Open AccessRETROSPECTIVE ANALYSIS OF CERVICAL CYTOPATHOLOGICAL EXAMS PERFORMEDAT AT THE LABORATORY OF PATHOLOGICAL ANATOMY AND CYTOPATHOLOGY OF THE HOSPITAL ESCOLA ÁLVARO ALVIM
Author(s) -
Lorena Ferreira Portugal,
Letícia Ribeiro Escocard da Fonseca,
A. M. Gomes,
Maria Auxiliadora Peixoto Peçanha,
Luisa Aguirre Buexm
Publication year - 2021
Publication title -
revista científica da faculdade de medicina de campos
Language(s) - English
Resource type - Journals
eISSN - 2965-6575
pISSN - 1980-7813
DOI - 10.29184/1980-7813.rcfmc.537.vol.16.n2.2021
Subject(s) - cytopathology , medicine , cervical cancer , atypia , retrospective cohort study , squamous intraepithelial lesion , dysplasia , squamous metaplasia , pathological , pathology , cervix , cancer , cytology , gynecology , cervical intraepithelial neoplasia , epithelium
Each year about 272,610 new cases of cancer are diagnosed in Brazil, being cervical cancer the third most incident among women. Our country is among those that have made the most progress in consolidating the integrated cancer tracking and surveillance system. This article aims to collect sociodemographic and clinicopathological data from patients who underwent cervical cytopathological examinations at the Laboratory of Pathological Anatomy and Cytopathology at the Hospital Escola Álvaro Alvim (HEAA) from 2014 to 2018, considering a retrospective and longitudinal observation of the data. Sociodemographic and clinicopathological data were collected from 121,044 patients, and it was observed that women from Campos dos Goytacazes (84.7%) over 40 years old (56.8%) were the most prevalent at the service. The following cytological characteristics that predominated in these patients were: absence of atrophy (83.6%) or metaplasia (92.6%) of the uterine epithelium, presence of microorganisms (96.4%) and inflammation (97.2%). The presence of cell atypia (6.5%), squamous intraepithelial lesion (2%) and malignant neoplasm (0.1%) was also observed. Therefore, it becomes possible to highlight the importance of cytological examination in the process of diagnosis of malignant neoplasms of the uterine cervix, being essential for a better control and adequate screening, implementing an effective early diagnosis. It also demonstrates the profile of the patients examined at the Pathological Anatomy and Cytopathology Laboratory of HEAA, as well as the scope of this service for early diagnosis of cervical cancer in the North and Northwest Fluminense.