Keywords
cervical cancer cervix
adolescents
How to Cite
Abstract
The aim of the present study was to ascertain the frequency of abnormal PAP smears (ASCUS, AGUS, SILs and carcinoma) in two populations that search for the Program of Cervical Cancer
Prevention of the Public Health Services of São Paulo State (Brazil) in the last six years (1996 to 2001): adolescents (up to the age of 21 years) and adults (over 21 years). The samples were examined at Division of Pathology of Adolfo Lutz Institute. The frequency of uterine cervix lesions is increasing constantly in
both populations but mainly in adolescents (1.7%, 2.3%, 1.8%, 1.3% 2.6% and 4.2% respectively). The adult women also have showed a progressive increasing of the lesions during the period studied: 1.2%, 1.3%, 1.0%, 0.9%, 1.6% and 2.5%, respectively. The addition of data of four anterior years (1992 a
1995) of a similar study previously published, involving the same type of populations, the differences were
still further notable if compared to the posterior years: from 1992 a 1995, the frequency of lesions in the adolescent population was 0,45%, 0,95%, 1,12% e 2,10%, and in the adult population was 0,44%, 0,72%, 0,87% e 1,18%, respectively.
Statistical analysis showed a tendency of linear increase in frequency of abnormal PAP smears in both...
References
1. Edelman M, Fox AS, Alderman AM et al. Cervical Papanicolaou smear abnormalities in inner city Bronx adolescents: prevalence, progression and immune modifiers. Cancer, 87: 184-189, 1999.
2. Hein K, Schreiber K, Cohen MI, Koss LG. Cervical cytology: the need for routine screening in the sexually active adolescent. J Pediatr, 91: 123-126, 1989.
3. Kahn J. An update on human papillomavirus infection and Papanicolaou smears in adolescents. Current Opinion Pediatr, 13: 303-309, 2001.
4. Mount SL and Papillo JL. A study of 10,296 pediatric and adolescent Papanicolaou smears diagnoses in northern New England. Pediatrics, 103: 539-545, 1999.
5. Nomenclatura e controle de qualidade nos programas de rastreamento do câncer cérvico uterino. Instituto nacional do Câncer. Coordenação de Programas de Controle do Câncer (Pró-Onco). Sociedade Brasileira de Citopatologia. 1993.
6. Secretaria de Saúde do Estado de São Paulo. Programa de Saúde da Mulher. Diretrizes para atuação no Estado de São Paulo. Maio de 1997.
7. Utagawa ML, Pereira SSM, Cavaliere MJ, Maeda MYS, Shih LWS, Shirata NK. Cervical intraepithelial neoplasia in adolescents: study of cytologycal findings between 1987 and 1995 in São Paulo State – Brazil. Arch Gynecol Obstet, 262: 59-64,1998.
8. Walboomers JM, Jacobs MV, Manos MM et al. Human papillomavirus is a necessary cause of invasive cancer worldwide. J Pathol, 189: 12-19, 1999.
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2003 Revista do Instituto Adolfo Lutz
Downloads
