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AutorTeodoro, Renata Pereirapt_BR
AutorScherer, Daniellept_BR
AutorCamargo, Maria José dept_BR
AutorCosta, Ana Carolina Carioca dapt_BR
AutorAndrade, Cecília Vianna dept_BR
AutorRussomano, Fábiopt_BR
Fecha de acceso2022-01-03T18:36:49Z
Fecha de disponibilización2022-01-03T18:36:49Z
Fecha de publicación2021
ReferenciaTEODORO, Renata Pereira et al. Negative histology in cervical specimens obtained with the "see and treat" method among women at a referral center in Rio de Janeiro, Brazil: a cross-sectional study. BMC Women's Health, v. 21, n. 400, p. 1-5, 7 Dec. 2021.pt_BR
ISSN1472-6874pt_BR
URIhttps://www.arca.fiocruz.br/handle/icict/50604
Idiomaengen_US
EditorBMCpt_BR
Derechos de autoropen access
TítuloNegative histology in cervical specimens obtained with the "see and treat" method among women at a referral center in Rio de Janeiro, Brazil: a cross-sectional studyen_US
Tipo del documentoArticlept_BR
DOI10.1186/s12905-021-01552-6pt_BR
Resumen en InglésBackground: According to the Brazilian Guidelines on Cervical Cancer Screening, women with cytopathologic diagnosis of high-grade intraepithelial lesion, abnormal colposcopic findings, fully visible squamocolumnar junction and age 25 years or older should be treated at the first visit ("see and treat-S&T"). The main limitation to this approach is the risk of overtreatment, identified by histology without preinvasive lesion. The objectives of this study were to identify the overtreatment rate in women undergoing S&T in cervical cancer prevention at a referral center with extensive experience with the method and to detect possible factors associated with this rate. Methods: This was a cross-sectional study that analyzed records from a database with 616 women submitted to S&T from 1996 to 2017. Negative histology was defined as the following histopathologic results: human papillomavirus without cervical intraepithelial neoplasia (CIN), inflammatory, low-grade squamous intraepithelial lesion, and CIN 1. Results: Of the 616 women, there were 52 (8.44%, 95%CI 6.25-10.64%) with a histopathologic report without preinvasive cervical lesion. No statistical association was found between this outcome and age or a significant downward trend over time. Conclusion: The overtreatment rate in this study can be considered low and consistent with the acceptable rates reported in the literature, reinforcing the prevailing Brazilian guideline, in which the benefits of immediate treatment outweigh the risk of losses following biopsy.en_US
AfiliaciónFundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira. Rio de Janeiro, RJ, Brasil.pt_BR
AfiliaciónFundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira. Rio de Janeiro, RJ, Brasil.pt_BR
AfiliaciónFundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira. Rio de Janeiro, RJ, Brasil.pt_BR
AfiliaciónFundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira. Rio de Janeiro, RJ, Brasil.pt_BR
AfiliaciónFundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira. Rio de Janeiro, RJ, Brasil.pt_BR
AfiliaciónFundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira. Rio de Janeiro, RJ, Brasil.pt_BR
Palavras clave en InglêsCervical intraepithelial neoplasiaen_US
Palavras clave en InglêsColposcopyen_US
Palavras clave en InglêsOvertreatmenten_US
Palavras clave en InglêsNegative histologyen_US
Palavras clave en InglêsRio de Janeiroen_US
Palavras clave en InglêsBrazilen_US
e-ISSN1472-6874pt_BR


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