RESUMO
Between 1982 and 2002, applying the uterine/cervix cancer prevention protocol of the Gynecology Institute of the University of Padua [1] modified to our needs, we diagnosed 5,008 (53.8%) cases of oncogenic risk out of 9,312 evaluated patients. Values were obtained through the analysis of three diagnostic methodologies: colposcopy, cytology and directed biopsy, taking into consideration the limitations of each one of these and their effectiveness in identifying specific abnormalities or pathologies. The results fully demonstrate that the integration of the three diagnostic methodologies is necessary to decrease false-negative results.
Assuntos
Doenças dos Genitais Femininos/epidemiologia , Doenças dos Genitais Femininos/patologia , Programas de Rastreamento/estatística & dados numéricos , Lesões Pré-Cancerosas/epidemiologia , Lesões Pré-Cancerosas/patologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Biópsia/estatística & dados numéricos , Colposcopia/estatística & dados numéricos , Citodiagnóstico/estatística & dados numéricos , Feminino , Humanos , Anamnese/estatística & dados numéricos , Pessoa de Meia-Idade , Panamá/epidemiologia , Estudos Retrospectivos , Esfregaço Vaginal/estatística & dados numéricosRESUMO
During 20 years of preventive study of the oncogenic risk of cervix-uterine cancer in the Republic of Panama, applying the protocol of the Gynecology Institute of the University of Padua, Italy, we diagnosed 5,009 cases out of the 9,312 patients studied. We classified them according to the degree of the pathology, guiding the patients to the appropriate treatment and the respective follow-up, and concluding that those women who do not follow recommendations have five times more probability of suffering from cervix-uterine cancer. Moreover, the age groups between 20 and 40 years old with HPV infection that do not have access to these procedures are highly vulnerable.