[The significance of the colposcopy and PAP test in the primary health care].

Colposcopy and Pap examination in the Primary health care influence on increasing of detection precancerous lesions and cervical cancer. We analyzed 245 women from Sapna region: 90 women who were controled in University clinical centre Tuzla during 3 years period and 155 women who were controled during 9 months in the Primary health care Sapna. The results showed that the introduction of colposcopy and Pap examination in the Primary helath care increased the number controled women. There were found precancerous lesons in 48 cases: Cervical intraepithelial lesions grade 1 (CIN 1) in 38, CIN 2 in 6 and CIN 3 in 4 cases. Cervical cancer was found and confirmed in 2 cases. We concluded that the colposcopy and Pap examination on the Primary health care is most efficacious and the cheapest method for detection and prevention of the cervical cancer.