Obstacles in the Control of Cancer of the Cervix

Abstract

Lethargy on the part of women and their physicians may be a greater obstacle in the control of cervical cancer than technologic shortcomings or inadequate laboratory facilities for cytology. Of 500 new gynecologic patients surveyed at the Lahey Clinic, 37 per cent had never had a vaginal smear and 41 per cent had not had a vaginal smear in five years. No valid reason was elicited, but cost was a minor factor. Physicians have been too selective in application of the vaginal smear; only 19 per cent always obtain a vaginal smear.