Citologia oncológica, captura de híbridos II e inspeção visual no rastreamento de lesões cervicais

• Autor(a) principal: Derchain, Sophie Françoise Mauricette, 1959-
• Data de Publicação: 2005
• Outros Autores: Serra, Marcia Milena Pivatto, Gontijo, Renata Clementino, Sarian, Luís Otávio Zanatta, 1974-, Montemor, Eliana Borin Lopes, Zeferino, Luiz Carlos, 1955-
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório da Produção Científica e Intelectual da Unicamp
• Texto Completo: https://hdl.handle.net/20.500.12733/1647488
• topic: Neoplasia intraepitelial cervical; Cervical intraepithelial neoplasia; Artigo original

To evaluate alterations in Pap smear, hybrid capture II (HCII), and visual inspection with acetic acid (VIA) in 684 women treated at a primary health care unit. The performance and agreement of the exams were evaluated. The study also described social, demographic, and reproductive factors and their association with uterine cervical lesions. Women had specimens taken for Pap smear, HCII, and VIA. When at least one of the tests was positive, colposcopy was performed and targeted biopsies were taken from any suspicious lesions. Performance of tests was evaluated. Women's distribution in relation to social, demographic, and reproductive factors and histological diagnosis was evaluated using the odds ratio. Among 198 women with at least one positive screening test, only 21 showed histological disease. Sensitivities of the tests were similar. VIA and Pap smear presented higher specificity than HCII. Only absence of a previous Pap smear was associated with the presence of histological disease. Pap smear performed better than VIA and HC II. Absence of previous cytology was associated with histological disease