Summary: In different gynecological cancers preventive possibilities and their realisation in practice are evaluated. In prevention of cervical cancer the two step system should be realized in the whole country in a very short period. The outcomes of preventive care should be followed by two indexes: number of detected CIN and dicrease of prevalence of cervical cancer. In the prevention of endometrial cancer biopsy should be performed more frequently especially in high risk women. The determination of preventive significance of scheening-vakutage of uterine body would be of great importance. In prevention of ovarian cancer - until a precise marker is found - it ts necessary to detect more quickly cancers from among unspecified pelvic resistances by means of palpation, sonography and CT scan. The sonography with vaginal probe as a screening method must be tested clinically.
In prevention of vulvar cancer the bioptical examination from different sites should not be delayed and new radical operations (e.g.skinning vulvectomy) in cases when conservative treatment is ustatisfactory should be performed. These recommandations can help to realise - in view of gynecological oncology - the requirement of WHO, to reduce the incidence of cancer by 15% by the year 2000.
Contemporary perspectives of the oncological prevention in gynecological practice
