Women with slightly abnormal smear test results need more reassurance

Women with slightly abnormal smear test results need more reassurance

MORE than a quarter of women who receive slightly abnormal smear test results are experiencing unnecessarily high levels of anxiety - suggests new research published today (Tuesday) in the British Journal of Cancer*.

The report’s authors conclude that more information to help women understand their test results, and reassurance to address their fears about developing cervical cancer, could reduce anxiety levels.

The research team measured anxiety levels in over 3,500 women with slightly abnormal smear test results taking part in the TOMBOLA trial (Trial Of Management of Borderline and Other Low-grade Abnormal smears). The women were screened for clinically significant anxiety using the Hospital Anxiety and Depression Scale (HADS).

When the scores were analysed, 23 percent of the women were categorised as ‘probable cases’ of clinical anxiety, and a further 20 percent as ‘possible cases’. These findings are comparable with those from a study of women who had received higher-grade abnormal smear results.

Lead author, Nicola Gray of the Department of General Practice and Primary Care at Aberdeen University, said: “Our results indicate that similar levels of anxiety are being experienced among women with slightly abnormal – or low-grade – smears as among those with high-grade smears.

“This suggests that women may not understand their test results or the meaning of the term pre-cancerous, and wrongly conclude that any abnormalities detected must indicate cancer.”

The results also showed that women at highest risk of anxiety tended to be younger, have children, be smokers or have the highest levels of physical activity.

A slightly abnormal test result rarely means that a woman has cervical cancer. It means that some of the cells on the smear were slightly abnormal and could become cancerous sometime in the future.

In the vast majority of cases these slightly abnormal cells go back to normal by themselves and the doctor will ask the woman to come back in six months for a repeat smear to make sure. Alternatively, the doctor will carry out another examination called a colposcopy to examine the cervix more closely and take action to treat the cells if necessary.

If a woman is treated for an abnormal smear she is very unlikely to go on to develop cervical cancer.

Nicola Gray added: “Strategies to improve women’s understanding and to address their fears about cancer, treatment and fertility are needed to reduce this anxiety.”

Martin Ledwick, cancer nurse manager at Cancer Research UK, which owns the British Journal of Cancer, said:

“It’s vitally important women understand that smear tests are all about cancer prevention. The test detects abnormal cells that could become cancerous and follow-up treatment prevents cervical cancer from developing.

“The national screening programme is estimated to save thousands of lives in the UK every year. But if women are worried unnecessarily by the results of their smear the concern is they won’t continue to go for regular checks.”

The Medical Research Council (MRC) and the National Health Service (NHS) in Scotland and England funded the research.

Search News

Browse by Month

2024

  1. Jan
  2. Feb
  3. Mar
  4. Apr
  5. May
  6. Jun
  7. Jul There are no items to show for July 2024
  8. Aug There are no items to show for August 2024
  9. Sep There are no items to show for September 2024
  10. Oct There are no items to show for October 2024
  11. Nov There are no items to show for November 2024
  12. Dec There are no items to show for December 2024

2004

  1. Jan
  2. Feb
  3. Mar
  4. Apr
  5. May
  6. Jun
  7. Jul
  8. Aug
  9. Sep
  10. Oct
  11. Nov There are no items to show for November 2004
  12. Dec

2003

  1. Jan
  2. Feb
  3. Mar
  4. Apr
  5. May
  6. Jun
  7. Jul
  8. Aug
  9. Sep
  10. Oct
  11. Nov
  12. Dec There are no items to show for December 2003

1999

  1. Jan There are no items to show for January 1999
  2. Feb There are no items to show for February 1999
  3. Mar
  4. Apr
  5. May
  6. Jun
  7. Jul
  8. Aug
  9. Sep
  10. Oct
  11. Nov
  12. Dec

1998

  1. Jan
  2. Feb
  3. Mar
  4. Apr There are no items to show for April 1998
  5. May
  6. Jun
  7. Jul There are no items to show for July 1998
  8. Aug There are no items to show for August 1998
  9. Sep
  10. Oct
  11. Nov There are no items to show for November 1998
  12. Dec