Epidemiological analysis of women with cervical squamous cell carcinoma 2007-2015
DOI:
https://doi.org/10.51481/amc.v59i1.949Keywords:
Uterine Cervical Neoplams, Carcinoma, Squamous Cell, Carcinoma in Situ, Squamous Intraepithelial Lesions of the Cervix, CytologyAbstract
Objective: Evaluate the incidence and behavior of squamous cervical cancer, both in situ/cervical intraepithelial neoplasia grade 3 and invasive carcinomas in women diagnosed in the ""Dr. Escalante Pradilla"" Hospital Pathology Service between the years 2007 to 2015.
Methods: A retrospective study was carried out with the data obtained from the files of the Pathology Service. We included all women diagnosed in this service with epidermoid cervical cancer (in situ/ NIC3 and invasive) for a total of 461 women in the nine-year period. The variables to be studied were cancer type, age and year at diagnosis, residence and cytological results two years prior to tthe cancer diagnosis. For the incidence calculations, adjusted rates per 10,000 inhabitants were used in the rates per place of residence and per 100,000 inhabitants in the Brunca region rates.
Results: It was documented an increase in the incidence of cervical cancer since 2012. The age group most affected globally is 26-30 years, but in invasive carcinoma it's the group of 46-50 years.At cantonal level, there is a marked difference in cytology, with the canton of Corredores having the lowest cytological coverage and, at the same time, a higher rate of invasive carcinoma.
Conclusion: The Brunca region is showing an increase in the incidence of cervical cancer and it was documented that regions with lower coverage, had higher rates of invasive carcinomas. The cervical cytology screening program is an effective prevention method if used appropriately. It is essential to strengthen the program in vulnerable regions, since screening coverage is inversely proportional to the incidence of cervical cancer.
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References
Capote Negrin L. Epidemiology of cervical cancer in Latin America. Ecancer medicalscience. 2015; 9:577.
Lina Villa L. Cervical Cancer in Latin America and the Caribbean: The Problem and the Way to Solutions. Cancer Epidemiol Biomarkers Prev. 2012; 21:1409-
Rivas Suárez L. Virus del papiloma humano y cáncer de cuello de útero. Rev Méd Costa Rica. 2012; 129-132
Ministerio de Salud. Normas y procedimientos de atención a la mujer para la prevención y manejo del cáncer de cuello de útero, para el I y II nivel de atención y normas de laboratorio de citología. 2006; 1-24
Arzuaga Salazar M, Souza M, Azavedo Lima V. El cáncer de cuello de útero: un problema social mundial. Revista Cubana de Enfermería. 2012; 28(1):63-73
Herrero R, Ferreccio C, Salmerón J et al. New Approaches to Cervical Cancer Screening in Latin America and the Caribbean. Vaccine. 2008; 26:49-58
Sierra M, Soerjomataram I, Antoni S et al. Cancer patterns and trends in Central and South America. Cancer Epidemiology. 2016; 44:23-42
DeVita V, Lawrence T, Rosenberg S. Cancer: Principles & Practice of Oncology. Editorial: Wolters Kluwer. Edición 9. 2011; 1311-1330
Barut M, Kale A, Kuyumcuoglu et al. Analysis of Sensitivity, Specificity, and Positive and Negative Predictive Values of Smear and Colposcopy in Diagnosis of Premalignant and Malignant Cervical Lesions. Med Sci Monit. 2015; 21:3860-3867
Murillo R, Almonte M, Pereira A et al. Cervical Cancer Screening Programs in Latin America and the Caribbean. Vaccine. 2008; 26:37-48
Simion N, Caruntu I, Avadanei E, Balan R, Amalinei C. Conventional cytology versus liquid based cytology in cervical pathology: correspondences and inconsistencies in diagnosis, advantages and limits. Rom J Morphol Embryol. 2014; 55(4):1331-1337
Alves C, Alves L, Lunet N. Epidemiology of Cervical Cancer. ArqiMed. 2010; 24(6):266-277
Cheng W, Huang C, You S, Chen C, Hu C, Chen C. Clinical Significance of Cytologic Atypical Squamous Cells of Undetermined Significance. Obstet Gynecol. 2009; 113:888-894
Sanabria Negrin J, Fernández Montequín Z, Cruz Hernández I, Oriolo Pérez L, Llanuch Lara M. El cáncer cervicouterino y las lesiones precursoras: revisión bibliográfica. Rev. Ciencias Médicas. 2011; 15(4):295-319
Howell L, Tabnak F, Tudury AJ, Stoodt G. Role of Pap Test Terminology and Age in the Detection of Carcinoma Invasive and Carcinoma In Situ in Medically Underserved California Women. Diagn. Cytopathol. 2004; 30:227-234
Miller R, Waters L, Mody D, Tams K. Squamous Cell Carcinoma of the Cervix A Cytology-Histology-Human Papillomavirus Correlation in Clinical Practice.
Arch Pathol Lab Med. 2015; 139:776-781
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