Prevalence variation of colpocytological abnormalities in adolescents and adults in the years 2000 and 2010

• Autor(a) principal: Coelho,Karina M. P. A.
• Data de Publicação: 2015
• Outros Autores: Bublitz,Giuliano S., França,Paulo Henrique C., Franciski,Marcio, Stall,Jaqueline, Fronza Júnior,Hercílio
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Jornal Brasileiro de Patologia e Medicina Laboratorial (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442015000100028
• topic: Pap test; epithelial abnormalities; adolescents; HPV

Introduction: Cancer of the cervix is the second most common cancer among women worldwide and the frequency of precancerous lesions is increasing among adolescents. Objective: To study and compare the frequency of epithelial abnormalities in cervical cytology exams in adolescents and adults. Materials and methods: Retrospective study based on analysis of reports of cytology exams performed in the years 2000 and 2010 in adolescents (12-18 years old) and in adult women. The frequency of cytological alterations was explored, stratifying them into high-grade/carcinoma and low-grade lesions. Results: In 2000, rates of epithelial abnormalities were 3.08% in adolescents and 1.39% in adult females, and were 4.76% and 1.83% in 2010, respectively. The high-grade lesions/carcinomas were more common among adults in both years. Discussion: There was an increase in prevalence of epithelial abnormalities in the last decade, both in adolescents and in adults. Proportionally, the increase was higher among adolescents (6.7%) than in adults (2.2%). However, the rate of high-grade lesions/carcinoma was higher among adult women in the two analyzed years. Conclusion: It was observed that the frequency of cervical epithelial abnormalities was higher among adolescents than adults and increased between 2000 and 2010.