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Correspondence
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Volume 350:414-415 January 22, 2004 Number 4
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Extending the Interval between Cervical-Cancer Screenings

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 by Sawaya, G. F.
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To the Editor: Although the conclusion of the article by Sawaya et al. on the interval between cervical-cancer screenings (Oct. 16 issue)1 may be correct, they failed to note one of the large biases. They presumed the same sensitivity and specificity for colposcopy whether the abnormal Papanicolaou test had been preceded by one or more years without a Papanicolaou test. A finding of grade 2 or grade 3 cervical intraepithelial neoplasia on colposcopic biopsy in a patient who has not had a Papanicolaou test for three years is more likely to be an invasive cancer on cold-knife conization than is . . . [Full Text of this Article]




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