Your browser doesn't support javascript.
loading
The Influence of SARS-CoV-2 Pandemic in the Diagnosis and Treatment of Cervical Dysplasia.
Istrate-Ofițeru, Anca-Maria; Berbecaru, Elena-Iuliana-Anamaria; Ruican, Dan; Nagy, Rodica Daniela; Ramescu, Catalina; Roșu, Gabriela-Camelia; Iovan, Larisa; Dîra, Laurențiu Mihai; Zorila, George-Lucian; Țieranu, Maria-Loredana; Iliescu, Dominic-Gabriel.
Afiliación
  • Istrate-Ofițeru AM; Department of Histology, University of Medicine and Pharmacy Craiova, 200349 Craiova, Romania.
  • Berbecaru EI; Department of Obstetrics and Gynecology, Emergency County Hospital of Craiova, 200642 Craiova, Romania.
  • Ruican D; Department of Obstetrics and Gynecology, Emergency County Hospital of Craiova, 200642 Craiova, Romania.
  • Nagy RD; Department of Obstetrics and Gynecology, Emergency County Hospital of Craiova, 200642 Craiova, Romania.
  • Ramescu C; Department of Obstetrics and Gynecology, Emergency County Hospital of Craiova, 200642 Craiova, Romania.
  • Roșu GC; Department of Obstetrics and Gynecology, Emergency County Hospital of Craiova, 200642 Craiova, Romania.
  • Iovan L; Department of Histology, University of Medicine and Pharmacy Craiova, 200349 Craiova, Romania.
  • Dîra LM; Department of Histology, University of Medicine and Pharmacy Craiova, 200349 Craiova, Romania.
  • Zorila GL; Department of Obstetrics and Gynecology, Emergency County Hospital of Craiova, 200642 Craiova, Romania.
  • Țieranu ML; Department of Obstetrics and Gynecology, Emergency County Hospital of Craiova, 200642 Craiova, Romania.
  • Iliescu DG; Department of Obstetrics and Gynecology, Emergency County Hospital of Craiova, 200642 Craiova, Romania.
Medicina (Kaunas) ; 57(10)2021 Oct 14.
Article en En | MEDLINE | ID: mdl-34684138
Background and objectives. The risk of developing invasive cancer increased during the COVID-19 pandemic, especially in Romania, where the incidence of this disease is high due to limited medical education and broad screening. This study's objective is to analyze the number of patients admitted with different types of cervical dysplasia and the treatment applied for the lesions during the SARS-CoV-2 pandemic compared to the same period for the year before the pandemic. Materials and methods: This is a retrospective study that took place in the Obstetrics and Gynecology Clinics I/II (OG I/II) of the Emergency County Hospital of Craiova during the SARS-CoV-2 pandemic (SP) (15.03.2020-14.03.2021) and in the 12 months before (non-pandemic period) (NPP) (15.03.2019-14.03.2020). The study includes 396 patients with pathological PAP smear results. All the patients included in this study were clinically examined and with colposcopy. The patients with Low-Grade Dysplasia were managed in a conservatory manner and reevaluated after six months. The patients with High-Grade Dysplasia were admitted for an excisional biopsy of the lesion. The excised fragments were sent to the Pathological Anatomy Laboratory for a histopathological examination. Results: This study reveals a decrease of more than half in the number of patients admitted with cervical intraepithelial neoplasia (CIN) lesions during the pandemic compared to the same period of the year before. The number of biopsies and excisional procedures has been decreasing by more than a factor of three during the pandemic period compared to the year before. Conclusion: During the SARS-CoV-2 pandemic, we found that the patients' admission rate, diagnosis, and treatment was almost four times lower. As hospital restrictions were not dictated for cancer/precancer management during SP, we may assume that the differences were due to the fear of becoming infected with SARS-CoV-2 due to hospitalization. In the context of poor screening performance and high cervical cancer incidence, the influence of the SP may result in a further increase of severe cases related to this condition.
Asunto(s)
Palabras clave

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Displasia del Cuello del Útero / COVID-19 Tipo de estudio: Diagnostic_studies / Observational_studies Límite: Female / Humans / Pregnancy Idioma: En Revista: Medicina (Kaunas) Asunto de la revista: MEDICINA Año: 2021 Tipo del documento: Article País de afiliación: Rumanía Pais de publicación: Suiza

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Displasia del Cuello del Útero / COVID-19 Tipo de estudio: Diagnostic_studies / Observational_studies Límite: Female / Humans / Pregnancy Idioma: En Revista: Medicina (Kaunas) Asunto de la revista: MEDICINA Año: 2021 Tipo del documento: Article País de afiliación: Rumanía Pais de publicación: Suiza