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A striking reduction in the incidence of and mortality from cervical cancer occurred in the past century in those countries that were able to establish successful national screening programs. These programs relied on cytology-based Papanicolaou smears to identify cervical cancer precursors that can be removed before progressing to invasive cancer. Prevention of up to 91 percent of all invasive cervical cancers has been achieved in countries able to implement widespread cytology-based screening.

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