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Limitation of cytology and the impact on reduction of cervical cancer / Limitação da citologia e o impacto na redução do câncer de colo uterino
Monteiro, Daniela da Silva Alves; Val Guimarães, Isabel Cristina Chulvis do; Viviani Fialho, Susana Cristina Aidé; Martins, Caroline Alves de Oliveira; Velarde, Luis Guillermo Coca; Campos, Priscila Loyola; Teixeira, Izabel Cristina dos Santos; Morais, Julia Sampaio de Souza.
  • Monteiro, Daniela da Silva Alves; Universidade Federal Fluminense. School of Medicine, Maternal and Child Department. Rio de Janeiro. BR
  • Val Guimarães, Isabel Cristina Chulvis do; Universidade Federal Fluminense. School of Medicine, Maternal and Child Department. Rio de Janeiro. BR
  • Viviani Fialho, Susana Cristina Aidé; Universidade Federal Fluminense. School of Medicine, Maternal and Child Department. Rio de Janeiro. BR
  • Martins, Caroline Alves de Oliveira; Universidade Federal Fluminense. School of Medicine, Maternal and Child Department. Rio de Janeiro. BR
  • Velarde, Luis Guillermo Coca; Universidade Federal Fluminense. Department of Statistics. Niteroi. BR
  • Campos, Priscila Loyola; Universidade Federal Fluminense. School of Medicine, Maternal and Child Department. Rio de Janeiro. BR
  • Teixeira, Izabel Cristina dos Santos; Universidade Federal Fluminense. School of Medicine, Maternal and Child Department. Rio de Janeiro. BR
  • Morais, Julia Sampaio de Souza; Universidade Federal Fluminense. School of Medicine, Maternal and Child Department. Rio de Janeiro. BR
DST j. bras. doenças sex. transm ; 34: 1-5, fev. 02, 2022.
Article in English | LILACS | ID: biblio-1369046
ABSTRACT

Introduction:

Cervical cancer is the third most common malignant tumor in the female population and the fourth cause of death from cancer in women in Brazil. The squamocolumnar junction and the transformation zone concentrate 90% of pre-invasive and invasive cervical lesions.

Objective:

To evaluate the prevalence of cytology without cells of the squamocolumnar junction and feasibility of active search.

Methods:

Cross-sectional study at a university hospital between 2017 and 2018. The prevalence of cytology without squamocolumnar junction cells was calculated. A convenience sample was obtained and mean age and relationship with presence of transformation zone cells were calculated. An active search was performed and cytology collected, with estrogen preparation if indicated. Medical records of the other women were analyzed.

Results:

Squamocolumnar junction cells were not found in 28.84% of samples. Mean age was 53 years, without association with presence of squamocolumnar junction cells (p=0.409). Seventy-six women returned, 36 of which (47.37%) used estrogen. Level 2 or 3 cervical intraepithelial neoplasia, microinvasive carcinoma or cancer was not identified. A total of 134 medical records were analyzed; only 36 women (26.87%) completed screening.

Conclusions:

The presence of squamocolumnar junction cells indicates quality of cytology; the use of estrogen in postmenopausal women favors its collection. There were difficulties in active search. An immediate repetition of cytology should be considered.
RESUMO

Introdução:

O câncer de colo uterino é o terceiro tumor maligno mais frequente na população feminina e a quarta causa de morte de mulheres por câncer no Brasil. A junção escamo-colunar e a zona de transformação concentram 90% das lesões pré-invasoras e invasoras cervicais.

Objetivo:

Avaliar prevalência de colpocitologias sem células da junção escamo-colunar e a viabilidade de busca ativa.

Métodos:

Estudo transversal em hospital universitário entre 2017 e 2018. Calculada prevalência de citologias sem células da junção escamo-colunar. Obtida amostra por conveniência, calculada média de idade e relação com a presença da junção escamo-colunar. Realizada busca ativa e colhidas citologias com preparo estrogênico, se indicado. Analisados os prontuários das demais mulheres.

Resultados:

A prevalência de ausência de células da junção escamo-colunar foi de 28,84%. A média de idade foi 53 anos, sem associação com presença da junção escamo-colunar (p=0,409). Retornaram 76 mulheres e 36 (47,37%) usaram estrogênio. Não identificamos neoplasia intraepitelial cervical graus 2 ou 3, carcinoma microinvasor e câncer. Analisados 134 prontuários, dos quais apenas 36 mulheres (26,87%) concluíram o rastreio.

Conclusões:

A presença de células da junção escamo-colunar indica qualidade da coleta, e o uso de estrogênio na pós-menopausa favorece sua obtenção. Houve dificuldade de busca ativa. A repetição imediata da citologia deve ser considerada.

Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Uterine Cervical Neoplasms / Papanicolaou Test Type of study: Diagnostic study / Observational study / Prevalence study / Prognostic study / Risk factors Limits: Adult / Aged / Female / Humans Language: English Journal: DST j. bras. doenças sex. transm Journal subject: Sexually Transmitted Diseases Year: 2022 Type: Article Affiliation country: Brazil Institution/Affiliation country: Universidade Federal Fluminense/BR

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Full text: Available Index: LILACS (Americas) Main subject: Uterine Cervical Neoplasms / Papanicolaou Test Type of study: Diagnostic study / Observational study / Prevalence study / Prognostic study / Risk factors Limits: Adult / Aged / Female / Humans Language: English Journal: DST j. bras. doenças sex. transm Journal subject: Sexually Transmitted Diseases Year: 2022 Type: Article Affiliation country: Brazil Institution/Affiliation country: Universidade Federal Fluminense/BR