson S. A critical review of periodic health screening using specific screening criteria. 1-4. J Fam Pract. 1975;2:29-36, 1239, 189-94, 283-8. MedlineGoogle Scholar5. Thompson H ed. Standards of Child Health Care. 3d ed. Evanston, Illinois: American Academy of Pediatrics; 1977:9-36. Google Scholar6. . Preventive services for the well population. In: Disease Prevention and Health Promotion: Federal Programs and Prospects. Report of the Departmental Task Force on Prevention. Washington, DC: U.S. Government Printing Office; 1978: Appendix 1-30 (US-DHEW Stock #017-001-00418-9). Google Scholar7. . The periodic health examination. Can Med Assoc J. 1979;121:1193-254. MedlineGoogle Scholar8. . The periodic health examination. 2. 1984 update. Can Med Assoc J. 1984;130:1278-85. MedlineGoogle Scholar9. . The periodic health examination. 1. Introduction. 2. 1985 Update. Can Med Assoc J. 1986;134:721-3, 724-7. Google Scholar10. . The periodic health examination. 1. Introduction. 2. 1987 Update. Can Med Assoc J. 1988;138:617-8, 618-26. MedlineGoogle Scholar11. Eddy D. ACS report on the cancer-related health checkup. CA. 1980;30:193-240. Google Scholar12. . Booklet #211010. Toronto: The Canadian Cancer Society; 1987. Google Scholar13. . The hopeful side of cancer. Booklet #211325. Toronto: The Canadian Cancer Society; 1984:5. Google Scholar14. Mahboubi E, Eyler N, and Wyndler E. Epidemiology of cancer of the endometrium. Clin Obstet Gynecol. 1982;25:5-17. CrossrefMedlineGoogle Scholar15. Wigle D, Mao Y, Semenciw R, and Morrison H. Cancer patterns in Canada. Can Med Assoc J. 1986;134:231-5. Google Scholar16. Silverberg E and Lubera J. Cancer Statistics, 1986. CA. 1986;36:9-25. Google Scholar17. . Cat. no. 82-206, Ottawa: Statistics Canada; 1984:34, 58. Google Scholar18. Burk J, Lehman H, and Wolf F. Inadequacy of Papanicolaou smears in the detection of endometrial cancer. N Engl J Med. 1974;291:191-2. CrossrefMedlineGoogle Scholar19. Vuopala S. Diagnostic accuracy and clinical application of cytological and histological methods for investigating endometrial carcinoma. Acta Scand Obstet Gynecol. 1977;70(Suppl):1-72. MedlineGoogle Scholar20. Kass L, Schreiber K, Oberlander S, Moussouris H, and Lesser M. Detection of endometrial carcinoma and hyperplasia in asymptomatic women. Obstet Gynecol. 1984;64:1-11. MedlineGoogle Scholar21. MacMahon B. Risk factors for endometrial cancer. Gynecol Oncol. 1974;2:122-9. CrossrefMedlineGoogle Scholar22. Survey of physicians' attitudes and practices in early cancer detection. CA. 1985;35:197-213. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: Kathleen I. Pritchard, MD Nextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byLiquid-based endometrial cytology: cyto-histological correlation in a population of 917 womenAltered protein expression in endometrial carcinogenesisThe malignant potential of endometrial polypsThe outcome of endometrial carcinoma surveillance by ultrasound scan in women at risk of hereditary nonpolyposis colorectal carcinoma and familial colorectal carcinomaEndometriumCancers of the Female Reproductive SystemEndometrial Cancer: Current Concepts and ManagementThe risk of endometrial cancer in hereditary nonpolyposis colorectal cancerSCREENING FOR GYNECOLOGIC CANCERScreening for gynecologic and colorectal cancer: Is it adequate?Endometrial morphology in asymptomatic postmenopausal womenAssessment of Screening for CancerExperience with the EndoPap device for the cytologic detection of uterine cancer and its precursors: A comparison of the EndoPap with fractional curettage or hysterectomyDiscussionThe tumour spectrum in hereditary non-polyposis colorectal cancer: A study of 24 kindreds in the netherlandsScreening for Hereditary Non-polyposis Colorectal Cancer in the Netherlands 1 February 1989Volume 110, Issue 3Page: 177-179KeywordsCancer screeningHealth insuranceMortality ePublished: 1 December 2008 Issue Published: 1 February 1989 PDF downloadLoading ...