EXAME CITOPATOLÓGICO DO COLO UTERINO: DESCRIÇÃO DOS PRINCIPAIS INDICADORES EM UM MUNICÍPIO NORDESTINO

Abstract

Introduction: Cervical cancer is an important public health problem in the Brazilian female population and its early diagnosis considerably increases the likelihood of a cure. The cure rate is close to 100%, demonstrating that preventive measures, such as the Papanicolau test, are fundamental for overcoming this problem. Objective: The objective of this study is describe the results of the cytopathological tests accomplished in women of 25 the 64 years in the City of Mossoró, the period of 2014 the 2019. Methodology: This is a retrospective study in which we analyzed all citopathological tests that are registered in the System Database Information about cervical cancer – SISCOLO between the period of 2004 and 2019 for their epidemiological profile. Results: A total of 46606 cases were included and analyzed. There has been an increasing trend in testing in recent years. 83.8% of cases represent atypical squamous cells of undetermined importance (ASC-US). 70% of squamous intraepithelial lesions (LIS) were diagnosed as low-grade (LISL). There was no cytopathological diagnosis of squamous cell carcinoma and only 2 cases of adenocarcinoma in situ. Conclusions: Mossoró follows the national pattern of many cytopathological results of atypical cells, represented mainly by ASC-US and LSIL. Suggestive results of a high degree of malignancy are observed less frequently and should be evaluated by more invasive and sensitive tests for the final diagnosis. 

Keywords: Uterine cervical neoplasms; Papanicolaou test; Women’s health.