Utility of pap smears and mammograms in midlife urban Malaysian women

Cancers of the breast and cervix made up 30.4% and 12% of all cancer cases in Malaysia. Thus screening for reproductive organ cancers as women approached menopause becomes exceedingly important. The study reports the baseline assessment tests of 495 disease free urban Malaysian women aged 45 year...

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Main Authors:	Adeeb N, Nur-Azurah AG, Ong FB, Seri SS, Shamsuddin K, Noor-Aini MY, Sharifah NA, Zahiah M
Format:	Article
Language:	English
Published:	Penerbit UKM 2008
Online Access:	http://journalarticle.ukm.my/2018/ http://journalarticle.ukm.my/2018/ http://journalarticle.ukm.my/2018/1/Page_59_-_68.pdf

id	ukm-2018
recordtype	eprints
spelling	ukm-20182016-12-14T06:30:40Z http://journalarticle.ukm.my/2018/ Utility of pap smears and mammograms in midlife urban Malaysian women Adeeb N, Nur-Azurah AG, Ong FB, Seri SS, Shamsuddin K, Noor-Aini MY, Sharifah NA, Zahiah M, Cancers of the breast and cervix made up 30.4% and 12% of all cancer cases in Malaysia. Thus screening for reproductive organ cancers as women approached menopause becomes exceedingly important. The study reports the baseline assessment tests of 495 disease free urban Malaysian women aged 45 years and above who volunteered in a healthy lifestyle intervention study. The sample comprised of 58.0% premenopaused and 42.0% postmenopaused women with an average age of 51.27±5.35 years old. Over two thirds were Chinese followed by Malays and Indians. Overall, abnormal Pap smears were seen in 7.6% comprising of 1.3% cervical intraepithelial neoplasia (CIN), 6.1% human papilloma virus (HPV) infection and 0.2% atypical squmous cells of undetermined significances (ASCUS). Yeast and other infections were found in 6.9% and 1.9% respectively. Comparatively, postmenopausal women had a 2.8 fold higher cancerous changes whereas premenopausal women had a higher infection rate, 11.8% vs. 4.7% respectively (p=0.024) with comparable HPV infection rates in both. This study found 1.3% had breast cancer (BC) with 3.6% requiring a biopsy while 3.4% needed regular follow up. Postmenopaused women had more abnormal mammograms (p<0.0005) of a graver nature, requiring monitoring although the rate of BC was lower than the premenopaused, 0.010 versus 0.015. The findings identified better vigorous screening for malignant carcinoma of the cervix in postmenopausal women as the incidence was higher. As for breast abnormalities, screening should begin at an earlier age, amongst pre- and postmenopausal women from 45 years old and above Penerbit UKM 2008 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/2018/1/Page_59_-_68.pdf Adeeb N, and Nur-Azurah AG, and Ong FB, and Seri SS, and Shamsuddin K, and Noor-Aini MY, and Sharifah NA, and Zahiah M, (2008) Utility of pap smears and mammograms in midlife urban Malaysian women. Medicine & Health, 3 (1). pp. 59-68. ISSN 1823-2140 http://www.ppukm.ukm.my/ukmmcjournal/index.php
repository_type	Digital Repository
institution_category	Local University
institution	Universiti Kebangasaan Malaysia
building	UKM Institutional Repository
collection	Online Access
language	English
description	Cancers of the breast and cervix made up 30.4% and 12% of all cancer cases in Malaysia. Thus screening for reproductive organ cancers as women approached menopause becomes exceedingly important. The study reports the baseline assessment tests of 495 disease free urban Malaysian women aged 45 years and above who volunteered in a healthy lifestyle intervention study. The sample comprised of 58.0% premenopaused and 42.0% postmenopaused women with an average age of 51.27±5.35 years old. Over two thirds were Chinese followed by Malays and Indians. Overall, abnormal Pap smears were seen in 7.6% comprising of 1.3% cervical intraepithelial neoplasia (CIN), 6.1% human papilloma virus (HPV) infection and 0.2% atypical squmous cells of undetermined significances (ASCUS). Yeast and other infections were found in 6.9% and 1.9% respectively. Comparatively, postmenopausal women had a 2.8 fold higher cancerous changes whereas premenopausal women had a higher infection rate, 11.8% vs. 4.7% respectively (p=0.024) with comparable HPV infection rates in both. This study found 1.3% had breast cancer (BC) with 3.6% requiring a biopsy while 3.4% needed regular follow up. Postmenopaused women had more abnormal mammograms (p<0.0005) of a graver nature, requiring monitoring although the rate of BC was lower than the premenopaused, 0.010 versus 0.015. The findings identified better vigorous screening for malignant carcinoma of the cervix in postmenopausal women as the incidence was higher. As for breast abnormalities, screening should begin at an earlier age, amongst pre- and postmenopausal women from 45 years old and above
format	Article
author	Adeeb N, Nur-Azurah AG, Ong FB, Seri SS, Shamsuddin K, Noor-Aini MY, Sharifah NA, Zahiah M,
spellingShingle	Adeeb N, Nur-Azurah AG, Ong FB, Seri SS, Shamsuddin K, Noor-Aini MY, Sharifah NA, Zahiah M, Utility of pap smears and mammograms in midlife urban Malaysian women
author_facet	Adeeb N, Nur-Azurah AG, Ong FB, Seri SS, Shamsuddin K, Noor-Aini MY, Sharifah NA, Zahiah M,
author_sort	Adeeb N,
title	Utility of pap smears and mammograms in midlife urban Malaysian women
title_short	Utility of pap smears and mammograms in midlife urban Malaysian women
title_full	Utility of pap smears and mammograms in midlife urban Malaysian women
title_fullStr	Utility of pap smears and mammograms in midlife urban Malaysian women
title_full_unstemmed	Utility of pap smears and mammograms in midlife urban Malaysian women
title_sort	utility of pap smears and mammograms in midlife urban malaysian women
publisher	Penerbit UKM
publishDate	2008
url	http://journalarticle.ukm.my/2018/ http://journalarticle.ukm.my/2018/ http://journalarticle.ukm.my/2018/1/Page_59_-_68.pdf
first_indexed	2023-09-18T19:34:58Z
last_indexed	2023-09-18T19:34:58Z
_version_	1777405210001408000

Utility of pap smears and mammograms in midlife urban Malaysian women

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