Abstract
The aim of the present study was to identify the age - group of women who referred to Health Centers and were classified as SIL, HSIL and cervical neoplasia, and also to evaluate whether the age-group recommended by the Brazilian Health Ministry for being enrolled in the Cancer Screening Program is adequate. A total of 30,910 cervical smears collected by conventional Pap test were analyzed. For 14.779 women at age-group <34 years old, 841 (5.7%) were diagnosed as atypical cellular alteration (AEA). Among these women, 74 (8.8%) presented high-grade squamous intraepithelial lesions (HSIL), 38(4.5%) atypical squamous cells of which the high - grade squamous intraepithelial lesion (ASC-H) cannot be excluded, and 369 (43.9%) showed low-grade squamous intraepithelial lesions (LSIL). Of 9,710 women at age-group of 35-49 years old, 442 (4.6%) were diagnosed as AEA, and among them 41 (9.3 %) were HSIL, 29 (6.3%) were ASC-H, 94 (21.2%) were LSIL and carcinoma was evidenced in 2 (0.5%). The age-group >50 years old was composed by 6,421 women, and among them 327 (5.1%) were diagnosed as AEA, of them 35 (10.7%) were HSIL, 23 (7.0%) were ASC-H, 26 (8.0%) were LSIL and 8 (2.4%) had carcinoma. These findings evidenced that particular and specific attention should be addressed to young women and teenager in accomplishing the Cervical Cancer Screening Programs.References
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