Evidence for benefits from treating cervical ectopy: literature review

Detalhes bibliográficos
Autor(a) principal: Machado Junior,Luís Carlos
Data de Publicação: 2008
Outros Autores: Dalmaso,Ana Sílvia Whitaker, Carvalho,Heráclito Barbosa de
Tipo de documento: Artigo
Idioma: eng
Título da fonte: São Paulo medical journal (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802008000200014
Resumo: CONTEXT AND PURPOSE: Uterine cervical ectopy (cervical erosion) is today considered to be a physiological condition, but there still seems to be a strong tendency towards treating it. The purpose of this study was to review the medical literature for evidence regarding benefits from treating cervical ectopy. METHODS: The following databases were reviewed: Medical Literature Analysis and Retrieval System Online (Medline), Excerpta Medica Database (Embase), Literatura Latino-Americana e do Caribe em Ciências da Saúde (Lilacs) and Cochrane Library databases. In addition, six medical textbooks were consulted. RESULTS: The review showed that: 1) there is probably an association between ectopy and higher risk of Chlamydia trachomatis, human papillomavirus and human immunodeficiency virus infection; 4) there is probably an association between ectopy and cervical intraepithelial neoplasia; 5) there is an association between ectopy and mucous discharge and nocturia; and 6) there is no evidence of an association between ectopy and cervical cancer, or of protection against cervical cancer associated with ectopy treatment. CONCLUSIONS: 1) No data were found in the medical literature to support routine treatment for ectopy; 2) Treatment could be recommended for symptom relief, but more symptoms are attributed to ectopy than could be demonstrated in a controlled study; 3) Further studies to test the hypothesis of protection against cervical cancer associated with treatment are necessary.
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spelling Evidence for benefits from treating cervical ectopy: literature reviewUterine cervical erosionUterine cervicitisCervical intraepithelial neoplasiaUterine cervical dysplasiaUterine cervical neoplasmCONTEXT AND PURPOSE: Uterine cervical ectopy (cervical erosion) is today considered to be a physiological condition, but there still seems to be a strong tendency towards treating it. The purpose of this study was to review the medical literature for evidence regarding benefits from treating cervical ectopy. METHODS: The following databases were reviewed: Medical Literature Analysis and Retrieval System Online (Medline), Excerpta Medica Database (Embase), Literatura Latino-Americana e do Caribe em Ciências da Saúde (Lilacs) and Cochrane Library databases. In addition, six medical textbooks were consulted. RESULTS: The review showed that: 1) there is probably an association between ectopy and higher risk of Chlamydia trachomatis, human papillomavirus and human immunodeficiency virus infection; 4) there is probably an association between ectopy and cervical intraepithelial neoplasia; 5) there is an association between ectopy and mucous discharge and nocturia; and 6) there is no evidence of an association between ectopy and cervical cancer, or of protection against cervical cancer associated with ectopy treatment. CONCLUSIONS: 1) No data were found in the medical literature to support routine treatment for ectopy; 2) Treatment could be recommended for symptom relief, but more symptoms are attributed to ectopy than could be demonstrated in a controlled study; 3) Further studies to test the hypothesis of protection against cervical cancer associated with treatment are necessary.Associação Paulista de Medicina - APM2008-03-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802008000200014Sao Paulo Medical Journal v.126 n.2 2008reponame:São Paulo medical journal (Online)instname:Associação Paulista de Medicinainstacron:APM10.1590/S1516-31802008000200014info:eu-repo/semantics/openAccessMachado Junior,Luís CarlosDalmaso,Ana Sílvia WhitakerCarvalho,Heráclito Barbosa deeng2008-06-09T00:00:00Zoai:scielo:S1516-31802008000200014Revistahttp://www.scielo.br/spmjhttps://old.scielo.br/oai/scielo-oai.phprevistas@apm.org.br1806-94601516-3180opendoar:2008-06-09T00:00São Paulo medical journal (Online) - Associação Paulista de Medicinafalse
dc.title.none.fl_str_mv Evidence for benefits from treating cervical ectopy: literature review
title Evidence for benefits from treating cervical ectopy: literature review
spellingShingle Evidence for benefits from treating cervical ectopy: literature review
Machado Junior,Luís Carlos
Uterine cervical erosion
Uterine cervicitis
Cervical intraepithelial neoplasia
Uterine cervical dysplasia
Uterine cervical neoplasm
title_short Evidence for benefits from treating cervical ectopy: literature review
title_full Evidence for benefits from treating cervical ectopy: literature review
title_fullStr Evidence for benefits from treating cervical ectopy: literature review
title_full_unstemmed Evidence for benefits from treating cervical ectopy: literature review
title_sort Evidence for benefits from treating cervical ectopy: literature review
author Machado Junior,Luís Carlos
author_facet Machado Junior,Luís Carlos
Dalmaso,Ana Sílvia Whitaker
Carvalho,Heráclito Barbosa de
author_role author
author2 Dalmaso,Ana Sílvia Whitaker
Carvalho,Heráclito Barbosa de
author2_role author
author
dc.contributor.author.fl_str_mv Machado Junior,Luís Carlos
Dalmaso,Ana Sílvia Whitaker
Carvalho,Heráclito Barbosa de
dc.subject.por.fl_str_mv Uterine cervical erosion
Uterine cervicitis
Cervical intraepithelial neoplasia
Uterine cervical dysplasia
Uterine cervical neoplasm
topic Uterine cervical erosion
Uterine cervicitis
Cervical intraepithelial neoplasia
Uterine cervical dysplasia
Uterine cervical neoplasm
description CONTEXT AND PURPOSE: Uterine cervical ectopy (cervical erosion) is today considered to be a physiological condition, but there still seems to be a strong tendency towards treating it. The purpose of this study was to review the medical literature for evidence regarding benefits from treating cervical ectopy. METHODS: The following databases were reviewed: Medical Literature Analysis and Retrieval System Online (Medline), Excerpta Medica Database (Embase), Literatura Latino-Americana e do Caribe em Ciências da Saúde (Lilacs) and Cochrane Library databases. In addition, six medical textbooks were consulted. RESULTS: The review showed that: 1) there is probably an association between ectopy and higher risk of Chlamydia trachomatis, human papillomavirus and human immunodeficiency virus infection; 4) there is probably an association between ectopy and cervical intraepithelial neoplasia; 5) there is an association between ectopy and mucous discharge and nocturia; and 6) there is no evidence of an association between ectopy and cervical cancer, or of protection against cervical cancer associated with ectopy treatment. CONCLUSIONS: 1) No data were found in the medical literature to support routine treatment for ectopy; 2) Treatment could be recommended for symptom relief, but more symptoms are attributed to ectopy than could be demonstrated in a controlled study; 3) Further studies to test the hypothesis of protection against cervical cancer associated with treatment are necessary.
publishDate 2008
dc.date.none.fl_str_mv 2008-03-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802008000200014
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802008000200014
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S1516-31802008000200014
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Associação Paulista de Medicina - APM
publisher.none.fl_str_mv Associação Paulista de Medicina - APM
dc.source.none.fl_str_mv Sao Paulo Medical Journal v.126 n.2 2008
reponame:São Paulo medical journal (Online)
instname:Associação Paulista de Medicina
instacron:APM
instname_str Associação Paulista de Medicina
instacron_str APM
institution APM
reponame_str São Paulo medical journal (Online)
collection São Paulo medical journal (Online)
repository.name.fl_str_mv São Paulo medical journal (Online) - Associação Paulista de Medicina
repository.mail.fl_str_mv revistas@apm.org.br
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