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During the COVID-19 pandemic, most of the deaths in Peru were related to COVID-19; however, cancer deaths have also been exacerbated in the first months of the pandemic. Despite this, excess mortalities of prostate, breast, and uterus cancer are not available by age group and region from January to December 2020. Therefore, we estimated the excess deaths and excess death rates (per 100,000 habitants) due to prostate, breast, and uterus cancer in 25 Peruvian regions. We did a time series analysis. Prostate, breast, and uterus cancer death data for 25 Peruvian regions were retrieved during the COVID-19 pandemic in 2020, as well as data for up to 3 years prior (2017-2019) from the Sistema Informatico Nacional de Defunciones at the Ministry of Health of Peru. Deaths in 2020 were defined as observed deaths. The expected deaths (in 2020) were estimated using the average deaths over 3 preceding years (2017, 2018 and 2019). Excess mortality was calculated as the difference between observed mortality and expected mortality in 2020. We estimated that the number of excess deaths and the excess death rates due to prostate, breast, and uterus cancer were 610 deaths (55%; 12.8 deaths per 100,000 men), 443 deaths (43%; 6 deaths per 100,000 women), and 154 deaths (25%; 2 deaths per 100,000 women), respectively. Excess numbers of deaths and excess death rates due to prostate and breast cancer increased with age. These excess deaths were higher in men aged ≥ 80 years (596 deaths (64%) and 150 deaths per 100,000 men) and women aged 70-79 years (229 deaths (58%) and 15 deaths per 100,000 women), respectively. In summary, during the COVID-19 pandemic, there were excess prostate and breast cancer mortalities in 2020 in Peru, while excess uterus cancer mortalities were low. Age-stratified excess death rates for prostate cancer and breast cancer were higher in men ≥ 80 years and in women ≥ 70 years, respectively.

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Abstract Chronic degenerative illnesses have currently taken on a great predominance at the epidemiological profile, by affecting specially the elderly population. Among such diseases, Cancer has been studied through the broadening of information, which brought scientific advancement for the disease care. However, such topics constantly focus on statistic data, setting the lifetime story of those people aside. This paper aimed at understanding the process of sickness among elderly women and its development up to the diagnostics of uterus cancer through getting closer to their lifetime stories. It is about a qualitative research whose methodology used was that of life history. The methodological choice aimed at providing an intersection in the lives of different women, giving visibility to their memories. Five elderly women between 62 and 89 years old participated in the research, which turns into distinctive lifetime stories, with their singularities, though they interweave before the hard reality faced by them along their aging. Their relationship with their getting-sick development is surrounded by fear into different ways. It is necessary, therefore, to look to the elderly women uniquely, regarding the social relations that interfere during their lives and determine their aging.

Resumo As doenças crônico-degenerativas assumem grande predominância no perfil epidemiológico, acometendo a população idosa. Entre essas doenças, o câncer tem sido estudado, ampliando as informações e trazendo avanço científico no cuidado à doença, contudo, as publicações constantemente centram-se nos dados estatísticos, deixando de lado a história de vida dessa população. O presente artigo objetivou compreender a relação com o processo de adoecimento de mulheres idosas em seguimento para o câncer do colo do útero, por meio da aproximação com as suas histórias de vida. Trata-se de um estudo qualitativo, cujo método utilizado foi o da história de vida. A escolha metodológica visou proporcionar um encontro com a vida de diferentes mulheres, dando visibilidade às suas memórias. Participaram da pesquisa cinco mulheres idosas com idade entre 62-89 anos, resultando em diferentes histórias de vida, com suas singularidades, mas que se entremeiam diante da dura realidade enfrentada por elas ao longo de seu processo de envelhecimento. A relação delas com o processo de adoecimento é permeada pelo medo em diferentes dimensões. Conclui-se que há necessidade de um olhar diferenciado para a mulher idosa, considerando as relações sociais que interferem no curso de sua vida e determinam a sua velhice.

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O exame citopatológico é o método mais usado para rastrear o câncer do colo do útero. Sua qualidade depende da amostra cervical coletada. Visando a contribuir com a otimização do laudo citopatológico, observou-se a influência da adequação da amostra cervical em 3.931 laudos, com o intuito de diminuir a incidência de falso-negativos. O estudo foi documental, retrospectivo, comparativo e analítico. As amostras foram coletadas em mulheres atendidas nas Unidades Básicas de Saúde – Campina Grande-PB e enviadasao Citolab (Laboratório de Citologia e Análises Clínicas Ltda.) no período de janeiro a dezembro de 2002. Os dados obtidos foram agrupados e avaliados de acordo com variáveis relacionadas às informações contidas nas requisições e respectivos laudos citopatológicos. Os resultados permitiram detectar que a maioria dos casos positivos foram encontrados nas amostras satisfatórias. Mostrando assim, que a adequação da amostra cervical influencia no resultado do laudo citopatológico, que a Unidade de Saúde “E” teve o maior número de amostras satisfatórias e de casos positivos, e que a Unidade “D” coletou o maior número de amostras satisfatóriasmas limitadas.

The citopatologic test is the most used method to detect uterus cancer. Its quality depends on the quality of the collected cervical sample. Aiming to contribute to the optimization of the quality of citopatologic brief, the influence of the adaptation of cervical sample in 3.931 briefs was observed, with the objective of reducing the incidence of false-negatives. The study was documental, retrospective, comparative and anallytic. The samples were collected from women assisted at the Helth Basic Units – Campina Grande – PB and sent to Citolab (Laboratório de Citologia e Análises Clínicas Ltda.) from January to December 2002. The obtained data were gathered and evaluated according to variables related to information contained in requirements and respective citopatologic briefs. The results allowed to detect that most of the positive cases were found in the satisfactory samples. Showing, thus, that the suiting of the cervical sample has an influence on the result of the citopatologic brief; that the Health Unit “E” had the largest number of satisfactory samples and positive cases, and that Unit “D” collected the largest number of satisfactory but limited samples.

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