PRE-MALIGNANT AND MALIGNANT CERVICAL LESIONS - INCIDENCE ACCORDING TO AGE

Authors

  • João Antônio Guerreiro Pontifícia Universidade Católica do Paraná
  • Fernanda Ventura Salles Pontifícia Universidade Católica do Paraná
  • Izabela Rodrigues Villela Pontifícia Universidade Católica do Paraná
  • Lívia Fouani de Miranda Pontifícia Universidade Católica do Paraná
  • Solena Ziemer Kusma Pontifícia Universidade Católica do Paraná

DOI:

https://doi.org/10.5380/rmu.v4i2.55188

Keywords:

Uterin cervical neoplasms. Cervix neoplasm prevention. Papanicolaou test. Vaginal smears. Cervical intraepithelial neoplasia.

Abstract

Objective: to establish the mean age at diagnosis of malignant or pre-malignant cervical lesions in patients treated at Erasto Gaertner Hospital, in Curitiba/PR, between the years of 2009 and 2011, in order to compare these data with the guidelines of the Brazilian Ministry of Health. Methods: retrospective analysis of 3136 medical records of patients from Erasto Gaertner Hospital. Alternative sources were consulted for the complementation of the study. Results: The lowest average age was 29,24 years, being 49,25 for invasive cancer and 34,47 for cervical intraepithelial neoplasia (CIN). Only 0.4% of patients with invasive cancer were younger than 25 years. The most common diagnosis among patients younger than 25 years was CIN II. It was observed that the lower average age occurred in patients with CIN I, and it was over 25 years, therefore agreeing with literature. However, disagreeing with this, the most common diagnosis in patients under 25 years was CIN II. Conclusion: if the screening is initiated at 25 years old, the majority cases of malignant and premalignant cervical lesions would have been diagnosed. However, there is a possibility of under-diagnosis of CIN II, partially agreeing with the recommendations of the Ministry of Health.

References

Silva MB da, Nascimento MC do, Ribeiro DA de A,

Matias IM de S, Gradim CVC. Rastreamento do

câncer de colo de útero em uma Unidade Básica

de Saúde do Estado de Minas Gerais. Cad. Saúde

Coletiva 2012; 20(3):265-270.

Instituto Nacional de Câncer. Controle do Câncer

do Colo do Útero. 2014. Available at: http://

www2.inca.gov.br/wps/wcm/connect/

acoes_programas/site/home/nobrasil/

programa_nacional_controle_cancer_colo_utero/

conceito_magnitude. Acessado em julho de 2014.

Diz MDPE, Medeiros RB de. Câncer de colo

uterino – fatores de risco, prevenção, diagnóstico

e tratamento. Rev Med 2009;88(1):7-15.

Araujo SR. Citologia Cérvico-Vaginal Passo a

Passo. 22a Edição. Curitiba, Paraná; 2010.

Guimarães JRQ. Manual de Oncologia. 3a Edição.

(Editora B, ed.). São Paulo, SP; 2008.

Ministério da Saúde, Instituto Nacional de Câncer.

Diretrizes Brasileiras para o Rastreamento do

Câncer do Colo do Útero. 2011.

Ministério da Saúde. Falando Sobre Câncer do

Colo do Útero. 2002:1-50.

Corrêa DAD. Perfil das usuárias do Sistema Único

de Saúde que realizam o Papanicolaou em

Manaus, Amazonas. 2009.

Caetano R, Vianna CM de M, Thuler LCS, Girianelli

VR. Custo-efetividade no diagnóstico precoce do

câncer de colo uterino no Brasil. Rev Saude

Coletiva 2006;16(1):99-118.

Pinho A de A, França-Junior I. Prevenção do

câncer de colo do útero: um modelo teórico para

analisar o acesso e a utilização do teste de

Papanicolaou. Rev. Bras. Saúde Matern. Infant.

;3(1):95-112.

Secretaria Municipal de Saúde de Curitiba.

Programa Viva Mulher Em Curitiba: Controle Do

Câncer de Mama E Colo de Útero. Curitiba; 2002.

Zeferino LC. O desafio de reduzir a mortalidade

por câncer do colo do útero. Rev. Bras. Ginecol. e

Obstet. 2008;30(5):213-215.

Thuler LCS. Mortalidade por câncer do colo do

útero no Brasil. Rev. Bras. Ginecol. e Obstet.

;30(5):216-218.

Coelho FRG, Costa RLR. Padronização Em

Ginecologia Oncológica. São Paulo, SP; 2005.

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Published

2017-09-12

How to Cite

Guerreiro, J. A., Salles, F. V., Villela, I. R., Miranda, L. F. de, & Kusma, S. Z. (2017). PRE-MALIGNANT AND MALIGNANT CERVICAL LESIONS - INCIDENCE ACCORDING TO AGE. Revista Médica Da UFPR, 4(2), 61–66. https://doi.org/10.5380/rmu.v4i2.55188

Issue

Vol. 4 No. 2 (2017)

Section

Artigos Originais

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