Screening, Diagnosis and Treatment of Precursory Lesions and Invasive Cervical Cancer in the City of Franco da Rocha, São Paulo, Brazil
Autor(a) principal: | |
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Data de Publicação: | 2004 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista Brasileira de Cancerologia (Online) |
Texto Completo: | https://rbc.inca.gov.br/index.php/revista/article/view/2051 |
Resumo: | The objective of this cross-sectional study was to evaluate the severity of cervical lesion among women with preneoplasic or invasive cervical biopsy, the characterisitics of these women, as well as the procedure and resources available to screen, diagnose and treat them. The files of all women with abnormal cervical histological diagnosis, who attended the Franco da Rocha Regional Hospital between 1998 and 2002, were reviewed. To evaluate the resources available in the hospital and in the primary healthcare units, an interview was carried out with one employee from each facility. The Pap test coverage was estimated using data from Datasus. Odds Ratios, with a confidence interval of 95%, were estimated for the analysis of the association between the variables and the histological diagnosis. Eighty-seven files were identified - 52% with a diagnosis of HPV / CIN 1, 28% of CIN 2 / CIN 3, and 21% of invasive cervical cancer. Presenting to the hospital because of abnormal cytology and/or biopsy results, being between 35 and 49 years old and having had five or more deliveries were factors associated with CIN 2 / CIN 3. Presenting for a specific symptom of cancer, attending the hospital spontaneously, being 50 or more years old, or 35 to 49 years of age, having had five or more deliveries, not having used contraceptive pills and not having had a previous Pap smear were factors positively associated with a diagnosis of invasive neoplasia. The Pap smear coverage was below 25% for every year studied. |
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Screening, Diagnosis and Treatment of Precursory Lesions and Invasive Cervical Cancer in the City of Franco da Rocha, São Paulo, BrazilRastreamento, Diagnóstico e Tratamento das Lesões Precursoras e do Câncer Invasor de Colo Uterino no Município de Franco da Rocha, SPNeoplasias do Colo UterinoCondições Pré-CancerosasCitodiagnósticoRastreamentoCervix NeoplasmsPrecancerous ConditionsCytodiagnosisScreening.The objective of this cross-sectional study was to evaluate the severity of cervical lesion among women with preneoplasic or invasive cervical biopsy, the characterisitics of these women, as well as the procedure and resources available to screen, diagnose and treat them. The files of all women with abnormal cervical histological diagnosis, who attended the Franco da Rocha Regional Hospital between 1998 and 2002, were reviewed. To evaluate the resources available in the hospital and in the primary healthcare units, an interview was carried out with one employee from each facility. The Pap test coverage was estimated using data from Datasus. Odds Ratios, with a confidence interval of 95%, were estimated for the analysis of the association between the variables and the histological diagnosis. Eighty-seven files were identified - 52% with a diagnosis of HPV / CIN 1, 28% of CIN 2 / CIN 3, and 21% of invasive cervical cancer. Presenting to the hospital because of abnormal cytology and/or biopsy results, being between 35 and 49 years old and having had five or more deliveries were factors associated with CIN 2 / CIN 3. Presenting for a specific symptom of cancer, attending the hospital spontaneously, being 50 or more years old, or 35 to 49 years of age, having had five or more deliveries, not having used contraceptive pills and not having had a previous Pap smear were factors positively associated with a diagnosis of invasive neoplasia. The Pap smear coverage was below 25% for every year studied.O objetivo deste estudo do tipo transversal foi avaliar a gravidade da lesão cervical entre mulheres com biópsia de colo uterino compatível com lesão precursora ou câncer e os principais fatores associados ao diagnóstico histológico, bem como os procedimentos e materiais disponíveis para rastreamento, diagnóstico e tratamento. Foram revisados os prontuários de todas as mulheres com biópsia de colo uterino alterada atendidas no Hospital Regional de Franco da Rocha, entre janeiro de 1998 e dezembro de 2002. Os recursos existentes no hospital e nos postos de saúde do Município foram avaliados através de entrevista com um funcionário de cada local. A cobertura do exame de citologia (CO) foi calculada embasada nos dados do Datasus. Para a análise da associação entre as variáveis e o diagnóstico histológico foram calculados os Odds Ratio com intervalo de confiança de 95%. Foram identificados 87 prontuários: 52% HPV/ NIC 1, 27% NIC 2/ NIC 3, e 21% câncer invasor. As variáveis associadas ao diagnóstico de NIC 2/ NIC 3 foram procura de atendimento por CO ou biópsia alterada, idade de 35 a 49 anos e ter tido cinco partos ou mais. Por outro lado, procura de atendimento espontaneamente e por sintoma específico de câncer e, idade de 35 a 49 anos e 50 anos ou mais, ter tido cinco partos ou mais, ou o primeiro parto com 18 anos ou mais, não usar anticoncepcional hormonal e não possuir CO prévia foram variáveis associadas ao câncer invasor. A cobertura do exame citológico foi menor que 25% em todos os anos.INCA2004-03-31info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos, Avaliado pelos paresapplication/pdfhttps://rbc.inca.gov.br/index.php/revista/article/view/205110.32635/2176-9745.RBC.2004v50n1.2051Revista Brasileira de Cancerologia; Vol. 50 No. 1 (2004): Jan./Feb./Mar.; 7-15Revista Brasileira de Cancerologia; Vol. 50 Núm. 1 (2004): ene./feb./mar.; 7-15Revista Brasileira de Cancerologia; v. 50 n. 1 (2004): jan./fev./mar.; 7-152176-9745reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporhttps://rbc.inca.gov.br/index.php/revista/article/view/2051/1269Guarisi, Renata Hardy, Ellen Derchain, Sophie Françoise Mauricette Fonsechi-Carvasan, Gislaine Aparecida Borges, João Bosco Ramos info:eu-repo/semantics/openAccess2021-11-29T20:34:12Zoai:rbc.inca.gov.br:article/2051Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2021-11-29T20:34:12Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false |
dc.title.none.fl_str_mv |
Screening, Diagnosis and Treatment of Precursory Lesions and Invasive Cervical Cancer in the City of Franco da Rocha, São Paulo, Brazil Rastreamento, Diagnóstico e Tratamento das Lesões Precursoras e do Câncer Invasor de Colo Uterino no Município de Franco da Rocha, SP |
title |
Screening, Diagnosis and Treatment of Precursory Lesions and Invasive Cervical Cancer in the City of Franco da Rocha, São Paulo, Brazil |
spellingShingle |
Screening, Diagnosis and Treatment of Precursory Lesions and Invasive Cervical Cancer in the City of Franco da Rocha, São Paulo, Brazil Guarisi, Renata Neoplasias do Colo Uterino Condições Pré-Cancerosas Citodiagnóstico Rastreamento Cervix Neoplasms Precancerous Conditions Cytodiagnosis Screening. |
title_short |
Screening, Diagnosis and Treatment of Precursory Lesions and Invasive Cervical Cancer in the City of Franco da Rocha, São Paulo, Brazil |
title_full |
Screening, Diagnosis and Treatment of Precursory Lesions and Invasive Cervical Cancer in the City of Franco da Rocha, São Paulo, Brazil |
title_fullStr |
Screening, Diagnosis and Treatment of Precursory Lesions and Invasive Cervical Cancer in the City of Franco da Rocha, São Paulo, Brazil |
title_full_unstemmed |
Screening, Diagnosis and Treatment of Precursory Lesions and Invasive Cervical Cancer in the City of Franco da Rocha, São Paulo, Brazil |
title_sort |
Screening, Diagnosis and Treatment of Precursory Lesions and Invasive Cervical Cancer in the City of Franco da Rocha, São Paulo, Brazil |
author |
Guarisi, Renata |
author_facet |
Guarisi, Renata Hardy, Ellen Derchain, Sophie Françoise Mauricette Fonsechi-Carvasan, Gislaine Aparecida Borges, João Bosco Ramos |
author_role |
author |
author2 |
Hardy, Ellen Derchain, Sophie Françoise Mauricette Fonsechi-Carvasan, Gislaine Aparecida Borges, João Bosco Ramos |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Guarisi, Renata Hardy, Ellen Derchain, Sophie Françoise Mauricette Fonsechi-Carvasan, Gislaine Aparecida Borges, João Bosco Ramos |
dc.subject.por.fl_str_mv |
Neoplasias do Colo Uterino Condições Pré-Cancerosas Citodiagnóstico Rastreamento Cervix Neoplasms Precancerous Conditions Cytodiagnosis Screening. |
topic |
Neoplasias do Colo Uterino Condições Pré-Cancerosas Citodiagnóstico Rastreamento Cervix Neoplasms Precancerous Conditions Cytodiagnosis Screening. |
description |
The objective of this cross-sectional study was to evaluate the severity of cervical lesion among women with preneoplasic or invasive cervical biopsy, the characterisitics of these women, as well as the procedure and resources available to screen, diagnose and treat them. The files of all women with abnormal cervical histological diagnosis, who attended the Franco da Rocha Regional Hospital between 1998 and 2002, were reviewed. To evaluate the resources available in the hospital and in the primary healthcare units, an interview was carried out with one employee from each facility. The Pap test coverage was estimated using data from Datasus. Odds Ratios, with a confidence interval of 95%, were estimated for the analysis of the association between the variables and the histological diagnosis. Eighty-seven files were identified - 52% with a diagnosis of HPV / CIN 1, 28% of CIN 2 / CIN 3, and 21% of invasive cervical cancer. Presenting to the hospital because of abnormal cytology and/or biopsy results, being between 35 and 49 years old and having had five or more deliveries were factors associated with CIN 2 / CIN 3. Presenting for a specific symptom of cancer, attending the hospital spontaneously, being 50 or more years old, or 35 to 49 years of age, having had five or more deliveries, not having used contraceptive pills and not having had a previous Pap smear were factors positively associated with a diagnosis of invasive neoplasia. The Pap smear coverage was below 25% for every year studied. |
publishDate |
2004 |
dc.date.none.fl_str_mv |
2004-03-31 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Artigos, Avaliado pelos pares |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rbc.inca.gov.br/index.php/revista/article/view/2051 10.32635/2176-9745.RBC.2004v50n1.2051 |
url |
https://rbc.inca.gov.br/index.php/revista/article/view/2051 |
identifier_str_mv |
10.32635/2176-9745.RBC.2004v50n1.2051 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rbc.inca.gov.br/index.php/revista/article/view/2051/1269 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
INCA |
publisher.none.fl_str_mv |
INCA |
dc.source.none.fl_str_mv |
Revista Brasileira de Cancerologia; Vol. 50 No. 1 (2004): Jan./Feb./Mar.; 7-15 Revista Brasileira de Cancerologia; Vol. 50 Núm. 1 (2004): ene./feb./mar.; 7-15 Revista Brasileira de Cancerologia; v. 50 n. 1 (2004): jan./fev./mar.; 7-15 2176-9745 reponame:Revista Brasileira de Cancerologia (Online) instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) instacron:INCA |
instname_str |
Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) |
instacron_str |
INCA |
institution |
INCA |
reponame_str |
Revista Brasileira de Cancerologia (Online) |
collection |
Revista Brasileira de Cancerologia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) |
repository.mail.fl_str_mv |
rbc@inca.gov.br |
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1797042249429680128 |