Characterization of women with cervical cancer assisted at Inca by histological type
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng por |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/162752 |
Resumo: | OBJECTIVE: To determine the distribution of sociodemographic, reproductive, clinical and lifestyle habits in the cohort of women diagnosed with cervical cancer, assisted at Inca between 2012 and 2014, according to the histological type. METHODS: Retrospective observational study of a hospital cohort of 1,004 women diagnosed with cervical cancer. Data were obtained from the Inca hospital cancer registry, physical and electronic records. RESULTS: The most frequent histological type was squamous cell carcinoma (83.9%). Approximately 70% of the women aged more than 40 years. The study includes non-white women (67.4%), with less than 8 years of education (51.9%), with onset of sexual activity up to 16 years of age (40.7%), who were pregnant before (95.5%), with more than one pregnancy (82.9%), and more than two children (52.7%); 45.8% of the women were smokers or former smokers. Cervical adenocarcinoma was positively associated with earlier staging (IA-IIA) (OR = 1.79; 95%CI 1.03–3.13), as well as women with ≥ 12 years of education (OR = 6.30; 95%CI 1.97–20,13), who had no children (OR = 3.81; 95%CI 1.20 – 12,08) or who had up to two children (OR = 1.74; 95%CI 1.05 – 2,87). CONCLUSIONS: The difference between histological types is highlighted, suggesting that women with cervical adenocarcinoma may represent a distinct clinical entity of cervical neoplasia, which may require different approaches from those used in squamous cell carcinoma. |
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Characterization of women with cervical cancer assisted at Inca by histological typeCaracterização de mulheres com câncer cervical atendidas no Inca por tipo histológicoUterine Cervical Neoplasms, epidemiologyPapanicolaou Test, classificationReproductive HistoryRisk FactorsSocioeconomic FactorsNeoplasias do Colo do Útero, epidemiologiaTeste de Papanicolaou, classificaçãoHistória ReprodutivaFatores de RiscoFatores SocioeconômicosOBJECTIVE: To determine the distribution of sociodemographic, reproductive, clinical and lifestyle habits in the cohort of women diagnosed with cervical cancer, assisted at Inca between 2012 and 2014, according to the histological type. METHODS: Retrospective observational study of a hospital cohort of 1,004 women diagnosed with cervical cancer. Data were obtained from the Inca hospital cancer registry, physical and electronic records. RESULTS: The most frequent histological type was squamous cell carcinoma (83.9%). Approximately 70% of the women aged more than 40 years. The study includes non-white women (67.4%), with less than 8 years of education (51.9%), with onset of sexual activity up to 16 years of age (40.7%), who were pregnant before (95.5%), with more than one pregnancy (82.9%), and more than two children (52.7%); 45.8% of the women were smokers or former smokers. Cervical adenocarcinoma was positively associated with earlier staging (IA-IIA) (OR = 1.79; 95%CI 1.03–3.13), as well as women with ≥ 12 years of education (OR = 6.30; 95%CI 1.97–20,13), who had no children (OR = 3.81; 95%CI 1.20 – 12,08) or who had up to two children (OR = 1.74; 95%CI 1.05 – 2,87). CONCLUSIONS: The difference between histological types is highlighted, suggesting that women with cervical adenocarcinoma may represent a distinct clinical entity of cervical neoplasia, which may require different approaches from those used in squamous cell carcinoma.OBJETIVO: Determinar a distribuição das características sociodemográficas, reprodutivas, clínicas e de hábitos de vida na coorte de mulheres diagnosticadas com câncer cervical, atendidas no Inca entre 2012 e 2014, segundo o tipo histológico. MÉTODOS: Estudo observacional retrospectivo de uma coorte hospitalar de 1.004 mulheres diagnosticadas com câncer cervical. Os dados foram obtidos pelo Registro Hospitalar de Câncer do Inca, prontuários físicos e eletrônicos. RESULTADOS: O tipo histológico mais frequente foi o carcinoma de células escamosas (83,9%). Aproximadamente 70% das mulheres foram diagnosticadas com mais de 40 anos de idade. Houve a predominância de mulheres não brancas (67,4%), com menos de 8 anos de escolaridade (51,9%), com início da atividade sexual até 16 anos de idade (40,7%), que já engravidaram alguma vez na vida (95,5%), com mais de uma gestação (82,9%) e mais de dois filhos (52,7%); 45,8% das mulheres eram tabagistas ou ex-tabagistas. O adenocarcinoma cervical esteve positivamente associado ao estadiamento mais precoce (IA-IIA) (OR = 1,79; IC95% 1,03–3,13), assim como a mulheres com ≥ 12 anos de estudo (OR = 6,30; IC95% 1,97–20,13), que não tiveram filhos (OR = 3,81; IC95% 1,20–12,08) ou que tiveram até dois filhos (OR = 1,74; IC95% 1,05–2,87). CONCLUSÕES: Destaca-se a diferença entre os tipos histológicos, sugerindo que as mulheres com adenocarcinoma cervical possam representar uma entidade clínica distinta de neoplasia cervical, podendo demandar abordagens diferentes das utilizadas no carcinoma de células escamosas.Universidade de São Paulo. Faculdade de Saúde Pública2019-09-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfapplication/xmlhttps://www.revistas.usp.br/rsp/article/view/16275210.11606/S1518-8787.2019053001218Revista de Saúde Pública; Vol. 53 (2019); 88Revista de Saúde Pública; Vol. 53 (2019); 88Revista de Saúde Pública; v. 53 (2019); 881518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPengporhttps://www.revistas.usp.br/rsp/article/view/162752/156578https://www.revistas.usp.br/rsp/article/view/162752/156579https://www.revistas.usp.br/rsp/article/view/162752/156580Copyright (c) 2019 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessRozario, Suelem doSilva, Iléia Ferreira daKoifman, Rosalina Jorgeilva, Ilce Ferreira da2019-10-19T23:09:41Zoai:revistas.usp.br:article/162752Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2019-10-19T23:09:41Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Characterization of women with cervical cancer assisted at Inca by histological type Caracterização de mulheres com câncer cervical atendidas no Inca por tipo histológico |
title |
Characterization of women with cervical cancer assisted at Inca by histological type |
spellingShingle |
Characterization of women with cervical cancer assisted at Inca by histological type Rozario, Suelem do Uterine Cervical Neoplasms, epidemiology Papanicolaou Test, classification Reproductive History Risk Factors Socioeconomic Factors Neoplasias do Colo do Útero, epidemiologia Teste de Papanicolaou, classificação História Reprodutiva Fatores de Risco Fatores Socioeconômicos |
title_short |
Characterization of women with cervical cancer assisted at Inca by histological type |
title_full |
Characterization of women with cervical cancer assisted at Inca by histological type |
title_fullStr |
Characterization of women with cervical cancer assisted at Inca by histological type |
title_full_unstemmed |
Characterization of women with cervical cancer assisted at Inca by histological type |
title_sort |
Characterization of women with cervical cancer assisted at Inca by histological type |
author |
Rozario, Suelem do |
author_facet |
Rozario, Suelem do Silva, Iléia Ferreira da Koifman, Rosalina Jorge ilva, Ilce Ferreira da |
author_role |
author |
author2 |
Silva, Iléia Ferreira da Koifman, Rosalina Jorge ilva, Ilce Ferreira da |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Rozario, Suelem do Silva, Iléia Ferreira da Koifman, Rosalina Jorge ilva, Ilce Ferreira da |
dc.subject.por.fl_str_mv |
Uterine Cervical Neoplasms, epidemiology Papanicolaou Test, classification Reproductive History Risk Factors Socioeconomic Factors Neoplasias do Colo do Útero, epidemiologia Teste de Papanicolaou, classificação História Reprodutiva Fatores de Risco Fatores Socioeconômicos |
topic |
Uterine Cervical Neoplasms, epidemiology Papanicolaou Test, classification Reproductive History Risk Factors Socioeconomic Factors Neoplasias do Colo do Útero, epidemiologia Teste de Papanicolaou, classificação História Reprodutiva Fatores de Risco Fatores Socioeconômicos |
description |
OBJECTIVE: To determine the distribution of sociodemographic, reproductive, clinical and lifestyle habits in the cohort of women diagnosed with cervical cancer, assisted at Inca between 2012 and 2014, according to the histological type. METHODS: Retrospective observational study of a hospital cohort of 1,004 women diagnosed with cervical cancer. Data were obtained from the Inca hospital cancer registry, physical and electronic records. RESULTS: The most frequent histological type was squamous cell carcinoma (83.9%). Approximately 70% of the women aged more than 40 years. The study includes non-white women (67.4%), with less than 8 years of education (51.9%), with onset of sexual activity up to 16 years of age (40.7%), who were pregnant before (95.5%), with more than one pregnancy (82.9%), and more than two children (52.7%); 45.8% of the women were smokers or former smokers. Cervical adenocarcinoma was positively associated with earlier staging (IA-IIA) (OR = 1.79; 95%CI 1.03–3.13), as well as women with ≥ 12 years of education (OR = 6.30; 95%CI 1.97–20,13), who had no children (OR = 3.81; 95%CI 1.20 – 12,08) or who had up to two children (OR = 1.74; 95%CI 1.05 – 2,87). CONCLUSIONS: The difference between histological types is highlighted, suggesting that women with cervical adenocarcinoma may represent a distinct clinical entity of cervical neoplasia, which may require different approaches from those used in squamous cell carcinoma. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-09-30 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/162752 10.11606/S1518-8787.2019053001218 |
url |
https://www.revistas.usp.br/rsp/article/view/162752 |
identifier_str_mv |
10.11606/S1518-8787.2019053001218 |
dc.language.iso.fl_str_mv |
eng por |
language |
eng por |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/162752/156578 https://www.revistas.usp.br/rsp/article/view/162752/156579 https://www.revistas.usp.br/rsp/article/view/162752/156580 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2019 Revista de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2019 Revista de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf application/xml |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 53 (2019); 88 Revista de Saúde Pública; Vol. 53 (2019); 88 Revista de Saúde Pública; v. 53 (2019); 88 1518-8787 0034-8910 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
_version_ |
1800221800651554816 |