RESUMO

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.

O objetivo deste estudo foi identificar a faixa etária das mulheres atendidas nas Unidades de Saúde do Estado de São Paulo, que apresentaram lesão intraepitelial de alto grau e neoplasia cervical, e, também, avaliar se a faixa etária preconizada pelo Ministério da Saúde em campanhas de rastreamento é adequada. Foram analisados os resultados de 30.910 amostras cérvico-vaginais colhidas e analisadas pelo Método de Papanicolaou. Das 14.779 amostras cérvico-vaginais de mulheres da faixa etária 34 anos, 841 (5,7%) apresentaram alterações epiteliais atípicas (AEA); destas, em 74 (8,8%) o diagnostico foi de lesão intraepitelial de alto grau (HSIL), 38 (4,5%) de células escamosas atípicas em que não pode excluir lesão intraepitelial de alto grau (ASC-H) e em 369 (43,9%) houve ocorrência de lesão intraepitelial de baixo grau (LSIL). Entre as amostras cérvico-vaginais de 9.710 mulheres da faixa etária de 35-49 anos, 442 (4,6%) foram diagnosticadas como AEA, destas, 41 (9,3%) eram HSIL, 29 (6,3%) ASC-H, 94 (21,2%) de LSIL e 2 (0,5%) carcinomas. Das 6.421 amostras cérvico-vaginais de mulheres da faixa etária >50 anos 327(5,1%) foram diagnosticados como AEA; destas, 35 (10,7%) apresentaram HSIL, 23 (7,0%) ASC-H, 26 (8,0%) LSIL, e 8 (2,4%) carcinomas. Os achados mostram que há necessidade de especial atenção às mulheres jovens e adolescentes nos Programas de Rastreamento para Prevençã