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Lower Incidence of Positive Gynecological Cancers in Examinees of a Unique Health check-up Institute, Ningen Dock in Japan, 2011-2016

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Open Journal of Obstetrics and Gynecology 2017年第5期7卷 545-551页

作者： Chinatsu Koiwai Satoshi Ichigo Hiroshi Takagi Hiroyuki Kajikawa Atsushi Imai Department of Obstetrics and Gynecology Matsunami General Hospital Gifu Japan

The present study aims to determine the gynecologic health status of asymptomatic women at a unique Japanese Health check-up Institute, Ningen Dock. Medical records of Japanese women, who underwent gynecological medical (health) examinations between January 2011 and December 2016, were retrospectively reviewed. Of the cervical smears from 8927 women aged 18 - 85 years, 50 (0.6%) were classified as dysplastic and malignant changes: 18 of low-grade squamous intraepithelial lesion, 10 high-grade squamous intraepithelial lesion, 21 atypical squamous cells of undetermined significance and 1 cervical squamous cell carcinoma. No case of cervical adenocarcinoma was found. Ultrasonographic examination detected uterus enlargements and ovary tumors in 2.0% and 0.9% of cases, respectively. Most of participants (95.6%) revealed no gynecologic abnormalities. The present study based on the records of Ningen Dock, where asymptomatic participants undergo a medical examination at their own expense, showed very low incidence of abnormal cytologic and/or ultrasonographic findings.

关键词： Cervical Smear Screening Transvaginal Sonography Health check-up Ningen Dock

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Trends in age distribution of participants in a self-covered and a public expense-covered health check-up programs in Japan

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Health 2012年第9期4卷 567-569页

作者： Maki Ogawa Atsushi Imai Health check-up Registry Matsunami General Hospital Kasamatsu Japan Institute of Endocrine-Related Cancer Matsunami General Hospital Kasamatsu Japan

Objective: In Japan, there are unique facilities (namely Ningen Dock) of health check-up, where asymptomatic participants undergo a medical examination at their own expense. The earlier occurrence of cervical cancer and the concern on screening prompted us compare to the age distribution in the self-covered system with that of free physical check-up programs at public expense. Methods: We analyzed medical records of Japanese women, who underwent gynecological examinations at self-covered expense and at public expense between for the periods 2002-2011 and 2005-2009, respectively, restricting examinee’s age group. Results: For self-covered system, approximately 80% of the overall examinee population was occupied with three age groups 30-39, 40-49 and 50-59. The participants was extremely fewer in the over 60 years age group accounting for 10%, compared to those for the public expense-covered system, the over 60 years age group being 25%. Participant under the age of 30 years seemed to increase in chronological order in both systems. Conclusion: The level of knowledge on sexually transmitted infections may contribute to screening promotion for the younger women, while the elderly over 60 years’ attitudes toward screening may be mainly related to social-economic status and/or public expense support.

关键词： Health check-up Cervical Cancer Sexually Transmitted Disease Human Papillomavirus Age Distribution

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Evaluation of a public expense-covered gynecologic screening program in Japan 2005-2009

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Open Journal of Obstetrics and Gynecology 2011年第2期1卷 21-24页

作者： Hiroshi Takagi Satoshi Ichigo Kazutoshi Matsunami Atsushi Imai 不详

Introduction: In Japan, there is free physical check-up programs of cancer screening, by which asymptomatic participants undergo a medical examination at public expense. The present study aims to describe their gynecologic findings and compare them with the literatures reported from general hospitals and self-paid check-up programs. Methods: Medical records of Japanese women, who underwent gynecological examinations at public expense between 2005 and 2009, were retrospectively reviewed. Results: Of the cervical smears from 2850 women aged 21 - 82 years, 33 (1.1%) were classified as dysplastic and malignant changes: 28 of low-grade squamous intraepithelial lesion (LSIL), 3 high-grade squamous intraepithelial lesion (HSIL), 2 atypical squamous cells of undeterimined significance (ASC-US). No case of cervical squamous cell carcinoma or adenocarcinoma was found. Ultrasonographic examination detected uterus enlargements and ovary tumors in less than 1% of cases. Most of participants (98%) revealed no gynecologic abnormalities. Conclusion: Annual gynecologic screening and proper follow-up programs even against asymptomatic women may remarkably reduce the probability of (pre)malignant disease.

关键词： Cervical Smear Screening Transvaginal Sonography Gynecologic check-up Oncology

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