Estudo dos resultados dos exames citopatológicos, colposcópicos e histológicos cervicais em mulheres portadoras do vírus da imunodeficiência humana
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Repositório Institucional Manancial UFSM |
Texto Completo: | http://repositorio.ufsm.br/handle/1/5832 |
Resumo: | Cancer of the cervix is the second most frequent type of tumor in the female population, with a worldwide incidence in 2008, according to the World Health Organization of 530,000 cases. In Brazil, according to the Health Department, the disease had an average incidence in 2010 of 18.43 new cases per 100,000 women. This condition can be prevented by early detection and treatment. The main and most widely used method for screening cancer of the cervix is the cytopathology cervix exam. However, the diagnosis of cervical cancer is based in cytology, colposcopy and histology, whereas the latter is the gold standard for diagnosis. In patients with HIV infection the whole screening for cervical cancer is a very special situation due to the reduced immune defense and greater vulnerability to lesions that may be precursors of the cancer of the cervix. Objective: To study the cytopathological, colposcopic and histopathological findings of women with HIV infection, attended at the Infectology Service of Hospital Universitário de Santa Maria, Brasil. Methods: crosssectional study conducted in Gynecology Service of the Hospital Universitário de Santa Maria, from March 2012 to July of 2013. The sample consisted of 80 HIV prior infection women by. Results: The rate of cytology exams altered was 3.4% for intraepithelial lesion low-grade and 1% for ASCUS. Among 12 women submitted to cervical biopsy, 16,6% had diagnosis of NIC I or II and 16.6% of NIC III. There was a statistically significant association between time of infection by HIV and histological changes. Discussion: The proportions of alterations found in cytology exams differ from those reported abroad; however, they were similar to those described in Brazil. Final considerations: The screening for cancer precursor lesions of the cervix, in women with HIV infection, should be prioritized in public health services. |
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2014-10-212014-10-212013-12-09MELO, Cristiane Petri Zanardo de. Study of the results of cytopathology, colposcopy and histology cervical exams in women with human immunodeficiency virus. 2013. 68 f. Dissertação (Mestrado em Medicina) - Universidade Federal de Santa Maria, Santa Maria, 2013.http://repositorio.ufsm.br/handle/1/5832Cancer of the cervix is the second most frequent type of tumor in the female population, with a worldwide incidence in 2008, according to the World Health Organization of 530,000 cases. In Brazil, according to the Health Department, the disease had an average incidence in 2010 of 18.43 new cases per 100,000 women. This condition can be prevented by early detection and treatment. The main and most widely used method for screening cancer of the cervix is the cytopathology cervix exam. However, the diagnosis of cervical cancer is based in cytology, colposcopy and histology, whereas the latter is the gold standard for diagnosis. In patients with HIV infection the whole screening for cervical cancer is a very special situation due to the reduced immune defense and greater vulnerability to lesions that may be precursors of the cancer of the cervix. Objective: To study the cytopathological, colposcopic and histopathological findings of women with HIV infection, attended at the Infectology Service of Hospital Universitário de Santa Maria, Brasil. Methods: crosssectional study conducted in Gynecology Service of the Hospital Universitário de Santa Maria, from March 2012 to July of 2013. The sample consisted of 80 HIV prior infection women by. Results: The rate of cytology exams altered was 3.4% for intraepithelial lesion low-grade and 1% for ASCUS. Among 12 women submitted to cervical biopsy, 16,6% had diagnosis of NIC I or II and 16.6% of NIC III. There was a statistically significant association between time of infection by HIV and histological changes. Discussion: The proportions of alterations found in cytology exams differ from those reported abroad; however, they were similar to those described in Brazil. Final considerations: The screening for cancer precursor lesions of the cervix, in women with HIV infection, should be prioritized in public health services.O câncer de colo de útero é o segundo tipo de tumor mais frequente na população feminina. Em 2008, segundo a Organização Mundial de Saúde, apresentou incidência mundial de 530 mil casos. No Brasil, segundo o Ministério da Saúde, a doença apresentou uma incidência média, no ano de 2010, de 18,43 novos casos para cada 100.000 mulheres. Essa afecção pode ser prevenida através da detecção e do tratamento precoce. O método principal e mais amplamente utilizado para rastreamento do câncer do colo do útero é o exame citopatológico do colo do útero. Contudo, o diagnóstico do câncer cervical pode ser realizado com base na citologia, na colposcopia e na histologia, sendo essa última o padrão-ouro para o diagnóstico. Em pacientes com infecção pelo vírus do HIV, o rastreamento do câncer de colo de útero é uma situação muito especial em função da defesa imunológica reduzida e da maior vulnerabilidade às lesões precursoras do câncer do colo do útero. Objetivo: Estudar os resultados dos exames citopatológicos, colposcópicos e histopatológicos em mulheres com diagnóstico de infecção pelo HIV, atendidas no serviço de Infectologia do Hospital Universitário de Santa Maria, Brasil. Métodos: Estudo transversal, realizado no serviço de ginecologia do Hospital Universitário Santa Maria, no período de abril de 2012 a julho de 2013. A amostra foi constituída de 80 mulheres com infecção prévia pelo HIV. Resultados: A taxa de exames de citologia alterados foi de 3,4% para lesão intraepitelial de baixo grau e 1% para ASCUS. Dentre as 12 mulheres submetidas à biópsia do colo do útero, 16,6% tiveram diagnóstico de NIC I ou II e 16,6% de NIC III. Houve uma associação estatisticamente significativa entre o tempo de infecção pelo HIV e as alterações histológicas. Discussão: As proporções de alterações encontradas nos exames de citologia destoam das registradas por outras pesquisas mundiais; todavia, foram semelhantes às descritas no Brasil. Considerações finais: O rastreio das lesões precursoras do câncer do colo do útero em mulheres com infecção pelo HIV deve ser priorizado nos serviços públicos de saúde.application/pdfporUniversidade Federal de Santa MariaPrograma de Pós-Graduação em Ciências da SaúdeUFSMBRMedicinaCâncer cervicalRastreioHIVCervical cancerScreeningHIVCNPQ::CIENCIAS DA SAUDEEstudo dos resultados dos exames citopatológicos, colposcópicos e histológicos cervicais em mulheres portadoras do vírus da imunodeficiência humanaStudy of the results of cytopathology, colposcopy and histology cervical exams in women with human immunodeficiency virusinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisVelho, Maria Teresa Aquino de Camposhttp://lattes.cnpq.br/3242426873145535Riesgo, Itamar dos Santoshttp://lattes.cnpq.br/2232159763766942Gonçalves, Manoel Afonso Guimarãeshttp://lattes.cnpq.br/1804889415224622http://lattes.cnpq.br/7402568427690356Melo, Cristiane Petri Zanardo de400000000001400300300300300011dbf1e-daa1-4cf2-a020-92d25622f298cbd1e351-42fc-4e3e-8f6a-ef609840a713f7fdee7f-7053-48e1-af19-24b4172e230a737f5a73-6172-4a0b-9ed9-65e2149ce6fainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional Manancial UFSMinstname:Universidade Federal de Santa Maria (UFSM)instacron:UFSMORIGINALMELO, CRISTIANE PETRI ZANARDO DE.pdfapplication/pdf1999726http://repositorio.ufsm.br/bitstream/1/5832/1/MELO%2c%20CRISTIANE%20PETRI%20ZANARDO%20DE.pdfc739a473f3b2684338ae91d9c1b9fb9dMD51TEXTMELO, CRISTIANE PETRI ZANARDO DE.pdf.txtMELO, CRISTIANE PETRI ZANARDO DE.pdf.txtExtracted texttext/plain125830http://repositorio.ufsm.br/bitstream/1/5832/2/MELO%2c%20CRISTIANE%20PETRI%20ZANARDO%20DE.pdf.txt8c4ac169cd0490f4a51582948b1c593aMD52THUMBNAILMELO, CRISTIANE PETRI ZANARDO DE.pdf.jpgMELO, CRISTIANE PETRI ZANARDO DE.pdf.jpgIM Thumbnailimage/jpeg4886http://repositorio.ufsm.br/bitstream/1/5832/3/MELO%2c%20CRISTIANE%20PETRI%20ZANARDO%20DE.pdf.jpg8e8ddedcb5200e616df9754137f299cfMD531/58322022-01-12 09:31:03.618oai:repositorio.ufsm.br:1/5832Repositório Institucionalhttp://repositorio.ufsm.br/PUBhttp://repositorio.ufsm.br/oai/requestouvidoria@ufsm.bropendoar:39132022-01-12T12:31:03Repositório Institucional Manancial UFSM - Universidade Federal de Santa Maria (UFSM)false |
dc.title.por.fl_str_mv |
Estudo dos resultados dos exames citopatológicos, colposcópicos e histológicos cervicais em mulheres portadoras do vírus da imunodeficiência humana |
dc.title.alternative.eng.fl_str_mv |
Study of the results of cytopathology, colposcopy and histology cervical exams in women with human immunodeficiency virus |
title |
Estudo dos resultados dos exames citopatológicos, colposcópicos e histológicos cervicais em mulheres portadoras do vírus da imunodeficiência humana |
spellingShingle |
Estudo dos resultados dos exames citopatológicos, colposcópicos e histológicos cervicais em mulheres portadoras do vírus da imunodeficiência humana Melo, Cristiane Petri Zanardo de Câncer cervical Rastreio HIV Cervical cancer Screening HIV CNPQ::CIENCIAS DA SAUDE |
title_short |
Estudo dos resultados dos exames citopatológicos, colposcópicos e histológicos cervicais em mulheres portadoras do vírus da imunodeficiência humana |
title_full |
Estudo dos resultados dos exames citopatológicos, colposcópicos e histológicos cervicais em mulheres portadoras do vírus da imunodeficiência humana |
title_fullStr |
Estudo dos resultados dos exames citopatológicos, colposcópicos e histológicos cervicais em mulheres portadoras do vírus da imunodeficiência humana |
title_full_unstemmed |
Estudo dos resultados dos exames citopatológicos, colposcópicos e histológicos cervicais em mulheres portadoras do vírus da imunodeficiência humana |
title_sort |
Estudo dos resultados dos exames citopatológicos, colposcópicos e histológicos cervicais em mulheres portadoras do vírus da imunodeficiência humana |
author |
Melo, Cristiane Petri Zanardo de |
author_facet |
Melo, Cristiane Petri Zanardo de |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Velho, Maria Teresa Aquino de Campos |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/3242426873145535 |
dc.contributor.referee1.fl_str_mv |
Riesgo, Itamar dos Santos |
dc.contributor.referee1Lattes.fl_str_mv |
http://lattes.cnpq.br/2232159763766942 |
dc.contributor.referee2.fl_str_mv |
Gonçalves, Manoel Afonso Guimarães |
dc.contributor.referee2Lattes.fl_str_mv |
http://lattes.cnpq.br/1804889415224622 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/7402568427690356 |
dc.contributor.author.fl_str_mv |
Melo, Cristiane Petri Zanardo de |
contributor_str_mv |
Velho, Maria Teresa Aquino de Campos Riesgo, Itamar dos Santos Gonçalves, Manoel Afonso Guimarães |
dc.subject.por.fl_str_mv |
Câncer cervical Rastreio HIV |
topic |
Câncer cervical Rastreio HIV Cervical cancer Screening HIV CNPQ::CIENCIAS DA SAUDE |
dc.subject.eng.fl_str_mv |
Cervical cancer Screening HIV |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS DA SAUDE |
description |
Cancer of the cervix is the second most frequent type of tumor in the female population, with a worldwide incidence in 2008, according to the World Health Organization of 530,000 cases. In Brazil, according to the Health Department, the disease had an average incidence in 2010 of 18.43 new cases per 100,000 women. This condition can be prevented by early detection and treatment. The main and most widely used method for screening cancer of the cervix is the cytopathology cervix exam. However, the diagnosis of cervical cancer is based in cytology, colposcopy and histology, whereas the latter is the gold standard for diagnosis. In patients with HIV infection the whole screening for cervical cancer is a very special situation due to the reduced immune defense and greater vulnerability to lesions that may be precursors of the cancer of the cervix. Objective: To study the cytopathological, colposcopic and histopathological findings of women with HIV infection, attended at the Infectology Service of Hospital Universitário de Santa Maria, Brasil. Methods: crosssectional study conducted in Gynecology Service of the Hospital Universitário de Santa Maria, from March 2012 to July of 2013. The sample consisted of 80 HIV prior infection women by. Results: The rate of cytology exams altered was 3.4% for intraepithelial lesion low-grade and 1% for ASCUS. Among 12 women submitted to cervical biopsy, 16,6% had diagnosis of NIC I or II and 16.6% of NIC III. There was a statistically significant association between time of infection by HIV and histological changes. Discussion: The proportions of alterations found in cytology exams differ from those reported abroad; however, they were similar to those described in Brazil. Final considerations: The screening for cancer precursor lesions of the cervix, in women with HIV infection, should be prioritized in public health services. |
publishDate |
2013 |
dc.date.issued.fl_str_mv |
2013-12-09 |
dc.date.accessioned.fl_str_mv |
2014-10-21 |
dc.date.available.fl_str_mv |
2014-10-21 |
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MELO, Cristiane Petri Zanardo de. Study of the results of cytopathology, colposcopy and histology cervical exams in women with human immunodeficiency virus. 2013. 68 f. Dissertação (Mestrado em Medicina) - Universidade Federal de Santa Maria, Santa Maria, 2013. |
dc.identifier.uri.fl_str_mv |
http://repositorio.ufsm.br/handle/1/5832 |
identifier_str_mv |
MELO, Cristiane Petri Zanardo de. Study of the results of cytopathology, colposcopy and histology cervical exams in women with human immunodeficiency virus. 2013. 68 f. Dissertação (Mestrado em Medicina) - Universidade Federal de Santa Maria, Santa Maria, 2013. |
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